I am an LPN now, but I've worked both LTC and hospital as an STNA. It all depends on where you live/work and what each facility allows CNAs to do too. Some hospitals will have you doing vital signs, EKGs, and lab draws. It would also depend on the department too. Both involve direct patient care--helping with bed baths, bathing, hygiene, wiping butts (to put it bluntly
). Both are rewarding and interesting. In the hospital, your patients will come and go. If you get a difficult one, you know it's only for a short time period. In LTC, you're stuck with them, but then you also have the ones that you really get to know and love. I liked the hospital a lot better though, and if I had to choose again, I'd choose the hospital. It was less hectic because everyone worked together efficiently. In the LTC, we were constantly battling under staffing problems and at times we would work short.