To elaborate on my post #3 on defining the Skilled area of LTC....Things have changed in 10 years....in the state that I am in, LTC is long term care....like personal care.
Skilled care....is just that....skilled. Trachs, tubes-g/jg, vents, brittle,sliding scale diabetes, a few rare quarrantine conditions that even went undiagnosed for quite some time :stone, decubiti that you could put 4 fists into.....it was very, very challanging.
It is unbelievable what you can see / learn on Skilled Wings. There were a handful of nurses that would only go down that hall to assist me in an e.r., they would refuse to work a shift alone on that hall.....that is the truth!
I learned soooooooooooooo much in Skilled Nursing.