I work in long term care as well and it is hard due to the nurse to patient ratios. I am currently looking to work in a physicians office because I don,t feel in ltc that you have enough time to spend with the people you are assigned to care for, I wanted to be a nurse because I enjoy caring for my patients, not to bust my butt trying to take on too many patients at one time to save the facility money and put my license in jeopardy! I am a nurse because I choose to be, because I enjoy people and I enjoy helping others, not because I want to help the administraters save money. They need to find other ways to save money than over working nurses and under staffing these facilitys which only hurts quality of care. To me this is only a means to an end for these places that operate this way. I really don,t see how a business can be run like that. But it does seem to be becoming the norm in ltc and if so I don,t want to be a part of any place that puts the bottom line before patient care.