We have to have in depth knowledge of dialysis! Ex:1)the effects of dialysis on the body 2) the "normal" abnormal lab values of these patients 3) we dialyze patients in ICU who are already in very serious condition BEFORE we put them on the "machine" and it definitely takes expertise to "run" these patients.------------- There is so much to know to actually be a dialysis nurse----over and above the things we have already learned in nursing school. It seems to me, however, that lots of the time the pay is even less than a floor nurse---I have done both----Both jobs are extremely difficult and both jobs are equally important----I am not putting down the "floor nurse"--- I just want to know why it is difficult for us to be paid as well.------------------I also feel that being a dialysis nurse is a specialty------other specialty nursing offers a slight raise in pay, but not dialysis. As an acute dialysis nurse in my part of the country,,,,,,I have to accept a cut in pay,,,, so now I have went back to Med-Surg,,,,,,,,,because I refuse to accept the unfair cuts in pay.....I love acute dialysis nursing,,,,,especially in ICU,,,,but I choose not to do it,,,,,,,,because I know we deserve at least the same as other specialty nursing. I would appreciate feedback on this subject. I cannot be the only person who has noticed this. Thanks-------- E-mail me at: email@example.com
Mar 23, '02
I am transferring from a chronic dialysis unit to an acute one and was told that the acute nurses make a substantial differential per hr + call pay.
as far as the comment about dialysis nurses not giving meds, etc.. I was told that it was "policy" that they not keep PO/IM/IV pain meds in the dialysis unit and it was "policy" that the floor nurse come to the dialysis unit and give the PRN. I would hate to be the floor nurse that has to go all the way to the dialysis unit to give a med!! But....they say this is the way they do it. It is a Fresennius unit and if you have ever worked for them, you know it is their way or the highway!!!!
about writing notes, we have flowsheets that have assessments on them, so no need to write a narrative note on the pt.
P.S. The nurses in this unit are required to check the pts daily labs, etc... and they give ALOT of blood and antibiotics during dialysis...at least the floor nurses don't have to be tied up with that!!
Last edit by TELEpathicRN on Mar 23, '02
Apr 2, '02
As an acute dialysis nurse I would like to comment on a few points made by Kewl nurse.
My employer is a private company under contract to do dialysis. Therefore, I can only legally take orders and/or carry out orders from a nephrologist. Check to see if this isnt the situation in your facility. I do my own assessment and report it to the physician and fill out my own paperwork. When the patient returns to the floor, you are welcome to use this form as a reference.
I have a patient for 2-5 hours and do not take orders off (even from a nephrologist) that I will not be present to carry out. Too easy for the order to be missed.
I do not do dressing changes other than those pertaining to dialysis for the simple reason that the floor nurse needs to see the wound. I won't be available to talk with any other physician/ surgeon that might want that information.
I give all meds necessary for patient safety, comfort, condition unless they interfer with dialysis. Many of those are kept on the floor and need to be transported to me. I can't leave the patient's side. This does become a problem.
Renal nursing is a specialty with its own set of knowledge, stressors, and responsibilities. It not basic nursing stuff.
By the way, I make a five dollar an hour differential for my specialty.
Last edit by ageless on Jun 15, '02