I met a PICU nurse at a party over the weekend, and the conversation deteriorated quickly. She mentioned her 2-patient ratio on average, but when I shared that my LTC days usually involved 60 residents, she actually scoffed and told me LTC isn’t really nursing. I got kinda mad, tbh. Since when is keeping 60 people alive and stable not nursing? Is this elitism among specialty nurses common?

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This is very common. Don’t seek validation from someone who doesn’t understand the pressure of managing 60 residents each with 15–20 medications, not to mention blood sugar checks, vitals, falls, assessments, new admissions, and everything else your day entails. No one person gets to define what nursing 'truly' is. Nursing can be one on one care with a stable patient at home, 60 residents in a facility, or two critically ill babies in the NICU. It is all nursing; she needs to check her bias at the door.

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I am sorry that happened to you. That comment says more about her insecurity than your role. LTC nurses keep people alive every day, often without the backup and resources hospital nurses take for granted. Anyone who thinks that is not real nursing is out of touch.

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LTC nurses are incredibly organized. It's and extremely difficult job, physically and mentally.

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I've seen this attitude with certain specialties, mainly CVICU, ICU, and ED.

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I guess that ICU nurse would say I wasn’t a nurse either because I worked on an obs floor in an inner city hospital. Almost every patient had a telemetry monitor. Tele floor ratio is commonly 1:4. We ALWAYS had at least 6 patients, rarely 5 and sometimes 7 patients! Constantly understaffed or staffed with 1 or 2 staff nurses and a 3-4 agency nurses or floats who would plop down on their asses after passing meds. 🙄 We regularly had unstable patients in our care and the number of codes/deaths we had ON AN OBS FLOOR would shock anyone. I left after 4 years when the nurse manager, who did absolutely nothing to help and left every day by 6), started talking about assigning 8 patients. Tell me I wasn’t a nurse.

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