please help

  1. hi all i just posted this thread on the international forum,i'm an rn presently working in a busy med/surg unit in england i'm migrating to the us with an agency, the thing is they keep getting jobs for me in states that i don't want to go at the beginning i told them the states i prefer anyway to cut the story i've accepted a job in nj long term care, i've never worked in ltc but i do enjoy caring for elderly patients, some of my collegues think its a step backward and says i'll lose my skill,i'm going to put my best foot forward and do the best that i can also i've never worked with a ratio of 1 rn to 20 plus patients, please all advice needed.
    thank you
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