I started right on Med/Surg/Tele after nursing school
because that's what everyone in school advised me to do. "Go to Med/Surg, get good experience, learn all you can there.." blah blah blah.
Well, I tell ya what I got from Med/Surg.. alot of chaos, running around, feeling like I was not providing safe care, not having a SECOND to learn about a medication or procedure, etc.. Backstabbing which sucked out most of my energy and spirit, just plain OVERWHELMED.
I was hesitant to try LTC because everyone talked down a"bout it. Basically gave the impression that the nurses who worked LTC weren't "real" nurses.
I am in LTC now RN Supervising. I WISH I had started in LTC. I have time to really get to known the patient, learn and absorb all I can about their conditions (which are plentiful!), the medications, learning how to interact w/families/MDs/other nurses/Labs etc.. Learning about procedures/protocols. Where I work, we also have post surgical pt's.. so we get total knees/total hips/ etc etc you name it,, just a few more days past their surgeries than you'd get on Med/Surg.
I have heard that LTC management is horrible. Where I work now.. it's pretty dang good. Where I'd previously worked, it stunk. BUT.. as an RN you are in demand in LTC and can try out different facilites to find the best one. THEN.. after a yr in LTC..if you still feel that need for hospital work.. I personally would hire a nurse from LTC BEFORE I hired one straight out of school...and I have heard other nurse recruiters would also. You will enter the hospital with FAR more knowledge and working skills that will have you all set to learn what Med/Surg has to offer... without feeling so overwhelmed.
That's how I wish I'd done it. = )