Need help getting back into my Specialty

[sahirah14]

I am a Chronic Dialysis Nurse, and I love my specialty. The only thing that I have a problem with is weak management. I was initially trained in Chronic Dialysis, by a PCT, during the summer of 2004. My preceptor was excellent, very knowledgeable of her craft but her personality was less than desirable. Everyday she would find something to pick about, and I noticed that she treated me different than my co-worker, who was also being trained. I did everything possible to make the relationship work, including giving her rides to and from work; Nothing worked!!. She incited the other PCT's not to follow my directions and made my life a living hell. I reported my problem to the facility manager and nothing was done. Finally, I resigned and a couple years after leaving the company, I reapplied for a management position with the same company. Later I was told that I didn't get the position because of a bad reference. When I asked who gave that reference, I was informed that it was the PCTI. I hadn't even given her as a reference, but the manager that interviewed me knew her and also knew that she worked in the facility where I was once employed. Every time I gain a position in dialysis again, this person black balls me, management follows suite, and I find myself resigning again due to hostile work environments. Please, can someone give me some advice on how to work in the specialty I love without chaos. I just need a fresh start and I know this company and their management team doesn't have enough work ethics or integrity to give me a good reference

Regards,

Tahirah RN

[Marisette, BSN, RN]

There appears to be two large dialysis companies in the US. Just like hospitals, takeovers or sales, has limited the number of companies that will hire. Once you are tagged as not a good fit, chances are you will not get hired. There are a few independent dialysis providers and you may want to try one of those. I don't think I would want to get hired and work for any company that has a hostile work environment. Consider this a loss, and move on to the next company or next job. Having worked dialysis for 27 years in various positions, other than the work hours, I don't think it's such a great job. However, if this is a must have job for you ,don't continue looking where you have already searched. Go elsewhere.

[Rocknurse, MSN, APRN, NP]

There are still a small amount of independent hospital based dialysis unit (acute) but they're few and far between. Maybe the option is to work in a different part of the state or even a different state. It's pretty much a monopoly in dialysis because as the previous poster said it's two main companies that own everything.