More than five million Americans currently live in, or will be admitted to, long-term care facilities (LTCFs) this year. These facilities include:
While most long-term care is provided in the home by family and friends (not by trained professionals), long-term medical facilities serve patients who need more specialized and ongoing attention than home care can provide. There are now more than 16,000 long-term care facilities in the US. The LTC industry is the third-largest employer of healthcare providers in the country.
In this guide on how to become a long-term care nurse we’ll explore the role in more detail, covering:
Alongside other medical providers and therapists, nurses in long-term care facilities help manage patients’ conditions and monitor vital signs and symptoms. Depending on your education level, your daily tasks may include:
Simply put, your job description will depend on what kind of care nurse you are, and the rules of the facility itself. The roles nurses assume in long-term care facilities are described below:
These professionals—also called licensed vocational nurses (LVN) in some states—usually have the least amount of education and do most of the day-to-day work. Their roles include:
In some instances, LPNs can have a supervisory role if the facility lacks qualified registered nurses (RN).
These nurses generally supervise LPNs and other staff. They are also in charge of:
By law, the director of nursing, who oversees the staff and acts in a management role, must be a registered nurse.
NPs are RNs with a graduate degree and a lot more responsibility. NPs can prescribe medication and have even more autonomy than RNs. There are 78,500 NPs in the US, but only around 2,000 work in nursing homes. In states where they are permitted to do so, they can serve as primary-care providers.
According to the job website Salary, LPNs working in long-term care earn an average annual income between $42,411 and $54,566. Their average wage is between $20 and $26 per hour.
Nurses who become long-term care nursing directors earn around $83,582 per year. Nursing directors must hold a master’s degree.
The US is facing a nursing shortage even as the Bureau of Labor Statistics reports that nursing jobs should grow by 12 percent between 2018 and 2028. In addition, an aging population means both that older nurses are retiring—creating vacancies for younger nurses—and more elderly patients are entering long-term care. All this adds up to opportunity.
The problem in long-term care is particularly acute. “The long-term care workforce crisis is well-documented,” says a LeadingAge report. “Large numbers of vacancies in professional and direct-care positions create significant obstacles for providers and workers committed to delivering high-quality care. Adding fuel to an already-raging fire is the difficulty of attracting new talent to long-term care and retaining employees once they are hired.”
The report claims that contributing factors include:
There’s no reason to wait until graduating from high school to start exploring a career in long-term care nursing. Some facilities may allow you to volunteer in a nursing home or other long-term medical care center, so you can gain experience and see what daily life for patients and employees is like. It will also give you a chance to experience the negatives of long-term care facilities listed above. If you can’t abide the challenges of working in this field, best to know that as early as possible.
This depends on what type of nursing you want to practice. Entry-level long term care nurses, LPNs, usually hold an associate’s degree in nursing (ADN) and must pass the National Council Licensure Examination-Practical Nurse (NCLEX-PN). It generally takes two years to meet these requirements, though there are one-year nursing certificate programs available through:
Most RNs earn a Bachelor of Science in Nursing (BSN) from a four-year college, though it is possible to become an RN with just an ADN. Regardless of your education, all RNs must complete these certification requirements:
For those who want more autonomy in their job, becoming a nurse practitioner is a smart move. It requires completing a Master of Science in Nursing (MSN), which usually takes two additional years. MSN programs often require a BSN to qualify for entry, but there are accelerated programs, such as this one at Saint John Fisher College that allow students to complete an MSN in a shorter time frame.
For nurses who want to specialize in gerontological care, there are nurse practitioner programs at the master’s and doctor of nursing level. According to US News & World Report rankings, the top adult primary care nurse practitioner programs include:
Having an MSN can help you earn more money and advance your nursing career.
Nursing programs at every level of education are widely available online. Be particularly careful with online associate degree programs, which can be significantly more expensive than earning the same degree from your local community college. If you already have your associate’s degree and want to complete an additional degree, consider RN to BSN programs or RN to MSN programs, which can save you time and money.
Beyond passing the necessary licensing exams, there is no certification requirement to become a long-term care nurse. If you want to advance in the field by becoming a director of nursing or another managerial role, you will likely be required to obtain a certification, such as:
To be eligible for the RN-BC credential, you must have:
The RN-BC certification can help improve:
Applicants for the DNS-CT must:
Unless you decide to pursue a specialty certification, there is no fieldwork requirement for becoming a long-term care nurse.
Many nurses choose long-term care because they want to forge relationships with patients. Others gain satisfaction from caring for those who cannot help themselves, and doing it in a way that patients feel heard, valued, respected, and shown the dignity they deserve.
As a long-term care nurse, you can expect a working environment in which you’ll have:
In an interview with DailyNurse, Tina M. Baxter, a long-term care nurse, said that the most qualified nurses for the position are:
Above all else, “Nurses who love a challenge, can practice autonomously, and have a solid background in nursing across the lifespan” will do well in the role, says Baxter. If that sounds like you, perhaps a career in long-term care nursing is in your future.
(Last Updated on February 26, 2024)
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