I've worked evening shift in LTC, and days, and believe me - days is even worse. Two meals to work, and I've had up to 43 patients, most of whom take narcotics once or twice a shift. In the 16 months I've worked LTC, I've never had a ten-minute break, as there is always SOMETHING that needs to be done; a family member asking questions, something that needs to be charted, someone asking for yet another Lortab, or a doctor call that needs to be initiated, supplies that need to be ordered and put away, etc.
At least evenings gets a shift differential where I work, and there are fewer family members and bosses around, and only one meal to work.
Long term care, in my opinion, really stinks. I put in my notice last week and the DON begged me all week to change my mind, because employees are dropping like flies. She basically offered me any position in the facility if I'd stay. I picked something I'd be interested in doing for a while, which DOESN't include passing meds, and if I'm not scheduled for that new job NEXT WEEK - I walk out the door and never look back. I'm tired of working in a sweat-shop atmosphere. It either gets better now for me, or I walk.