Exciting and interesting place to work, but with lots of aggravations.
Pros: flexibility, independence, no night shifts, great relationships with clients
Cons: isolation, unpredictable hours and pay, on call responsibilities.
I work with an absolutely fantastic team of nurses for a manager who really cares about enabling us to do our job. The company has great resources in wound care education and advertises upcoming educational opportunities. There is also a small financial support for pursuing education. Seeing client's in their homes creates an opportunity to build very fulfilling and effective therapeutic relationships and allows you to really focus on the needs of the client currently being seen. The clients are all very different, so it provides a great deal of variety and constant learning.
A typical day at work involves seeing 5-13 clients in their homes spread across the town. Several of the clients are typically chronic or acute wound care. These range from post surgical wounds to diabetic foot ulcers, venous or arterial leg ulcers, slow healing traumatic wounds, or even a few of un-known origins. Other clients may be on service for antibiotic therapy for infection, or teaching for diabetics or clients with new ostomies. There is never a dull day. Seeing the clients includes meeting them in their homes and actually doing their treatment plan, ordering supplies, communicating with their case manager, doctor, or pharmacist as appropriate, and communicating with the team assistant about any changes that may occur.
The problem with this company, and this industry, is that there is no consistency with hours or pay, and we are required to be on-call for 24hrs a day, 1 day each week, and for the weekend one weekend in 4. This can create very, very long hours, and a lot of stress. When on call, – more... typically it involves forwarding messages after hours to clients who call in. The on call nurse is also responsible for any emergency visits that may happen after hours. This may include a leaking negative pressure dressing, a blocked catheter, a malfunctioning IV pump, or a symptom emergency in the Oncology or Palliative client. It is very unpredictable and quite stressful at times. – less