I started in LTC right after graduation and I can tell you from my experience that I wish I would have started in a hospital setting. In a nursing home other for medication administration you do not use a lot of your skills. I have never started an IV and only recently got to draw blood. But from another standpoint you will get very good at pt assessment. I pass out meds at 0600 to 58 patients that includes two peg tubes, 4 insulins, and lots of pills and respiratory tx. Of course I'm from a small town in MS so we have a lot of diabetes, COPD, and HTN and heart disease so there is not a wide variety of diseases even in the hospitals. But I also was not comfortable with starting off in a hospital and if this is how you are then LTC would probably be a good choice. You will get A LOT of psych there, more than a lot of people think. Now I am looking into working in a large teaching hospital in Jackson, MS and I know there will be a wider variety of diseases and situations where I can use more of my skills. I'm not saying don't start off in LTC because you have to look at your individual situation and what you feel is best for you. The 8 hour shifts are really good and you get paid more than in a hospital. I would just say do what you feel makes you comfortable and if you do choose LTC you can always go to a hospital setting later. Good luck and congratulations on becoming a new nurse.