I did hospice nursing home and alf care for 4.5 years and have switched to inpatient care for the same company. Loved the nursing home care portion and developed a wonderful repoir with the staff. It was good because I knew that when I was off, the staff was taking care of the patient around the clock. That is the advantage of hospice nursing in the ecf arena verses the private homes. I transferred to inpatient unit with hospice to meet my school needs. Inpatient is extremely busy 4p to midnight shift, I never stop running. Best thing about working inpatient is I don't have the paper work following me around like it did when I worked nursing homes as a case manager. When I'm off, I'm off! How I spent my day in nursing homes? I did an assessment on the patient, provided wound care if it was the right scheduled time, called doctors, spoke with family, updated care plans, etc.. The staff passed the meds and medicated the patient with prn's if I asked them to. Great working relationship. The facilities were usually very pro-Hospice and loved my visits because they knew I would put out the "fires".