Quote from DookieMeisterRN
You're going to have the most difficult acute care cases. In the hospital you would only get one high acuity patient. In an LTAC you will have 4-5 high acuity patients with limited resources and corner-cutting management with poor ethics. May not be the case everywhere but that's what I've experienced and heard of about LTAC 's across the country.
had a very accurate assessment of what it is like to work in an LTAC. I went into LTAC as a new grad. It was not easy. Minimal resources w/ very difficult patient cases that almost always had some underlying psych issues and wacky family members.
On the plus side, you will learn tons, you will see things that you would never normally experience on a med-surg floor. Vents, trachs, tele, g-tubes, flexiseals, tons of IV's because they need to be changed Q4 days. You will learn to be resourceful and deal with challenging pts and situations. It will help your confidence and critical thinking skills later on.
I moved into med-surge at a well-known teaching hospital after 8 months at an LTAC. I can tell you I have probably done more wound care and had more tele, and vented pt's than most of the staff put together. I was able to walk into my interview with confidence and had lots of examples when asked situational questions. I am very happy and thankful to have been hired at my present job but the LTAC experience was a very good foundation.
I wish you luck and if you have any questions feel free to PM me!