In our ICU, the RN does everything related to CRRT. We do the setup, bag changes, mix bags, conect the pt, troubleshooting. We dont have a dialysis team that comes to the unit to setup. In fact when I read on allnurses, that alot of hospitals have someone else responsible for the machine, I was baffled. It really doesnt make sense, to have to call someone in to troubleshoot the machine, or do a new setup. Its a skill that takes time to learn, but once you learn it, its not hard to do, as long as you are able to handle the sick pt that comes along with it and understand the concepts. On our unit, some nurses are trained for intermitent hemo, and TPE as well. That being said, im in Canada, and we only nurse 1:1 so maybe we have more time to be able to run the machine. The only time we have 2 pt's are the chronic patients who are stable, and usually just a chronic vent wean.