I think part of the reason new grads feel so overwhelmed by LTC is because nursing school focuses so heavily on hospitals and acute care. When years of nursing school prepare you for high acuity care of 4 or 5 patients, adjusting to having thirty-plus LTC residents is a shock.
Many new grads come into nursing homes ready to do head to toe assessments on all 30 residents. Not only is this not possible, it's not even necessary. We don't do full assessments on every resident every day. We do focused assessments as needed. Yes, some nights Mary-Lou in room 103 needs a nurse to assess her abdominal pain and nausea. And to call the doctor for some telephone orders. But, most nights, all she needs is some pills, a diaper change and a hot supper.
And there's nothing wrong with that.
I think too many good new nurses are scared away from LTC too soon. And that's a shame.