new grad RN started in dialysis, and now i understand why it is not recommended for new grads!
things to keep in mind:
1- some of these patients are very sick with other comorbidities. there is a level of assessment skill that most new grads don't have, because it takes years to acquire that. they can crash on you at any minute. never had anything like that in student clinicals.
2- you MUST make sure you have a thorough training program and QUALIIFIED, PASSIONATE preceptor! if your preceptor is counting days until retirement or has their own drama going on, you will be left out in the cold. even the best nurses aren't always good preceptors- it is a totally different skill set. bring up the actual preceptor in the interview. i wish i had
3-the hours are LONG- 10-14 hour shifts, and you start very, very early in the morning. e.g., you'll be getting up at 4:30am at the latest.
4- ask about patient ratio and supporting tech staff. ratios vary widely from state to state, clinic to clinic. you could 9 or 10 patients, you could have 12 or 15.
5- there are many, many moving pieces to dialysis. if you thrive on multi-tasking beyond your wildest dreams, then this may be for you. if you prefer slower paced, focused patient care, then this probably isn't for you.
hope this helps!
Jun 10, '12 by ErikaG12Im in the same spot new grad rn ... But i guess its better than no experience right?? I had an interview and may have a possible opportunity to get a job in dialysis... Just ppl saying its a bad more makes one wonder..