Is this what being an RN in dialysis is like? - page 2

Well, this is my first RN job and I don't really know what to think. I started working in a 24 chair facility. We do two shifts a day, Monday through Saturday. The first part of my training has... Read More

  1. by   Vegan_RN
    Oh!! And I started as an LPN in dialysis too!!! I graduated with my RN this past May.
  2. by   bluekat1
    I believe there is job security in dialysis. It's so specialized that any other nurse can't just walk in & take over. I'm concerned as to what obama care will do for dialysis reimbursement.
  3. by   Vegan_RN
    There is a lot of job security. It's a high burn out job and is very specialized.
  4. by   traumaRUs
    Hmmm - we must look to what Obamacare will mean though for dialysis - however, probably something best suited for a different thread.
  5. by   jdethman
    Quote from barbwire
    LOL!!! And it's probably the truth. Have seen so many things over the past few months that make my jaw hit the ground and I know it's all centered around the almighty dollar: pile more and more on the workers so money is saved, cut corners (with a total disregard for safety) so that people at the top make more money. Guess that's par for most every company/organization out there.

    The jury is still out if I remain where I am. Which is a shame bc I actually, for the most part, enjoy what the job entails. Ok, except for when the patient passes out on you with a BP of 45/15 causing one to almost wet their pants bc this has never happened to one before. But I capped off the day with a big hug and a kiss from a patient. THAT made all the b.s of the day worth it.
    If you like what the job then stick with it. The work flow gets easier and things are changing in the industry. Quality is becoming the main focus for upper management, this has a lot to do with changes in the payment structure, but that would be to long of a post. There is lots of opportunity in nephrology for an RN, or someone whom wants to be one.
  6. by   DialysisNurse2012
    Pretty typical at my clinic. The staff is worked to death. We have three shifts, 6 days a week. Up to 24 patient per shift. On our feet constantly and constantly running to meet patients needs. The pay to me is sub standard for what we face on a day to day basis. I know I might sound cliche with nursing and saying this, but the clinical manager and charge nurse are two that are nice to your face to get what they want in regards to the clinic goals but are nasty, lying deceiving "witches" who get ALL week ends off. At Christmas time they both took off two weeks including weekends while the rest of the staff suffered and worked our butts off like usual. I know that nursing can be a humbling experience but the way we are treated is humiliating. I've been told by staff members to find employment elsewhere but I do like alot of the staff.
  7. by   NDXUFan
    Any corporate type who wants a truly sick Nurse to work with a dialysis consumer, I am going to take my old police night stick and bash them over the head, a few times. Then, when I get sick and have to go to the hospital and suffer, when I am well, I am going to give that corporate type a major beat down. I have a very strong immune system and sadly for that corporate type, I will be coming back. One company sent a pregnant woman to deliver my NxStage machine. I told her to sit down and I would take the machine into the apartment. After giving her a tip for trying to help me, I called that delivery company and ripped them a new you know what. I told them if they ever wanted my business again, they would stop that foolishness. Sending a truly sick person or a highly pregnant woman to work, really makes me ticked off. Having used to wrestle heavyweight, karate, and boxing, I am able to put the fear of God in mean and nasty people, being almost 6'3" and 250, does not hurt, either. Yes, my weight is mostly muscle mass.
  8. by   NDXUFan
    I knew people like that when I worked in management and I fired them out the door. I worked weekends and holidays like everyone else. They were told that they were not better than anyone else and their assistance was needed on the weekends and holidays. Some had the attitude that they were more special than the line people, you better think again. I liked working weekends and holidays to keep the pulse on the line troops. I also liked it, because I would be able to catch certain individuals in management being nasty to the line troops, so I could tell them "Not to let the door hit you in the a$$ on the way out."
  9. by   NDXUFan
    Good thing, I was not their superior, they would have been fired.
  10. by   NDXUFan
    NDXUFan: "Why should DialysisNurse have to find another job, because you want to act like a jacka$$????"
  11. by   NDXUFan
    Me too. When it comes to economics, Obama is an idiot.
  12. by   NurseRies
    I worked in the outpatient setting for 2 years. It was my first job out of nursing school. I never felt like crying in my car, but I talked to other new employees that did. They were not all new nurses either. The people that told me they cried in their car before they clocked in usually didn't last long. I don't think anyone hour feel this unhappy about their job. But I do think you should give it a fair chance. If you start to get anxiety attacks, forget it! Not worth it. Some people thrive in this type of environment. Some prefer something a little more controlled or autonomous. This is a very hate it or love it type of job. I loved the chaos! I still do. I think that's what makes it a right fit. I used to almost cry going into my labor and delivery clinical because I just hated it! Made me so uncomfortable and sick to my stomach. I know it's been a couple months since you posted so hopefully it's either gotten better or you're looking for new employment. I just don't think anyone should hate their job that much. Consider an eye opening, good experience. One that you would never want to relive
  13. by   loongway2goRn
    I used to have that feeling that my legs are burning at the end of every shift.. I know there's a lot to do.. but always try to sit down whenever you can, even for a few minutes at a time.. If your documenting and you can pull up a chair, do so. It really does help. Long shifts, you have to sit down. If your prepping the meds, do some squats. It may seem silly, but it helps with circulation. And wear high socks and comfy shoes. Dialysis, especially outpatient, is chaotic and seems like there's no time to sit down, but try. It will also help calm you down. If it feels like there's so much to do, think about one thing at a time. I used to get very anxious thinking about the stuff that needs to get done before turnover that it takes me so much time to finish one task. Focus on one thing, finish it, then move on to the next.
    Organization is good but be flexible. If you can prep for the next shift, as much as you can, do so during downtime. But don't feel that you have to prep if there's no time. Just prep for one patient at a time, if that's all the time you have. ALso, even though there's a rush to get patients on, you have to plan ahead, timing is key. Don't put your 3:30 pts all at the same time that they all come off the same time. Patients tend to become impatient when they hear the alarm that tells them their treatment is done. If you can, put the 3 hr pt first before the 3:15 so that you have enough time to take off and start prepping the machine for the next one before your next take off.
    Lastly, do not let the patients rush you. One, it is not safe for you or for them. ALso, you have to set boundaries with them. If they know they can rush you, they will do it all the time and then you'll feel bad because they're disappointed or upset that you cannot put them on at a certain time. They know things happen that you cannot foretell that messes the entire schedule.
    I, too, used to get anxious before my shift starts, and never leave on time the first few months. But, if you stay, you'll learn which patients are stable and those that need their BP checks more often than required, you'll have an idea of which patient BP starts high and drops the first hour, or who starts cramping at how high a goal. That's the good thing about chronic, you get to expect about the same from certain patients during their treatment, be it complications or lack thereof.
    About being charge, if you're not comfortable, then tell your superior. Especially if you still don't know how your facility runs, transportation, MD orders, labs, the details, etc. and if you're not familiar with almost all patients yet.

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