RN: 1 pt, this could possibly be a vent

I got "lucky" and came into the position of clinical supervisor at my private duty agency. I was working a private duty case - the opening occurred - and my administrator thought I would be a good fit. It's going very well. Provided more experience and challenges then only one patient.

I then got a second job doing home health visits per diem. I still want to transition into acute care - now that I've gained more experience. I would think working in intermittent visits (if you have enough experience d/t Title 22 regulations and agency policy) - might be a more accessible area to expand your skill set and provide new challenges.

Good luck! I feel like private duty is something for some and not others. It has so many advantages in the closeness to the patient and family - the low stress environment (hopefully) - and the impact one has on each patient's quality of life. However, for some it becomes mundane, seems a poor use of skills, and nurses feel a longing for "more."

I transitioned from home care / one vent patient (peds) to a position in PICU at the local children's hospital. I had previous hospital experience, but it was still a learning curve after having been out of the hospital world for several years.

Good luck - don't be afraid to go out and apply. Make sure your resume includes all the tech-y stuff about your job, and emphasize your versatility and decision-making in situations without co-workers.

As a nursing leader, I would tell you to go for it... I can teach any nurse a task oriented skill... but I can't teach motivation. So I hire based on the licensure, motivation, and personality... the rest is teach-able. :-)