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Content by moretonel

  1. I'm an LPN with 1.5 years experience. I've researched Excelsior and know the pros and cons, and for me the pros outweigh the cons (over a year to wait for CPNE, oh well). I don't plan on going any further than ADN, I'm turning 49 y.o. this year. It's interesting to note that when I move with the wife within the next 2 to 3 years, I won't be moving to Alabama, California, or Maryland. Those states flat out will not extend an Excelsior ADN RN licensure by endorsement or examination (https://www.excelsior.edu/state-board-requirements). Has this had a negative impact on any Excelsior ADN RN grad?
  2. moretonel

    Frustrated trying to get a hospital job!

    The definition of sacrifice I give to my sons - giving up a little now for something greater later. You are being offered a valuable learning experience that will pay off in a huge way in only one year. Your pay should increase to be on the same level or higher than your peers after you finished your residency. Forty-five minutes to an hour commute is not uncommon. Let's do a comparison: one year in SNF - no closer to acute care job, one year in residency program - attained acute care job. Yes, you sacrificed $7/hr for a year to obtain (possibly) $7/hr more plus better benefits. Rarely are there perfect situations. There well usually be some kind of sacrifice, inconvenience, discomfort, annoyance, challenge, extra effort in any situation. Try your hardest to obtain perfection, but don't make it an all or nothing deal, or a lose-lose situation - you're unhappy working in a SNF because it's not exactly what you want, or you're unhappy working in a residency program because it's not exactly what you want (although in a year's time it will give you what you want). Where's the happy.
  3. moretonel

    3 States Won't License Excelsior's ADN Grads

    Achieve Test Prep and The College Network are TEST PREP PROVIDERS (NOT A COLLEGE OR UNIVERSITY) and PUBLISHING COMPANIES, selling test preparation guides and materials for CLEP, DSST, and UExcel exams. You STILL have to be accepted and enrolled in a school that ACCEPTS transfer credits from these exams. You STILL have to be accepted and enrolled in an Associate's or Bachelor's degree nursing program. Achieve Test Prep do have UExcel nursing exams. This is where the scam comes in. ABSOLUTELY GUARANTEED NO NURSING PROGRAM ACCEPTS NURSING CREDITS FROM ANOTHER NURSING PROGRAM, MUCH MUCH LESS WILL A NURSING PROGRAM ACCEPT CREDITS FROM A CREDIT-BY-EXAM TEST. Achieve Test Prep own website says (under the "What Is Credit-By-Examination" heading - https://www.achievetestprep.com/healthcare-degrees): "Our Credit-by-Examination Test-Out Program is a test-prep curriculum for college students interested in fast-tracking their general education courses". Not even EC will accept UExcel nursing credits, though they do accept many of the UExcel general requirements credits. In fact, you can prepare for UExcel exams directly THROUGH Excelsior. Excelsior College IS a college. The nursing program is nationally accredited, and is recognized by the National League of Nursing as a Center of Excellence. I'm not trying to sell you on EC, but since you were "looking at EC and also Achieve", I'm trying to give an unbiased assessment. EC does have drawbacks, the biggest being that EC nursing graduates of all levels, and EC nursing graduates who later earn higher degrees from other programs, will not be eligible to hold licenses in California, Maryland, and Georgia, ever. I'm just starting the ASN program, taking my last pre-requirement (Microbiology) starting in about 2 weeks, online. No lab component - one of the issues CA, MA, and GA have with issuing RN licenses to EC grads. Since I'm close to 50 years old, and not planning to move to any of those states, it's not an issue with me. You, being from California, it's NOT an option for you either. Western Governor's University (WGU) would be for you, if trying to the online LPN-to-RN route. The take-away - Achieve and College Network ARE SCAMS. It's better to get an associate's from a local community college, maybe in Health Careers or Medical Assistant to get your pre-requirements (Chemistry, Biology, A&P I, A&P II, Microbiology) and most of your general requirements. It will take you 2 years to fulfill your pre-requirements, might as well get a degree with them.
  4. Is it difficult for a male LPN to be given a regularly scheduled assignment. How many families in your agency have said "no" to male nurses?
  5. How many nursing jobs do you have? Half the nurses (RN and LPN) I work with in a LTC have 1 or 2 other part-time/per-diem jobs. My wife works at a medical office, the LPN there also works hospice and another per-diem job. I also work per-diem on a regular basis at a group home and pick up here and there at another LTC. How common is this? How many places do you work, and how often, and why?
  6. moretonel

    Working LTC Nightshift— tips?

