I have an issue and would like some advice. I'm an RN and have been one for over 3 years. My first nursing job was in an LTACH. It was very difficult and stressful but I learned more than I ever thought I would. When I graduated I had trouble finding a job because the economy was so bad that new graduates had a hard time finding a job. My sister knew a nurse that was the manager of an LTACH in our area. I had never heard of LTACH's and, like most, I assumed it was like a nursing home. I had always wanted to start in acute care but I was so desperate that I was willing to work anywhere. The nurse manager looked and my application and set up an interview. I began looking into info about the unit and, was pleasantly surprised to find out that it was actually and acute care facility and the patient's were medically complex. The manager offered me a job right after the interview. Orientation was rough, as I began to realize how sick the patients really were. I made it through and after 2.5 years I decided to pursue travel nursing. As I talked to recruiters I began to have difficulty getting them to understand that I didn't work in long term care. I struggled to explain how the "long term" part was more of an extended acute care. In addition, the managers I was submitted to didn't get it either. As a nurse working in an LTACH, I gained experience with ventilators, wound vacs, central lines, feeding tubes, chest tubes, pca's, telemetry, and diseases including aids, pneumonia, DIC, cancer, traumatic brain injuries, MI, sepsis, kidney failure, liver failure, etc. Med surg nurses are often not floated to our floor because they can't be assigned to many of our patients. I really want to travel but I don't know how to get past the assumptions about LTACH's. I've tried explaining it and even directing recruiters to my facility's website. Is there anything I can do or should I just move on to something else? It's so frustrating because no one seems to listen to what I'm saying. For example, after explaining again my experience, my recruiter still emailed me and asked if I wanted an assignment in a long term care facility.