Hear, hear! Hoooorray to all the LTC nurses I currently work in the pharma research industry after grad school (MS Nsg) -before which I worked in acute care for 4 yrs., and before that as an LTC nurse (4 yrs). Absolutely right, LTC nurses have a different skill set, but this does not stop them from being effective and productive in other settings, e.g., acute care, research, home care - no matter what the hiring managers think and what their SOPs dictate. My heart still belongs to my LTC years and colleagues - we still are in touch and very much friends. It's a different and unique culture, patient-wise and colleague-wise. :) To dekatn and cursenurse - I understand your situation. It's time you present your managers an evidence based argument. Go out there, do a literature search, study the theoretical framework/strenghts/limitations of your suggestions - and if they are not convinced, then you can move your suggestions up further in the chain of command. It's time you unite your fellow LTC nurses and let your boss know that you are practicing with knowledge and using the current scientific literature out there to promote evidence based practice. :)