    My comment/question may be a little off topic. How does working night shift put stress on a marriage, particularly to the point where it ruins a marriage? I work night shift at a LTC, and have no clue what marital problems that could cause. Just curious.
  7. moretonel

    The Degrading "Meet and Greet"

    I'm an LPN with two years experience in LTC and almost a year in a medical group home for intellectually and developmentally challenged. I applied to my first home health agency, responding to an Indeed.com posting for a 1:1 40hrs/wk. It was a perfect match - for the past year at the group home I cared for a resident with nebulizer treatments, vibrating chest vest treatment, and feeding tube via feeding pump; and, the client had the exact same treatments. I interviewed Wednesday, got my employee badge, schedule, daily forms, direct deposit on Friday; and, was told I orientate Monday. Saturday evening I was called by the agency, "We have a problem. I'm sorry, the client does not want a male nurse [for her 26 year old SON]. They're not as forward thinking as we are." I couldn't help but wonder if the fact that I am a Black male nurse came up in conversation, it makes NO sense that the mom didn't want a male to care for her son. They called me back about 2 weeks later with a case that had only 10 part-time shifts a month. That's not what I applied for - I applied for a 1:1 40hrs/wk position. The end of the phone call, "I resign as of now."
  8. moretonel

    (Inexperienced) LPN working (in LTC) again.

    I have almost 2 years experience in LTC. I never really was able to pass meds, do treatments, document and finish "on time" during 1st or 2nd shift. I would always finish meds at least 1 hr or 1.5 hrs into the next shift, so many interruptions. Even after months and getting to know the residents. I knew the only way I could continue as an LPN at a LTC facility was to do 3rd shift. Working 3rd shift was a game changer for me. I get everything done and usually clock out at 7:30am, sometimes 7:45am, but that's usually because I'm waiting for my relief. I will ONLY work 3rd shift at a LTC facility. I pick up extra hours, but ONLY 3rd shift. I'm per deim at another LTC facility, ONLY 3rd shift. I'm also per deim at a medical group home for intellectually and developmentally disabled individuals, which is so totally different than LTC. There are only 8 residents with either nebs, oscillating chest vest, O2 via nasal canulla, trach tube, feeding tube, seizure. Group home a LOT less stressful although I'm giving meds and doing treatments nearly the whole shift, but it's at a casual pace and EVERYTHING is done ON TIME, including charting. I pick up on 1st, 2nd, and 3rd shift. I love the group home environment, but the downside is pay is $5/hr less, which is why I'll stay fulltime at the LTC facility on 3rd shift, and pick up at group home other shifts. Stress level at LTC on 3rd shift facility is maybe one notch above group home. I'm going for my RN so that I can eventually go into case management working at home for an insurance company. By the time I finish my RN I'll have at least 4 years in LTC and 3 years group home.
  9. Increase your options and keep up your skills by volunteering as an EMT-B. When I graduated LPN school, I started an EMT-B program two weeks later while studying for the NCLEX-PN (I was too nervous to take NCLEX-PN right away). Most if not all EMT-B programs are about 3 months and cost around $1300. I passed my NCLEX-PN on first try about 2 weeks before I passed the national EMT-B tests. My thinking was that while applying for an LPN job I could volunteer/work as an EMT-B to keep up my assessment, wound care, and CPR skills. It will also show that you can handle emergency situations. Fortunately for me I found a job about a month after my NCLEX-PN. I am still a licensed EMT-B and plan on keeping that certification - you never know.
  10. Cowboy, I have a question that I hope you honestly answer. Say you personally have a 7 year old daughter, and you need a babysitter, would you allow a teenage boy to be alone with your theoretical 7 year old daughter alone for hours? I think it's safe to say 99.999% of mothers would NOT. I know it's not an exact comparison, but you may get the point. Please, post your answer.
  11. moretonel

    I have not worked as a nurse since graduation.

