My best advice to you is to not take an MDS job as a new grad. I became a nurse at 42 years old, 11 years ago. I spent 5 months doing the acute care thing, 2 years as a home care nurse, 1 1/2 years as a LTC supervisor, and the last 7 years as an MDS Coordinator. The job carries a ton of responsibility and care planning for LTC residents. If a care plan is not updated or does not match the residents needs you are the first one the DNS comes looking for. You can legally get in trouble with the government for any inaccurate resident assessments and timely submissions of the MDS is essential. High pressure level job for a brand new nurse and yes it can impede your ability to move on to hands on nursing in any acute care setting. The only time I feel like a Nurse anymore is when the staffing is short and I get thrown on the floor to do a med pass. That in itself is very stressful as it doesn’t happen often and you feel out of your element and basically “fall on your face” on those days. There are times I am sorry for taking the MDS job, but the money was good and the hours tempting. Someday I would like to go back to hands on nursing, but it will be difficult to say the least.