I agree that LTAC work would be VERY challenging. My father is currently in an LTAC after having a single car motor vehicle accident this past December. The first 3 weeks after his accident he was in the Neuro Trauma Unit at a major university hospital - bilat flail chest, retrosternal bleed with fx sternum, PE, orally intubated, a-line, swan, CT scan every day, multiple vasoactive gtts that changed on any given day due to huge bp swings, gtt, insulin gtt, diprivan gtt, ICP monitoring, etc. He was moved to the LTAC after they trach'd him, PEG tube placed, ICP monitoring out, Swan out, a-ling out, and down to just a Versed gtt and Heparin gtt. Obviously still a very sick patient but just not the same acuity therefore they moved him to the LTAC so they could free a Neuro Trauma bed. LTAC nurses are AMAZING and have many of the skills needed to work critical care. However anesthesia is closer to the skills utilized in the most acute areas. This is certainly NOT a slam against LTAC nurses - heck our program will not take ICU nurses that work at small hospitals that dont do hearts or heads. OR nurses are often irked that they dont qualify for CRNA school but truthfully you need the high end critical care experience to survive school. Not really a matter of if you qualify but if you would survive the fast paced CRNA program. They expect you to already now how to keep a semi-coding patient alive for hours and hours. They dont want the OR to be the first place that you hang 4 or 5 vasoactive gtts and 10 units of blood while juggling ABG interpretations, vent changes, obtaining and treating stat lab results, etc.