Funnybunny

Thanks for the insights everyone :) I actually declined any hours after the interview... I slept on it, and still couldn't shake the weird feeling I was getting. I liked the DON a great deal, but I've been down that road before (I worked a hell job as a CNA with a wonderful DON in LTC). I hated to turn down the pay, hours and distance from home but I just had an ominous feeling about the whole thing. As it turns out, right after I called to politely decline, I got an interview offer from a rehab hospital with med-surg type patient ratios that I am used to. So in the end, I am hoping this works out!

Thanks for the replies/insight... To clarify, I believe that the rehab portion is less than 20:1 resident to nurse... I want to say it's maybe 10-15 per nurse, if I recall. (I do remember it was quite a few less.) I'm so used to the hospital ratios, so this is just altogether unfamiliar to me. My spidey-sense is tingling about this (and I can't tell if it's because there is truly something wrong, or because of my previous negative experience) so I don't think I will be taking the regular position. I didn't consider the per diem aspect, since the listing was for regular hours, but I think I will ask them if that could be an option instead and see if they accept.

So I'll try to keep this as summarized as I can: - I just got married and needed to move an hour away from the hospital I've worked with since I graduated (for 2 years) but with 12 hour shifts and all the tolls/gas I am paying, it is not feasible to keep this job in the long term. I also have been doing nights for a few years now, and it's beginning to significantly impact me physically and mentally, so I am very much hoping to get a 1st or 2nd shift job. - I live in the new england area and (I kid you not) applied to over 100 jobs in the last 6 months. The only call back I have gotten is with a LTC facility that I applied for a rehab position with. I have worked in LTC before as a CNA and it was a very negative experience. This place is owned by one of those large companies and has 1 RN per 20-something residents on the evening shift with 2 CNA's. I've never worked as a RN in LTC and I don't have enough experience to know if this is adequate staffing. According to the Medicare site, it is ranked very poorly for safety, but I don't know how necessarily significant that is (I've been surprised at what is ranked high on there, for instance.) On all appearances, it LOOKS very clean/posh, but the fact that they offered me the job on the spot in the interview has me very concerned. I really want my sanity back with the evening instead of night shift and with having a job that I don't need to drive an hour for but I am very nervous of taking a LTC position. I don't mind LTC in principle at all, I actually enjoy the rapport of having the same residents/rehab patients and have missed that in the hospital setting, but my negative experience in the past / general bad rep of LTC really spooks me of making a bad decision. Just looking for insight from other LTC RN's - Thanks in advance :) Edit: of note, I have not accepted this position yet... I told them I would consider it and call them to let them know. Hence why I am seriously debating the whole "I really want the hours/pay/commute, but I'm not sure about the job!"