Quote from peaceful2100
Thank you for your responses! The high turn over is what scares me plus the high patient to nurse ratio that makes I think it dangerous.
The nurse/patient ratio scares you because you come from acute care settings. LTC is NOT acute care. You do not have the acuity you are used to. The goal in LTC/SNF is to maintain or improve a stable condition. Your job as a floor nurse in a facility like that will be medication management, wound care, focused assessments and management of changes in condition as they arise.
I used to think having 18-20 patients was too many, until one day I had 8 patients. I was so bored I had time to sit and chat with patients, clean out the med cart and med rooms, helped the CNAs with their jobs, fed at mealtimes. Longest day ever.
Don't get me wrong, it's a hard job. Turnover is high in poorly managed facilities. There are well managed facilities that maintain long-term staff. Find one. Because of your acute care experience, you will actually have an advantage when looking for employment. Enough of one to ask questions about their staffing. Ask for a tour too.