It depends on the facility as to when meds are late. Some of the facilities I did clinicals in had the 30 minute before and 30 minute after rule and others had a 60 minute before and 60 minute after.
I'm a new grad RN who is going into to LTC for two reasons: 1. Hospitals here are bombarded with new grad apps. 2. I like working with the elderly.
I do not for one minute think I will be stuck in LTC simply because I started there. I'm so tired of hearing that if you don't start in a hospital it will next to impossible to get a hospital job. I will use my nursing skills in LTC as well. I may not do many trachs, vents, and IV push drugs like I would in a hospital but I will do skin assessments, wound care, finger sticks, vital signs, suctioning, care planning, assessing, teaching, admitting, discharges, psych nursing, nutrition, ADLs, my people skills, etc. I really don't that nurses that start off in LTC will be ignored once they have a year of experience.