Advice and words of wisdom needed.

Take a breath, you can do it. Not knowing the acuity of your population it's difficult to say, but those ratios do seem a little bit high, so you may be in for a challenge. Do you know anything about the facility as far as a rating from the state or just experience from families? All state records should be public and on-line and if there are numerous citations, you might want to reconsider. If it seems like a decent place, just go by the policies. Every facility has a whole book of policies and while it may seem impossible to find the time to read them (or even one), if the safety of your residents is at stake, you want to make sure you're doing things properly. Good luck, it can be a fun field to work.

What state? You must be very clear what you can and can not delegate and I can understand that if you have never practiced this can be confusing. The nurse to pt ratio does seem high so it is essential that you know what you can delegate. What kind of popultaion does this LTC serve beacause I would be brushing up on care of that population. You will need to be very organized and I would not depend on the facitly to provide me a report sheet or format to do so . What technology will you have access to? What shift is it? Do you have a medication nurse or aide or are you it?

Caveat emptor. this sounds like bad mojo if your numbers are accurate.