    Instead of working as a CNA, how about working or volunteering as an EMT-B. When I graduated LPN school, I started an EMT-B program two weeks later while studying for the NCLEX-PN (I was too nervous to take NCLEX-PN right away). Most if not all EMT-B programs are about 3 months and cost around $1300. I passed my NCLEX-PN on first try about 2 weeks before I passed national EMT-B tests. My thinking was that while applying for an LPN job I could volunteer/work as an EMT-B to keep up my assessment, wound care, and CPR skills - you wouldn't do that as a CNA. It will also show that you can handle emergent situations. Fortunately for me I found a job about a month after my NCLEX-PN. I am still a licensed EMT-B and plan on keeping that certification - you never know.
  12. moretonel

    3 States Won't License Excelsior's ADN Grads

    Wow, I don't understand the AL, CA, MD BONs for not granting licensures. Yeah EC has no clinicals, but EC is for working LPNs, LPNs who took clinicals in LPN school, and LPNs working doing nursing skills everyday, some with several years experience. I'm sure EC argued these and other point before the DONs, unsuccessfully unfortunately. The only state that may have had a possible "ah, c'mon man!" reaction from me is MD. I have family in DC-MD-VA area. When the wife and I move, obviously MD is not an option, but DC and VA would allow us to be close to family.
  13. moretonel

    3 States Won't License Excelsior's ADN Grads

    I think it's only for ADN RN. I'm stopping at ADN RN because I'll be 50 or 51 years old when I pass CPNE (notice the confidence), and I'm tired of taking classess. But, ir you continue on to earn BSN RN from a different school, you should be able to practice nursing in those 3 states.
  14. In my most humble opinion, you would have a slight advantage over a new grad LPN with no healthcare experience. However, you must understand the differences between MA and nursing to understand what my fellow nurses who answered you previously were trying to say. Yes, both take vital signs, assist physicians, take histories, obtain lab specimens, input data into medical records, change dressings, draw blood, get an EKG, and maybe a few other things I left out. However, respectfully, in my most humble opinion, the main differences between MA and nurses is making assessments and taking intervening actions upon patient's changing condition. The expected environments are different, thus the curriculum are different. LPNs are expected to be able to work in LTC, even if it's not your desired environment, all LPNs are expected to be able to have the competencies to work in that environment. In a LTC environment the nurse determines if the patient is getting better or worse by interpreting the vital signs, lab results, wounds, level of consciousness, pupil dilation, and a host of other assessments. In an office environment, after the MA takes history and vital signs (and possibly room and patient prep), the patient is seen by the doctor. This is not to put down MAs at all. Both have very important functions, but different, do to the different environments each is expected to have competencies. A new grad LPN with an EMT-B background would have an advantage over an MA background simply because EMT-Bs, when at the scene of an accident, have to make assessments. EMT-Bs, like MAs, take vital signs, do dressings, take histories, etc; but, they also do assessments. In fact, both nurses and EMTs both learn the OPQRST assessment. Will you have an advantage having an MA background? A little (or a lot if applying at a doctor's office in a specialty you've worked in). But any advantage is an advantage. I was a Patient Care Tech in a hospital for a while - vital signs, EKGs, bladder scans, lab specimen gathering, assisted in body audit assessments, set up different equipment for different treatments, blood glucose tests, charted I&O, charted various observations, let the nurse know if something really wrong (I called several code blues), prepared patient and room in ED, assisted ED doctor, sterilized equipment in ED. My PCT background definitely helped when I became a LTC LPN, but not as much as I'd thought, but it did help. After LPN orientation, being placed on the floor, with the patient's lives in MY hands, being accountable, yeah ...
  15. moretonel

    Licensed practical..what?

    I've been working as an LPN at a LTC and rehab facility for almost a year now, and never had an issue of being "recognized" as a nurse. I have been questioned if I'm going back to school to get an RN - I honestly reply, "Not sure yet." I'm not offended by it, nor do I think it was meant to be offensive, just casual conversation. When there's a new admit I'm giving meds or treatment, I introduce myself, "Hi, my name is John Doe, the nurse, I'm here to do ..." My work badge clearly says "LPN". Never a question. There is no distinguishable difference where I work - RNs and LPNs do the exact same assessments, med pass, treatments, wound care, specimen retrieval, injections, vaccinations, charting, transcription, etc. The only thing that LPNs can't do from my experience and observation where I work is be nurse supervisor. RNs and LPNs have the same title, Charge Nurse. That may be a good response, "I'm the charge nurse." You may hear that LPNs can't do initial assessments. I've done admissions which includes initial assessments. You may also hear that LPNs can't write care plans. More often than not, residents and patients are being transferred from another care facility or hospital with documentation of physical, emotional, social diagnosis with medical and nursing treatments, interventions, and how they responded - continuity of care. Along with the facility's protocol of common nursing diagnosis and interventions and initial assessments at admissions, I have also done the initial care plan creation during admissions. I as an LPN have done it all. In the time I've worked at nothing no treatment or intervention has been out of my scope of practice. That may be another response, if questioned about your LPN, "I work within the scope of nursing." You know what you do. You know who you are. You are a nurse, damn it! Say it loud and proud!
  16. moretonel

    2nd job?

