Hi I just started a dialysis job in an inpatient unit, I'm in my third day orientation on the floor, so far so good. I will have a ratio of 2:1 and also will be circulating in other units to dialyzes the Pt. My friend I have done LTC for years, ER and a bit of home health. LTC can he hectic, you are on you own, cna are rude and most don't care about the patient, there are turns and turns of paperwork. For the kind of LTC you described it seems to be a small private facility and you will loose all your skills you will be more like a CNA. There is no growth in LTC it's repetitive and you just become a pill popper. You have the most rude family in LTC. All in all I liked the elderly and they will always put a smile on you and the pay check is good. My friend you are new in the field just take a couple of weeks and figure what you want and why you went to school to become a nurse. All I know there is no boredom in nursing as long as you are giving direct care, it is a lot you can do to keep yourself busy. When I wake up in the morning,is it going to ED, LTC, Dialysis I always put myself in the patient shoes and ask myself what would I like the nurse working with me to treat me?