I once was as narrow minded as you are in regards to working in LTCFs/SNFs. I even posted a thread expressing my concern about working in a LTCF. But, let me tell you, it has been such a great learning experience. I am more then just a "pill pusher," much more. I work on a sub-acute rehab floor. We can get anything from CABGs, many post-ops, S/P pneumonias, CVAs, MIs, many fxs, you name it. If you didn't know it, you would think that my floor was a mini med-surg unit. I hang IVs, insert foleys, access g-tubes, suction vent patients, dsg changes, and much more. Not only am I utilizing many of the skills that I learned in school, I am learning time management, honing my assessment skills, and getting up close an personal w/ my pt's and their families. Not to mention, learning how to interact w/ MDs and other healthcare providers. Also, working in LTC allows me to familiarize myself with charting and paperwork. I rather be working in a LTCF, then not doing anything for 5+ months waiting for my "dream job." And, no I don't have 35+ patients, I actually have 6-10. The avg med-surg floor has about 6-8 pts so, it's not that bad. Oh yea, I work 12 hr shifts not 8. Now, I'm not telling you to go into LTC, I am just letting you know that I do much more then just "push pills." Not all LTCFs are the same. Good luck on your job search!!!!