I worked both HH and Hospice. I am still PRN with the Hospice agency I worked for, for the past 4 years. It is really a personal preference. When I was with HH, we took call for a week at a time, Tues-Tues and we were off the Monday before and the Friday after our call. HH call can mainly be dealt with over the phone for the most part. I did it when everything was pen and paper, so even though there is more paperwork, I would assume that its easier now that most agency used tablets or laptops. With HH you have to call the Dr for any kind of order. Our agency had no standing orders.
With Hospice, I worked as a case manager for 2 years and the weekend call nurse for 2 years. I enjoyed both positions. As case manager we took call 1 night a week. The weekend call nurse worked from Fri 5:30 to Mon 8:30. Hospice tends to be more miles on your car in my experience, but I loved it so much better. We had standing orders so you didn't have to call the Dr for every little thing. It was just more rewarding as well with the pts. Many ppl say that you lose you skills, but I did not find this to be correct. I inserted foleys, drew labs, did wound care and drained pluer-a-vacs. It just different that being in the hospital. You have to get creative with your sterile field at times. You definelty want to keep a box of supplies in your care also. I always had basic wound care supplies, a couple of foleys with bags, mouth swabs, lab supplies and a few other odds and ends that were specific to my pts. I live in a large rural area, so it was no big deal for me to drive 500-750 miles a week but I did get reimbursed mileage.
Hope this helps!