Like any other HH agency there are sometimes difficulties w/ finding pt cases near my home, and not on the weekend. Sometimes my planned mthly budget is destroyed if a pt goes into hospital or suddenly goes on vacation w/ little notice-another pt case is not always available. Sometimes parents of patient can expect nurse to do unreasonable things, such as administer a home remedy or babysit siblings while parent is at work, or work in tense or dirty environment, or in extreme temperatures. Finding time/place to eat a lunch can sometimes be very challenging-same for restroom visits and also ability to obtain all doctor orders & pt history info needed from the family. It can be very hard to make phone calls to the agency or pharmacy, Doctor, etc, while trying to care for your patient at same time; just grab time here & there as best you can. Driving ppwk to Dropbox once a week takes a lot of time. Very difficult to get pto and ins because of hours required.