Quote from mianders
It all depends what you want to do with your nursing career. If you stay at a LTC you will not develop a lot of the skills you would in an acute care facility. If you plan on spending your whole career there then more power to you.
I work at a nursing home (LTC/SNF combo), and I am definitely an LTC nurse with some skills. I work on a short-term rehabilitation unit where the typical patient is discharged home in 2 weeks.
I deal with mostly postsurgical patients who are too deconditioned to go home. These patients are CABGs, knee and hip arthroplasties, thromboembolectomies, hysterectomies, post CVAs, fractures, and so forth. One time I received a gentleman who was badly beaten and robbed, and needed reconditioning. Many of my patients are middle-aged, and wouldn't fit the description of the average nursing home patient.
I regularly give drugs via IVPB and IV push, especially antibiotics. We frequently must start our own IVs to create peripheral access. I remove sutures and staples, dress complicated wounds, apply new ostomy appliances, operate nebulizers, CPM (continuous positive motion) machines, iceman machines, oxygen tanks, concentrators, and PEG tubes. I had been employed on a traditional long term care unit for a year, and I had not been exposed to some of these skills that are necessary in the short term rehab unit.
There's always something to learn at my workplace, which happens to be a nursing home. The opportunities might not be so obvious, so you have to be aggressive and seek them out.
Not all LTC nurses are 'deskilled.'