I was a dialysis RN over 20 years ago and left to raise a family, etc. I have kept working in other areas of nursing, just not dialysis. I have been thinking of returning to hemodialysis and have some questions. Things have probably changed quite a bit over the past 20 years. Do RNs actually put patients on or are techs doing that now? What is the average nurse to patient ratio? With more efficient dialyzers, machines, different baths, etc are patients having more "stable" treatments these days? (When I worked, if it rained, the water would be altered and patients would have bad treatments, etc. I even used coil dialyzers!!!) Are they still using Mannitol for hypotensive episodes? What is used to help low HCT counts, etc? Are they still using formaldehyde for reuse? I loved hemodialysis nursing, but have recently heard horror stories and wondered what it is like now. Of course, what are the salaries now? (When I left 20 years ago I made $8.00 an hour
Is there a big difference between the different organizations, such as BMA, etc? Any info would be greatly appreciated! Thank you!