I started working LTC for the first time in my life in June. It was much more stressful than I could have imagined. I had previously worked for 15 yrs in ICU and PACU, then taken off 16 yrs to raise a family. I have found a love for my residents and have some suggestions that have helped me. I made a list of all the common and/or unusual meds my residents were on, their uses etc. and kept it in my pocket. I could study it quickly at breakfast before I left home or pull it out as a reference at work. I made a list of the residents and their room numbers and alphabetized it, so I could quickly locate a resident. This was helpful as I oriented on Skilled, but occasionally worked Assisted. I asked tons of questions and most of the staff were very happy to see me suceed and answered questions. I requested to work days in sucession instead of one off, one on etc. so I could learn residents names, treatments, special requests or oddities much quicker. Never be hesitant to tell someone you are new if you cannot answer a question, they will understand. Lastly, I prayed every day that I would give my residents my very best. You can do this. Each nursing job has a learning curve and you will grow from it. I also had 1 1/2 weeks of orientation. Do not be afraid to ask to shadow more, if you are not ready. Good Luck.