My story is NOT typical for a new graduate. I was offered PRN positions at two LTC facilities in CA. I actually oriented to both facilities at the same time and decided not to continue training at one because the nurse/patient ratio was 26:1 and the supervisor did NOT communicate with me at all. The job I stayed with has been GREAT - most of the staff is very welcoming and open to questions, the pay is great, my supervisor is supportive and the residents are wonderful (10:1 ratio). BUT WAIT -- I just got a phone call from a local dermatology clinic looking for a FULL TIME LVN to train as a surgical assistant for cosmetic and skin cancer procedures. I have wanted to work in dermatology since I was in high school and I'm finally getting this AMAZING opportunity. So.... I have an interview at the dermatologist tomorrow (as I'm not scheduled to work again at LTC until the end of the month). I need advice - I'm planning to move on and get my RN, but I want to work in dermatology... Should I stick with my LTC job and build my skills or say "bye-bye" and start a new career in dermatology? Will I get a reputation as a "job hopper" in this small town? Is it really just a question money vs happiness?