I am a Treatment Nurse in LTC and I can tell you that it is HARD, HARD work. You might make more, but you will be answerable for the entire building for all 3 shifts, even though you are only there for 1 shift 4-5 days per week. You be held to the responsibility of a manager of your program but be forced to punch in and out like a factory worker as if there were never ongoing or unresolved problems/paperwork (you will try to endorse work to next shift and they won't touch it, it will be left for you the following day). Treatment nurses need to be supported by "all hands" but the tendency is to slough off all treatment-related paperwork and patient care to that nurse- Most managers won't "get it" until something awful happens, then they blame the only nurse who was trying to deal with it all. Patients get admitted and nobody ever looked at their skin- guess what, the treatment nurse is now legally bound to that wound for the entire statute of limitations and if anyone ever sues, it will trace back to that nurse and their facility who "caused" the wound (even though it was actually present on admit but not documented). The job has its benefits- closer relationships with patients, the ability to see the healing that your art will allow you to achieve (nothing like the feeling of closing out a "complete heal"). But if you are in it for the money only there are better places to work with easier work. You've got to have good CNA skills as well to move around patients, contort to positions where you can work with wounds, move fast & hard all day, and work well with fine motor (taping intricate little inventions to places where tapes won't stick, getting in between places where the sun don't shine like toes, etc.). The job requires alot of versatility and creativity, and in LTC there is the whole dementia/combative pt element to deal with as well. 80% of the litigation in LTC tends to be related to wounds and most Tx nurses expect to be sued at some point. Wound care also means getting away from core nursing skills, which one can forget. For some people, it's a good fit. For most, it's a very rough ride. Many people want to stay far away from wounds as a career, but some are drawn into the healing aspect and the intricacies of things that from the outside may seem simple, but are in fact very detailed and dynamic.