Turnover rate is high because of staffing issues (how your daily workload is assigned to you) but management is also on the cool side and software used is outdated and not user-friendly. In order to survive here you have to work long hours to build up your own caseload and even then you work more than 8 hours/day (which is why they do not pay hourly). Additionally, there is a 6 pt daily quota they expect of RNs, requiring a get-in-and-out-as-fast-as-you-can mentality in order to meet it. This focus is what forces many into the longer hours if you are staffed poorly (happens a lot), believe in quality care and your license is important to you. Management will argue that your organizational skills are the key and while this is important, it really is the quota, how you are staffed, your chosen level of care and a lead foot on the gas pedal.
On the upside I met some wonderful, caring nurses who provided best care possible and I also liked the independence. If you want to work home care, make sure you negotiate a good wage beforehand because your previous experience, long hours and quality care will definitely deserve the compensation (if you have kids in daycare you'll need it to pay for the late fees).
helping people to remain in their homes, co workers.
staffing, management, software, quota nursing, long hours.