How to Become a Home Health Care Nurse
Home Health Care Nursing Information and Overview
Home health care is allowing the patient and their family to continue dignity and independence. According to the National Association for Home Care, there are more than 7 million individuals in the United States in need of home health care nurse sets because of acute illness, long term health problems, long-lasting disability or terminal illness.
Home Health Care Basics
Nurses practice in a number of venues: Hospital settings, nursing homes, assisted living centers, and home health care. Home health care nursing is a growing occurrence as more patients and their families desire to receive care in their homes. The history of home health care stems from Public Health Nursing where public health nurses made home visits to promote health education and provide treatment as part of community outreach programs. Today academic programs aim nurses in home care and agencies place home health care nurses with ailing individuals and their families depending on the nurse’s experience and qualifications. In many situations there is a shared relationship between the agency and the academic institution.
Many changes have taken place in the area of home health care. These include Medicare and Medicaid, and Long Term Care insurance reimbursement and documentation. It is important for the nurse and nursing agency to be aware of the many factors involved for these rules and regulations resulting from these organizations. Population and demographic changes are taking place in addition. Baby boomers approaching retirement and will present new challenges for the home health care industry. Technology and medical care in hospitals has rule to shorter inpatient stay and more at-home rehabilitation. Increases in medical outpatient procedures are also taking place with follow-up home care. This has resulted in the decline of mortality rate from these technologies and medical care has rule to increases in morbidity and chronic illness that makes the need for home health care nursing a greater priority.
Home Health Care Nurse Job Description
by an range of skills and experience, home health care nurses specialize in a wide range of treatments; emotional sustain, education of patients who are recovering from illnesses and injury for young children and adults, to women who have experienced recent childbirth, to the elderly who need palliative care for chronic illness.
A practicing nurse must have the skills to provide care in a rare setting such as someone’s home. The nurse is working with the patient and the family and must understand the communication skills for such dynamics. Rapport is apparent in all nursing locaiongs, but working in a patient’s own living space needs a different level of skill and understanding. There is independent decision making as the nurse is no longer working as a team with other nurses in a structured ecosystem, but is now as a member of the “family” team. The great number family has cultural values that are important and are different for every patient and must be treated with extreme sensitivity. Other skills include basic thinking, coordination, assessment, communication, and documentation.
Home health care nurses also specialize in the care of children with disabilities that requires additional skills such as patience and understanding of the needs of the family. Children are living with disabilities today that would have resulted in mortality just twenty years ago. Genetic disorders, congenital physical impairments, and injury are just a few. Many families are familiar with managing the needs of the child, but nevertheless need expert care that only a home health care nurse can provide. It is important that a home health care nurse is aware of the skill of the family about the child’s condition for proper care of the child. There are many complexities involved, but most important, a positive attitude and positive reinforcement is of utmost importance for the development of the child.
Medication coordination between the home health care nurse, doctor, and pharmacist, ensures proper management of the exact science behind giving the patient the correct measure, time of administration, and combinations. Home health care nurses should be familiar with pharmacology and taught in training about different medications used by patients in the clinical setting.
Many progressive practicing nurses are familiar with medication regiments. They have completed graduate level programs. Home health care agencies believe that a nurse should have at the minimum one year of clinical experience before entering home health care. progressive practicing nurses can expedite that training by helping new nurses understand the home health care market and teaching.
Employment and Salary
According to the United States Department of Labor, there were 2.4 million nurses in America, the largest healthcare occupation, in addition many academic and hospital organizations believe there is a gross shortage in nursing staff. The shortage of nurses was 6% in 2000 and is expected to be 10% in 2010. The average salary for hospital nursing is $53,450 with 3 out of 5 nursing jobs are in the hospital. For home health care, the salary is $49,000. For nursing care facilities, they were the lowest at $48,200.
Training and continuing education
Most home health care nurses gain their education by accredited nursing schools throughout the country with an associate degree in nursing (ADN), a Bachelor of Science degree in nursing (BSN), or a master’s degree in nursing (MSN). According to the United States Department of Labor, in 2004 there were 674 BSN nursing programs, 846 ADN programs. Also, in 2004, there were 417 master’s degree programs, 93 doctoral programs, and 46 joint BSN-doctoral programs. The associate degree program takes 2 to 3 years to complete, while bachelors degrees take 4 years to complete. Nurses can also earn specialized specialized certificates online in Geriatric Care or Life Care Planning.
In addition, for those nurses who choose to pursue advancement into administrative locaiongs or research, consulting, and teaching, a bachelor’s degree is often basic. A bachelor’s degree is also important for becoming a clinical nurse specialist, nurse anesthetists, nurse midwives, and nurse practitioners (U.S. Department of Labor, 2004).
All home health care nurses have supervised clinical experience during their training, but as stated earlier progressive practicing nurses keep up master’s degrees and unlike bachelor and associate degrees, they have a minimum of two years of post clinical experience. Course work includes anatomy, physiology, chemistry, microbiology, nutrition, psychology, and behavioral sciences and liberal arts. Many of these programs have training in nursing homes, public health departments, home health agencies, and ambulatory clinics. (U.S. Dep. of Labor, 2004).
Whether a nurse is training in a hospital, nursing facility, or home care, continuing education is necessary. Health care is changing rapidly and staying abreast with the latest developments enhances patient care and health procedures. Universities, continuing education programs, and internet sites, all offer continuing education. One such organization that provides continuing education is the American Nurses Association (ANA) or by the American Nurses Credentialing Center (ANCC).
There are many rewards to becoming a home health care nurse. Some rewards include the relationship with a patient and their family, autonomy, independence, and engaging in basic thinking. The 21st Century brings with it many opportunities and challenges. We must meet these challenges head on – there is an aging baby boomer population, a growing morbidity factor due to increased medical technology and patient care, and the growing shortage in nursing care.
Becoming a home health care nurse today is exciting and an opportunity to make a difference one life at a time. With clinical experience and proper education, a home health care nurse will rule the future of medical care.