Why not think about transitioning into an acute dialysis program that also does therapeutic apheresis? Experiences Apheresis nurses are hard to come by anymore, they would prob hire you up in a second and then train you on hemodialysis, which requires similar skills. Acute dialysis nurses get to see all types of patients. We go to many of the ICU's, mainly cardiac and treating people with sepsis. We see drug overdoses, acute renal failure caused by anything from flu, to rhabdomyolosis, to rare genetic disorders, to infections and dehydration or blood loss. We also treat chronic patient that are in for orthopedic surgeries, GI troubles, cancer, pneumonia, etc. We see many types of patients. My experiences as an acute dialysis nurse has led me to the conclusion that I do not want to be a floor nurse. Not ICU, or med surg, or rehab. But since I have been exposed to all those types of nursing, I have been able to see the ins and outs of how it works. If you are interested in hospital nursing, this would be a great transitional position. I would recommend looking for jobs with Fresenius or Davita acute dialysis programs. But if you could find an in house dialysis program run by a University, that's usually the best opportunity! Especially for benefits and ability to transition into another unit if desired. Your skills as a plasmapheresis nurse could also land you a great PRN or part time position with one of these programs and probably for great pay. You may be specialized, but you can use this to your advantage! I know some PRN apheresis nurses that make bank! Dialysis would certainly hire you and may be an easier transition into something else. Good luck!