What in the world does this have to do with anything the OP was talking about? If you have such a bias against LTC nurses, perhaps it would do you some good to walk a mile in our shoes. Let me help:
(This is for the majority of LTC facilities - I know some are different)
1) Our patient load can be up to 50 patients depending on the shift.
2) We are required to administer medications, perform treatments, assess, chart, call MDs, take orders, coordinate referrals on all of these patients.
3) Many of us do not have charge nurses to pick up some of these tasks.
4) We do not have respiratory therapists, code teams, or IV teams. We are responsible for these tasks ourselves.
5) We have a limited amount of medications available for emergency use. Some have on-site pharmacies, but if they do, they're not 24 hours/day. Places like assisted living facilities may not even have that.
6) LTC/SNFs are the MOST LEGALLY REGULATED facilities in the country. And you thought you had it bad. Our legal requirements and restrictions keep us from doing a lot of things, and that's what sends these patients to you.
7) We are unable to provide emergency care beyond the basics. We do not have a doctor on staff to make emergency decisions and assist. We provide first aid, or CPR and off to the hospital they go. Not because we don't want to help, but because we CAN'T either by law or policy. In some places, like assisted living, we can't even raise someone's HOB up, because they're not in hospital beds. So respiratory distress goes straight to the hospital.
8) We have an incredibly high turnover rate of nurses and CNAs because the work is exhausting and the stress can kill you. We've had nurses have heart attacks at work, one had a mental health crisis in the middle of her shift, a few losses of consciousness because of dehydration, back injuries galore, and instead of 7 patients that might gripe and moan and try to physically injure you, we have 20.
9) Families are ubiquitous. They are there all the time (we don't have "visiting hours," they can visit any time for however long they want), and they are usually mad about something we have no control over.
10) We care for hospice patients, ortho patients, neuro patients, dialysis patients, ARFs, ARDs, COPDs, dementia, CHFs, S/P CABGs, S/P pacers, SBOs, ostomy patients, TPN patients, non-healing wounds, immunocompromised patients, communicable diseases, psych patients, etc. There is no such thing as an "ortho floor" or whatever, so there is no specializing. We get all kinds of patients, and since hospitals are sending post ops to us before the patient even farts, we are providing acute care to 20+ patients.
Give us a freaking break.