How to get out of dialysis nursing?

  1. Can anyone give me some suggestions on how to get out of dialysis nursing. I have been a dialysis nurse most of my career. I don't want to do this anymore. I respect the hard work and value of dialysis nurses, but for me after 25 years of nursing, mostly dialysis, I think I want something with less stress.

    However, I don't see a job market friendly to hiring someone who has performed dialysis nursing as long as I have. Of course, working with dialysis patients, I have been exposed to adults and some adolescents with numerous co-morbidities and health related issues, but my resumes still has years of dialysis nursing and employers focus on this. I've been a nurse for a long time, but I also started very young so I don't think age is the main issue with me finding other employment. I don't really want to take on a part time job to add experience, because my dialysis job is stressful enough and I have to take call on weekends. But still, I'm willing to consider any suggestions you think may help me get out of dialysis nursing. I would prefer to work in an outpatient area and this is what I have been applying for but so far no luck. I'm willing to take a pay cut or work part time. I have worked all areas in dialysis nursing and do not wish to change positions within dialysis.
  2. Visit Marisette profile page

    About Marisette, BSN

    Joined: Jul '11; Posts: 356; Likes: 492
    Specialty: 28 year(s) of experience


  3. by   Tish88
    How about becoming a transplant coordinator or utilization review nurse for an insurance company.
  4. by   Vespertinas
    A transplant coordinator is NOT less stressful than a dialysis nurse. Sorry, I can't tone that down in good conscience to myself.
  5. by   Tish88
    I would agree that a transplant coordinator is not a less stressful job, but it is an alternative for someone who has been in dialysis for a long time since they know the ins and outs of a renal patient.
  6. by   madwife2002
    I too am done with Dialysis, I am looking for a job elsewhere and I do not want it to be in dialysis.
    I am worn out, exhausted and fed up with the changes my company make on a daily basis, before giving the first changes a chance to work.
    I am micro managed and fed up to the back teeth with the incompetent upper management who really do not know what they are doing.
    Micro Management is such a negative issue, and it comes from an inability to do their own job properly. Now I have said that I can breath

    I have applied for a job in management in a hospital, 32 hour job.
    I have also looked at hospice as the many skills you acquire in dialysis can serve you well in a hospice environment.

    How about looking into teaching-imagine sharing all your dialysis experience especially as a lot of nurses fear renal patients
  7. by   Marisette
    Thanks to all of you for the suggestions.

    Madwife2002, inexperienced micromanagement, is a very good description of what I'm feeling. I just coun't see it.
    I would love a job in teaching. I have a BSN, but not a masters and teaching jobs are hard to come by.

    This is such a tough job market. I see jobs that I want to apply for but they are registry or as needed jobs. I need to
    work at least 32 hrs and have health insurance, so I don't apply. I'm willing to take a $10 pay cut, and would love to work
    32 hrs. I've looked into home care, but I'm just not good at driving the highways even with the gps. I'm willing to work
    hard, without the politics and unrealistic expections that I see in dialysis. I know there is some stress in every job, but
    the nursing turnover in my region is ridiculours. I'm so sorry, I stayed so long. I though it would be easier to get out. I
    sometimes hear that nursing has so many opportunities, but I think once you stay too long in a specialty, a nurse like myself
    is not marketable or attractive to future employers. I send out resumes and don't hear a word and I went on two interviews
    and was basically asked "what else have you done". I don't understand because dialysis nurses do so much ie..iv skills, dressings changes, patient education, adjusting medications per algorithm, setting up machines, supervision of other health care workers, patient assessments, medication administration. Dialysis patients have so many other health care issues that the nurse must also understand and be able to address while taking care of the renal patient.
  8. by   rogue_maverick
    Thank you for posting this question and for the comments so far.

    I'm fairly young in dialysis nursing, going 4 years. But as early as now, I've set my sights on being a renal unit's care manager in the next 5 or 10 years. Currently I'm one of the shift team lead in my workplace. (I'm currently in the Caribbean)

    Inexperienced micromanagement is also a very hot issue in where I'm working. The operations manager of our center virtually has no clue on how to run a renal center, and it's so frustrating from the care manager down to the nurse assistants because very minor problems occur on a regular basis and management seems to not know what's actually happening.

    I hope it doesn't come to a point that I will be in your position right now. I love dialysis, and my career goes with it.
  9. by   DookieMeisterRN
    What I hear being described here is not unique to dialysis nursing. These problems exist in every type of nursing except maybe private duty but then you have family members to deal with. There is no nursing specialty where you wont be "micro-managed". I'm trying to get INTO acute HD nursing from acute care bedside nursing to escape from the responsibility of being the maid, MD secretary, CNA, social worker, psychologist, referree, gourmet chef and nurse.
  10. by   akosiba
    aaawwww thanks for sharing this post, i have worked in the ICU for 5 yrs and am so ready for a change , was thinking about going into dialysis since is less physical and mental demanding, please correct me if am wrong?
  11. by   loveu123
    Dialysis is not less physical and mental demanding. I work in a medsurg/telemetry with more complicated surgical patients and also pick PRN hours in our dialysis unit. Im always stressed out after working in our dialysis unit than I get stressed out on my regular unit. Dialysis has a lot of physical work especially with pushing machines and lifting acid and bicarb containers as well as moving or cleaning heavy patients(some of whom are amputated). It is also very mentally demanding due to the complications that can arise as well as the difficult personalities that our patients have. Dialysis is something that people either love or hate. i still love dialysis despite the craziness and that is why i still pick hours in our hospital unit ocassionally. Good luck and I hope you will like it.
  12. by   NDXUFan
    Dialysis is very demanding.
  13. by   LJUN71
    Im new to dialysis, 6 months in after 15 yrs in Med-surg....It's busy, bit a different busy. It's growing on me!!! Trying to stick with it at least a year then maybe do float pool nursing in dialysis. I do love being off every Sunday though!!!!!!
  14. by   Natkat
    Wow. I could have written this post. I am also trying to get out of dialysis. I hate to because I really love my job. It is challenging at times, but for my purposes the good outweighs the bad. The problem is I'm sick of the hours. I work acutes and our shifts are crazy, we have to take call a couple of times a week and I never know when I'm going to be home. I can't particpate in any social functions because I can never predict if I'll be available or not. It was okay for a long time, but now I feel like my life is out of balance.

    I, too, am finding it hard to get hired anywhere. I hate to admit it, but those people who said I should start in med-surg, were right. I wish I had done something else before I got to dialysis, because now I can't get out.

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