Is this what being an RN in dialysis is like? - page 3
by barbwire 12,534 Views | 30 Comments
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 been learning the tech's job. ... Read More
- 0I 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."
- 0Jan 8, '13 by NurseRiesI 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
- 0Jan 9, '13 by loongway2goRnI 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.
- 1Jan 10, '13 by nurse_kvI started as a new grad rn in an outpatient chronic dialysis unit 2 years ago. I was also trained as a patient care tech for the first couple months and then became charge nurse after my first year. For me the first 3 months were the most trying as dialysis is a specialty, there was a whole lot to learn from the water, machines, patient complications, and work flow. It was at about 6 months that I began to become more comfortable with the job. I have to say that the support of the other nurse you're working with is critical, they can either make it or break it for you. As far as energy is concerned, I do get pretty tired by the end of the day and sometimes just want to pass out and go to bed when I get home. Nowadays, I am still tired but it's manageable. Invest in some great shoes, the lightest weight stethoscope available, eat healthy, drink plenty of water, and pressure stockings have helped tremendously.
- 0Feb 10, '13 by RN625Do NOT let the techs talk you into calling somebody in early or switch pt put-on schedules. It will just screw up the turn around & as the nurse you will be the one to suffer every time! I don't know why they want to do it; you just work twice as hard to finish 15min early..it's not worth it and you'll be frazzled the rest of the day.