I’m curious how you’re selling your LTACH experience; it is absolutely acute care (hence the “A”).
I feel like it’s also very misunderstood... .actually I didn’t know what it actually is at all, until I applied for a position and needed to learn about the facility prior to my interview. I had heard of one of the LTACHs in my area, but thought it was like subacute rehab.
In reality, the LTACH pts I cared for are more acute than most of the step down pts at my level 1 trauma center, and BY FAR more acute than med-surg pts. They were vented (working on weaning — not home vents) they were on tele, sometimes on drips, receiving blood transfusions... suffering the effects of long-term critical illness..... I could go on and on. Come to think about it, I don’t think mine even hired new grads.
These are people who a few decades ago would never have survived their illness/injury.
My LTACH experience got me back into ICU nursing after years of subacute.
L&D and NICU are notoriously difficult to get into.... but I would really evaluate how you can use your experience to more of an advantage, vs wonder if it’s holding you back.