After reading your post, I would have to agree with the others that you are getting in over your head. I have been a Paramedic for 17 years and an RN for 11 years. My first job as an RN was at a nursing home, and it was a nice one, brand new and all. They made me 3-11P Charge Nurse!! I had been an RN for less than 24 hours, and I had zero practical experience at charting, med administration, long term pt care, and Alzheimers. It was an overwhelming task that I managed to do for a month before I bailed out. I had 33 residents and quite a few with Alzheimers, one aide and that was it. I wouldn't wish that scenario on anyone.
Now don't get me wrong. While I do think the system in Long Term Care is broken, I have ABSOLUTE admiration for those who pursue that line of work and who do it responsibly. My mother died last April in a Nursing Home in Woodstock, IL. She was 91 years old, total dimensia, didn't know me, couldn't feed or care for herself. Couldn't even swallow anymore without aspirating. She was losing weight, had pneumonia, had ZERO quality of life and it killed me to see her like that. The doctor wanted to put her in the hospital, put in a PEG tube, etc. My brothers and I were in complete agreement that a PEG was not the answer to her problems. We chose to provide comfort measures, sit with her every day in the nursing home, talk with her about her life and ours, and wait. In about two weeks she died. The entire time, the nursing home staff went above and beyond what anyone could have been expected of them. They were extraordinary in their care and compassion.
My point is that the career you are considering can be tremendously trying as well as rewarding. If you have the skills to work in that environment, you are quite a person and nurse. Seek out a workplace that will ease you into the routine, allowing you time to learn so that you won't get disappointed and overwhelmed and quit. We need you in that job. Good luck.
RJ Bailey RN CEN EMT-P
Lehigh Acres, FL