new to dialysis, please help!

I cant comment on what is normal in the States but i run a haemodialysis unit in the UK and our training programme takes 3-6 months to complete. I also tell my new staff that it takes 12 months to really develop your skills.

From what you said it sounds to me as though you have done really well for length of time you have been in post. when you are still learning its not an area to rush things i think it is more important to take your time and get things right! The speed will follow as you become more experienced.

I am still in training with a tech (learning machines, sticking pts, troubleshooting, etc...). I am in my 5th and final wk of tech training and at the end of this wk I am expected to beable to handle a pod of 4 pts all by myself with eveything the tech does (put on, take off, break down and set up machines and stick the pt.)

Who the heck set up that expectation???? Of course your slow at the beginning. After 5 weeks I thought I was doing well to set up 1 machine in 15 minutes and not tie the tubing in knots. If these are the companies expectations get out now. They are totally unresonable. 2 weeks to learn all a chronic dialysis nurse needs to know? Good Grief. Try at least a year. My old company had new staff with a preceptor for at least 3 months. I'm sorry but you keep up at this pace and you will burn out quickly. Dialysis is like nothing else. You either love it or hate. Nothing in school or hospital work prepares you for this. Learning dialysis after 15 yrs of ICU was one of the most ego busting moves of my career. I love it but it was very hard to go from being the expert on the unit in ICU to knowing nothing and making simple mistakes. Give your self time. You are learning a whole new set of skills and way of thinking. Do not compare your self to the other techs. In all probability they have beening doing the same thing (stringing, stripping, sticking) 8-12 times a day, 3-4 days a week for years. These are skills you are not going to learn in a matter of weeks. Remember learning to drive? You weren't a master of all road conditions, in all weather conditions in a few weeks.

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After five weeks you are expected to handle a four patient pod yourself! That is ridiculous!!! Either you are being "set up" by the company or by the tech! Where are you working?! What does the manager say about this! It is conditions like these that cause errors to occur! It takes a good 5-6 months before you get comfortable working in dialysis and a good year before you are really comfortable. That's ridiculous! Don't let them push you around and burn you out....if they are...you might consider going elsewhere. Dialysis is a good profession...but I get tired of hearing these stories from techs and other nurses. That's why we end up with what I refer to as "sloppy" techs...meaning that they just work fast and don't pay attention to detail....thus you have patients running on the wrong bath (a big NO NO that I see way too often) and you end up with patients with infilrated accesses, wrong goals set, etc. I have a new tech who will be completing her training soon....and when she asked me if she would have to take a four patient pod after training...I said "no way" "I'd rather have a training tech go slow and do things right first....speed will come later". I'd much rather fill in the gaps by putting on some patients myself. In my experience the techs that are slower and pay attention to detail turn out to be the better techs later down the road. And it's a much less stressful learning environment. I hear the same horror stories from nurses too. I'm glad I got my first dialysis experience in acutes for that reason. Nurses will always be slower than the techs. We have a lot more things to consider than just the mechanics of the process....and we don't work a pod day in and day out. We should really support those that are starting out in the field rather than stressing them out! Don't you just get tired of hearing these stories over and over again?! Hang in there 9283....and don't let the tech push you around! Talk to your manager...see if the company supports you or not! I can tell you....the current expectations are absolutely ridiculous! So what's really going on here? What's the history at that clinic?

Hello,
I'm an new RN to dilaysis and just started about 7 weeks ago. My clinic manager said I would be a trainee for 6 months and would not be thrown to the wolves, so to speak. Without this support I do not think I would have stayed. I am just now to the point I can set up a machine, cannulate and run a treatment on my own ( my pct is not far away for support) but I am only doing one pt per shift right now- probably could do 2 but they are not pushing me- wanting me to be comfortable. I am very slow but as everyone here has said speed comes with time- alot of it. Dialysis nurses are in great need. I took my initial training at a Fresenius facility for 4 weeks- to my clinic now for 5 weeks and then back to training facility for one more week- a total of 10 weeks and yet my own facility(not a fresenius facility) as I say will consider me a trainee for much longer.

Sounds like you are doing great at this point! But being expected to do 4 pts a shift on your own is too much to expect at this early stage, in my opinion. Some managers will push a nurse as far as they can just to see how far they really can go- you may need to respectfully speak up for yourself and request additional time in training. I think this would be a reasonable request-

My manager said it takes 6 months to a year before you are comfortable handling 4 patients by yourself. I would hope that your co-workers understand what you are going through and are willing to help you out while you work on your speed. At my clinic, we are not expected to be able to handle things alone that soon.

It took me every bit of 6 months before I could handle 4 patients alone. Now that I just passed being there one year, I feel fairly comfortable with just about anything that comes up.

Best of luck to you. I think those expectations are unrealistic and unfair. Is she going to fire you over this?

I am an advanced practice nurse in a dialysis unit and the expectation is multiple months of orientation for both techs and nurses. In fact, the nurses have to learn more because they draw up all the meds and do the orders.