Should I take a nurse refresher course?

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While I have my BSN( obtained Aug 2021) been an RN for 14 years, and an Lpn four years prior to become an RN, I struggle to get hired into a med surg position. I’m not sure what’s going on with the hospitals in my area. But the only companies I do receive calls backs from are homecare companies and some LTC facilities. 
Most of my experience is in peds Pdn working with trachs and vents. I worked per diem at a nursing home in 2009 for a year. I also still work PRN  making skilled visits for two companies. I’ve done skilled visits for 1.6 years now.  I starting working in an subacute rehab facility for six months now, but it’s boring. They don’t have enough high acuity patients. No vents, barely any feeding tubes and IV. 
 

I tried to find hospitals that were willing to train non acute care but experienced nurses that want to work in acute care settings.