Hello! I have applied in LTC just around our place. I have worked in hospitals, med-surg units and the DON in LTC offered me to work a charge nurse position in evening shift. I am quite confused what the responsibilities of a charge nurse in LTC unit. What are the main responsibilities of a charge nurse in LTC? In the hospitals, they don't have assigned patients, they relieve nurses for breaks. Another thing, what are the main activities in LTC for 3p-11p shift? Do RNS in LTC turn patients a lot? I am quite concerned about that because I have hurt my back twice already that's why I am quite hesitant to take care of 30-40 patients with only 2-3 CNA's and 1 LPN working with me because in hospitals, CNA'S have only 12 patients each and RN's get to help turn and assist patients especially when CNA's are with another patients.