What are the pros and cons of working in home healthcare for new nurses?
Huge cons!
1. You are by yourself with limited newbie knowledge, no backup, and in charge of complex medical patients. If.... when.... something happens, you have to be confident enough to be respiratory therapy, nurse, perfusionist, IV therapy, and basically a doctor making all decisions in an effort to keep your patient alive - all by yourself - riding the line of life and death.
2. You are all by yourself in strange and sometimes scary neighborhoods, alone with patients who may or may not be mentally aware of who you are or their actions towards you, and who may want to harm / assault you. Or even not intending to hurt you, but did so nonetheless. You need to be rock solid in your de-escalation techniques, confident so as not to show fear in front of the creepy dudes, etc.
3. Bugs
4. Wear and tear on your car on a new grad budget.
5. IV skills and others such as vent / trach skills need to be too notch. You are the only one able to poke the old guy for labs, you can't call your mentor in. If that trach plugs - it's on you to change it out by yourself in a *possibly combative* patient who isn't getting enough oxygen. If the vent fails, what do you do? What do the settings all mean, how do you maintain positive pressure for these patients?
6. Family drama no nurse is equipped to deal with, but especially the inexperienced. You can very quickly and easily put your foot in your mouth and cause trouble. Knowing and setting those professional boundaries is HARD. It takes time to learn.
7-10. BUGS and filth