I worked AL for almost a year PRN and LOVED IT. Here in Texas, it is really easy for the residents to come and go as they please. They do need to sign out on a sign out sheet, but only out of respect for us. Like living with someone and telling them "Hey I am going over to Maries. I will be back at 10pm."
We also serve food, and give meds if they choose for us to, otherwise we have to have a Dr order for them to have their own meds. We get them filled, or atleast call them in. If they have a different pharmacy from ours it is their responsibility to have them picked up.
We do take vitals at least weekly, unless otherwise noted, but really otherwise there is no nursing SKILLS needed. It has gone so far that if the pt is a diabetic, they have HH come in and give insulin and take their BS. We can take their BS PRN, but HH has a schedule that comes in. Same thing for dressing changes and so on.
I really enjoyed my time there, and would go back again soon if I wanted to. A colleage of mine once said she felt more like a waitress than a nurse. So there is some food for thought.
We did have to were scrubs. It helped make the family feel like the high premium they were paying was worth it