If this is any comfort to you, I had been out of nursing for 9 years where I went back. When I had worked prior to that, it was hospital work in Ohio and LPN's didn't do the meds, so I had never done med passes but had completed the courses in nursing school
. I got out my old med books to refresh myself on the basics and when I applied for the job I told the DON the truth and that if she hired me, I'd be one of her hardest workers and she'd never regret it. She teamed me up with an excellent nurse and told me I wouldn't be tossed out on my own till I felt comfortable with it. There were also some procedures that I had only done in hursing school, so I was scared to death. Honesty is the best pollicy. After about a week, I told her I felt very comfortable and I made it a point to write down meds I wasn't sure of and looked them up on my own time at home. If I had a procedure I wasn't sure of, I asked to observe it the first time, took notes and did it on my own from there. It's not as scary or as complicated as you think and LTC is a great place to start. Just find good reference sources and read everything. If you know you could be facing a procedure you're not sure of, get out your nursing books, read the facility policy and then just ask to observe once. It will all come back to you. In no time I was doing IV's, after certification of course, and many other procedures. If you go in letting them know up front you need some guideance, I'm fairly certain you will find them very willing to work with you. Good luck and hang in there, I'm betting you'll do great!!!!