    I'm a LTC LPN looking into getting a 2nd part-time job also, still within helthcare, but NOT in LTC. I like the assessments, wound cares, dressing changes, IV hangs, catheter replacements, hanging G-tube feeds, suture removals, nebulizer treatments, transcribing into MAR and TAR. I don't like having over 30 residents to pass meds to, several with over 5 different meds. I don't like administration calling nurses into the office to be reprimanded for not leaving "on time". I don't like in nurses meeting with the DNS and administrator not given a straight answer on what they want the nurses to do if not finished charting and treatments "on time". I don't like dealing with "behaviors" from those (for whatever reason) who are not fully oriented or confused (with little effect from PRNs). The rewards of helping barely outweighs the "punishments" for me. Don't get me wrong, I'm not miserable or depressed. I don't hate it, just not thrilled. I work 3rd shift (love 3rd shift), so am looking into something part-time ideally between 10am-4pm. I'm thinking homecare. I have about 4 months before that magic number 1 year of LPN work experience (in LTC). For now, I filled out an application with a chiropractic office for part-time Medical Office Assistant. They will cross train for physical therapy assistant, doctor assistant, x-ray development, and insurance assistant (actually sounds interesting). I also filled out an application for part-time administrative medical assistant. I just need 2 or 3 extra part-time days per week to be comfortable with the mortgage and bills.
  17. moretonel

    Lpn to rn - still need prerequisites?

    Hey there. I had to make the same decision you are facing now. I choose a combination. Knowing the chance of getting accepted into the LPN program was far greater than the ASN program, I applied for and was accepted into the LPN program before I finished all the pre-requisite classes for ASN program. I had already taken 2 pre-requisites (Chemistry and A&P I) when I got the LPN program acceptance letter. I had time to take A&P II before starting the LPN program, though the LPN program had no pre-requisite requirements. I finished the LPN program, passed the NCLEX-PN 2 months later, got a job at a nursing home 1 month after that (also within that 3 months time enrolled and finished an EMT-B course, and volunteered as an EMT-B for a brief time). I'm now half way through my last pre-requisite, Microbiology. I have no regrets. In my most humble opinion, working as an LPN directly beside RNs doing everything RNs do, will better prepare you for an ASN/BSN program. In my 9 months working at the nursing home, I'v come across nothing that I'm not allowed to do that RNs are allowed, except one - LPNs aren't allowed to train to be nurse supervisors. Working as an LPN at the nursing home has given me clearer understanding and cemented a lot of what was taught. And I'm learning different things from experienced nurses (LPNs and RNs) that was not necessarily taught in school. It was especially hard for me to memorize what the different meds were used for, side effects, common dosages for that med; but, seeing it first hand repeatedly, I've began to remember without even trying. Once I finish Microbiology in May, I'll enroll into Excelsior - the online LPN-to-RN program, but that's another topic. I have LPN classmates that had all their re-requisites done before the were accepted into the LPN program, and was accepted into the ASN while finishing the LPN program. They went directly into an ASN program straight from the LPN program. They received no credit for finishing the non-collegiate LPN program. I also have an LPN co-worker that has 4 years experience and really knows her stuff, to finally go back full time for her ASN, yet again, her years working as an actual nurse/LPN and graduating from a non-collegiate LPN program did not put her ahead in classes; but, she's not having no where as "hard" a time maintaining a high GPA as her classmates. I probably didn't answer your question, but probably gave you more than you wanted. Hopefully I helped.
  18. moretonel

    LPN/LVN job options. (Current job is making me sick)

