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Davita vs Fresenius Acute vs Chronic Dialysis



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Aug 14, 2009 05:18 PM

Davita vs Fresenius Acute vs Chronic Dialysis


Hello all,

I am a new graduate and next week I have an interview with Davita AND an interview with FMC. I know everyone says work in a hospital to get experience and be well rounded, but quite frankly I have been applying to hospitals all over and in an economy where experienced nurses can't even find jobs it's even harder for the new grad. I'll take what I can get at this point in time.

Just to give you a little background: I already administer home dialysis treatments to my younger brother who has CRF, in addition my mother and cousin are dialysis technicians at in center Davitas. So here is my dilemma: I really want to work for Davita my mom has nothing but great things to say for this company and great experiences. Besides the Davita position is for Acutes and I feel that this would interest me more than an in center job which is what I'm interviewing for with Fresenius. I guess I would like to know what you nurses who may have worked in dialysis for quite some time would do if faced with this situation.

I don't have offers for either job yet but if you were me: a new grad (w/ some dialysis experience) would you be looking forward to the job as an Acute Dialysis Nurse with Davita, or Chronic with Fresenius? What would be some of the pros and cons for either. I'm just basically asking for your thoughts. Thanks in advance.


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5 Comments
No. 1
Old Aug 26, 2009, 11:54 AM

Default Re: Davita vs Fresenius Acute vs Chronic Dialysis
Both would be really good experience but I would chose the acute as it will get you more experience. You would be dialysing pts for the first time probably using lines rather than fistula's, you would be dealing with acute illnesses and the process.
You can always do out pt dialysis in the future.
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No. 2
from Chisca
Old Aug 27, 2009, 09:08 AM
Updated Aug 27, 2009 at 09:13 AM by Chisca

Default Re: Davita vs Fresenius Acute vs Chronic Dialysis
Acute dialysis will have sicker patients and the nurse patient ratio will be lower because of this. If you are sent to dialyze a patient in ICU it will be 1:1. Chronic dialysis will involve supervising technicians, higher patient ratios, and alot more paperwork. It will also involve getting to work early in the morning but you might have more predictable hours. Many times in acute I work 16+ hour days because of all the "add-ons". Good luck.
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No. 3
Old Aug 31, 2009, 06:39 PM

Default Re: Davita vs Fresenius Acute vs Chronic Dialysis
I have done both Acutes and Chronic and really the big thing is it depends on the kind of person you are. If you like a fast pace go chronic if you like things to move MUCH slower go Acute. Do you like to pretty much work by yourself go acute, you like to be around the same people a lot go chronic.
People will tell you that the acutes you should have more expreience before starting I think this is only really true for the technical aspects such as machine trouble shooting. When in acutes if someone codes, before you have the patients blood returned the code team is there. In a chronic setting however more often than not there is no MD and you work collaboratively with the other nurses.
Generally acutes will pay more (not sure of the pay difference betweeen the 2 companies as Davita generally pays better than FMC anyway) than chronic. Acutes have much more VARIED schedules if you have a strict time you need to leave work it will probably never happen and you'll be late to day care or where ever you need to be. Acutes nurses take call carry a pager, work Sundays and sometimes have to show up @ 2 AM for emergency tx's. If you are looking for OT go to acutes OT is very few and far between in chronics. Not sure what else would help.
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No. 4
from nursetelly
Old Sep 01, 2009, 05:31 PM

Default Re: Davita vs Fresenius Acute vs Chronic Dialysis
Thank you so much everyone for the good advice. I actually got an offer and chose to work for Davita and go the Acute Dialysis route. I hope I don't regret my decision but so far it seems as if I have made the right one... I'll keep you posted.
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No. 5
from LindaKling
Old Sep 01, 2009, 07:14 PM

Default Re: Davita vs Fresenius Acute vs Chronic Dialysis
I don't see the problem with LPN's in dialysis. After all they do have nursing training unlike the PCT's we all work with.
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