I actually agree with awheat. Yes, it is the agencies responsibility to train the nurses and to have a supervisor on call if help is needed. But there are just some skills you don't master until you have experience. When you work in other facilities, hospitals, etc you have other nurses you can go to for help and a second opinion. For instance. When I was a new nurse, a patient's Blood sugar was high, gave them the appropriate insulin per sliding scale, and 15 mins later they bottomed out. I did not recognize that that was the problem. I had given them VERY little insulin. I had the RN come in and she was able to tell what was wrong. Learned that pt's with pancreatic cancer have very unpredictable blood sugars and can bottom out at the drop of a hat. Having someone there to mentor you if needed is an asset to a new nurse. You won't have that in home health. Sure, you can call, but it can take twice as long to figure out a problem over the phone than in person. That's why many home health agencies won't hire new nurses. My company only hires those with experience, does the testing upon hire AND gives orientation. And that's for experienced nurses. That being said, whatever you choose is your choice and I wish you the best either way.