    You're way over dramatizing this. I've read your other posts which basically ask the same question over and over. The first thing you need to do is stop overthinking this (you already knew that - you admit you overthink things). You're psyching yourself out. Calm down. Now before you attack me saying saying I'm not helpful, I do have a little advise. I do understand your concerns. I'm 6 months into my first LPN job at a LTC facility. I first was a CNA for 1.5 years at a LTC, then a Patient Care Tech at a hospital for 9 months, then I passed NCLEX-PN and got my LPN license. I was fortunate in that I got my job 4 months after getting my license. The valedictorian of my graduating class is still looking for her first job, and it's been a year this month since graduation. I work 11-7 as the only floor nurse on 1st floor (there are 2 nurses on days). After only 8 days of orientation, I was given charge of all of 1st floor residents at night. I asked myself the same questions you're asking - will I know what to do if a resident is having a heart attack, a stroke, etc. I was TERRIFIED! The most important piece of information I can give you to ease your mind a little (well, for you, hopefully a lot ) is that you won't be by yourself. Yes, I was the charge nurse for the entire 1st floor, but there is always the nurse supervisor. She answered any questions I had, and there were a lot. The more I did med pass, the more I did dressing changes, the more I did wound cleaning, the more I did nebulizer treatments, the more IV saline and antibiotics I hung, the more I operated the feeding pumps, the more confidence I got. Emergencies? I was not alone - my night nurse supervisor was there. In my first six months at my first LPN job, while waiting for EMTs to arrive (supervisor called 911) we fought to keep airway open of resident having an allergic reaction with a swollen tounge that nearly filled her mouth; while waiting for EMTs myself, the nurse supervisor, AND the 2nd floor nurse held pressure to a bleeding back head of a resident who fell; while waiting for EMTs we gave nitro every 5 minutes to a resident clenching his chest. I've gotten a lot faster with med pass because after repeatedly giving the same meds over and over to the same resident (and checking for new orders for that day) it becomes almost automatic. I'm still learning, never had a resident with a wound vac before, and I'm no where near feeling the level of pure terror my first night. Time, a willingness to learn and ask questions, experience, and finding your routine will increase your confidence, competence, and efficiency. The time between graduation and taking the NCLEX-PN was about 3 months. In that time I completed a 3-month EMT-Basic class and passed the National Certification. The clinical included being on the ambulance responding to 911 calls. The idea was to join a volunteer EMS service to keep up clinical assessment skills while looking for an LPN job. I also took the 3 day ACLS certification. It shows (on your resume) you're still actively keeping up your assessment skills (body, AVPU, DCAP-BTLS, OPQRST) and interventions (wound care, nitro for heart attack, IV fluids). But, by the time a was waiting to hear back from my local volunteer EMS, I was hired at my present and first LPN job. In my job search, before getting hired at my current employer, I also applied for medical assistant openings, and actually interviewed for 2 (obviously didn't get either of them). I also completed a 2-month phlebotomy certification course right after EMT course to help improve my chances during my job search for office, clinic, and ER Tech positions. Hope this helps. Calm your mind. Don't give up! You may not get the job in the time you want, but you will get the job. My wife wanted to move forward in her career, and I put out her resume. She got a few interviews but was never chosen for the positions. After about 14 months she told me to stop sending out her resume. I ignored her frustration and put out one more - that was the one that hired her. She's been with them now for 5 years and loving it.
  19. I too had only 5 days of orientation at a LTC facility after only receiving my LPN license two months earlier. I work nights and I am the only nurse on the floor (of course the night nurse supervisor there also). I was terrified, but the supervisor answered any questions I had. It's been six months now and I'm still learning, but gain more confident with each med pass, dressing change, IV administration, wound care, and emergencies. I had to fight to keep an airway open on a resident with a swollen tongue (while the EMTs were on the way), gave nitro to a resident clenching his chest in pain (while waiting for EMTs), immobilized a resident's arm who fell forward off their wheelchair and broke their shoulder, and kept a resident's head straight and kept the resident talking (while waiting for EMTs) after falling backwards hitting back of head blood seeping. The nurse supervisor was there to help, and I gained knowledge, experience, and confidence. When the time comes, you'll know what to do; and, as another poster has said, if you have supportive co-workers, you'll do well.
  20. moretonel


    I too work third shift, and after working one night I went straight to a per diem job orientation (filling out paper work and watching 10-15 minute videos with a group of new hires). So, yeah, had a hard time staying awake as I was listening to the "blah blah blah" and watching videos saying "blah blah blah" and reading the handouts silently as the staff developer read aloud saying "blah blah blah". After the second time the staff developer asked me to stay awake (during the time I would normally be sleep at home), she asked me to leave and said that she'll call me when another orientation date opens. Daaamn, didn't sound like she was really going to call me back . I told them I'd be a little late, and that I was coming straight from my primary job. She did eventually call me back, after about 2 weeks - I had chalked it up as a lost and had started to look for other per diems. I just knew they changed their minds about hiring me. They didn't .
  21. I'm an LPN at a LTC facility. While passing meds I also passed gas just outside the room of a resident as I was preparing the medications on the night shift. At least half of the residents wear briefs and need the assistance of aids when they have a BM, so it's not uncommon to sometimes have a crinkled nose and forehead when walking the hallway. My coworker passed by me about 30 seconds after I let loose. She said, "man that stinks!" I responded, "yeah, they have to spray next time she is changed."
  22. moretonel

    Are new grads prepared for the bedside?

    correction/clarification: the night supervisor only came out the office to do 6am med pass on wing 2 of the facility (while I did 6am med pass on wing 1 and rehab wing)
  23. moretonel

    Are new grads prepared for the bedside?

    Terrified! Absolutely terrified my first night as an LPN in a LTC facility. Two months after passing the NCLEX-PN, and only 3 weeks of orientation, I, alone, was placed in charge of the 11-7 shift of a floor with about 45 permanent residents and short term rehab patients (the night supervisor only came out the office to do 6am med pass). In the first 3 months I operated feeding pumps, cleaned and dressed their stomas, administered IV saline for hydration, administered IV antibiotics, cleaned and dressed stage 4 ulcers with tunneling, fought to keep airway open on resident with an allergic reaction presenting with a swollen tongue that nearly filled her mouth, given nitro tablets to residents clenching their chest, digitally remove feces from an impacted resident, clean catches with a straight catheter, insert Foley catheter, gather culture sample from a wound, administer TPN, while waiting for EMTs tend to an elderly woman with osteoporosis who fell and had fractured ribs, clean and monitor external fixator on tibia, assess the progress of wound care & pneumonia care & upper respiratory infection care & urinary tract infection care, intervene to raise oxygen saturation when below 90% (I know, I did kinda go on; a small pet peeve of mine - LPNs are real nurses; night shift has same situations as day; but, that's another post). My clinicals were not in a hospital but convalescent and rehab facilities; and, yes, I felt adequately prepared for the bedside. The terrifying part was that I now was on my own and the sheer number of residents/patients under my charge (though I must say my night supervisor gladly answered any questions I asked and was a great support and guide). I felt prepared because, as another poster shared, my clinicals (3 days per week, 6:30am - 12:30pm) had plenty of assessments - assessing those who had pneumonia, uti, uri, on antibiotics, cellulitis, renal failure, heart failure, respiratory failure. We looked at lab values from blood work to correlate them to diagnosis, medications, and treatments. There was time to do some Foley insertions, suture removal, glucose test, bladder scan, med pass, charting, and progress notes; but, the main focus was assessment.
  24. moretonel


    I'm taking my NCLEX-PN (LPN) next month. Just in case it's difficult finding a job, I started a 2.5 month EMT course right after my pinning ceremony. I'll start clinical ambulance rides next week, and finish the program April 29 2017 - I'll take the NREMT in May 2017. I say that to say this - there are several volunteer EMS that accept volunteer EMTs. While its not "nursing" per se, there is trauma and medical assessments, in a stressful environment, with a great deal of independence, collaborating with a doctor for permission to perform certain treatments and medications, providing possibly nebulizers, wound care, oxygen, performing in a code, obtaining histories, and inputting data in an electronic prehospital care report. Wow, sounds a lot like nursing to me, and it's not a 2-year paramedic program, but a 2.5 month EMT program - I think it's worth the extra time and money as an investment into future gainful employment as an RN (or LPN in my case).
  25. moretonel

    Second guessing myself need advice

    I hear you loud and clear. I became a CNA while taking prerequisites for nursing. I was at a LTC facility for 1.5 years before I started working in a hospital as a PCT - I REALLY don't like the LTC population, but I know that my goal of being an ER nurse will be nothing like a CNA at a LTC facility. Even being a PCT at a hospital is different from being a CNA at a LTC facility, although the majority of patients are mid-life to elderly. As a PCT I do many more clinical tasks than I ever did as a CNA - non-sterile dressing changes, blood sugar testing, bladder scanning, apply continuous passive motion (CPM) machines (for passive ROM exercise), EKGs. The majority of patients are independent or need minimal assistance - that right there makes a huge difference, no where near the amount of briefs being changed. I'm 2/3 the way through my LPN program. All clinicals are done in LTC; however, the different role (LPN vs CNA) makes the possibility of working in LTC NOT unbearable. I've know first hand the experience of working as an LPN is much different than the experience of working as a CNA at a LTC, which by the way is different from working in a hospital as a PCT. They're all different experiences. Not liking one (CNA in assisted living) does not mean you will not like any other.