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I'm not a dialysis nurse however my older sister is a nurse manager in a dialysis clinic. They work four 10 hour shifts with rotating Saturday's. Normally every third Saturday, sometimes every other Saturday if someone is on vacation. They are closed on Sunday's. They start the first patient around 0530 and try to have the last patient out by 1800. Very seldomly is there any OT.
It all depends ... I have worked for a few different places and companies from being a traveler. In acutes, it's almost always 12 + hour shifts. Usually 6am-6pm plus some on call 1-3 times a week depending on size of unit. I've done 8am-8pm for one program and occasionally 10-10. Again, there's always overnight on call requirements with acutes. I'm usually out late a few times a month and occasionally I'm up all night.
Chronic varies widely also. Some clinics do 5 8 hour day, but you will work some Saturday's, and ist not necessarily day shift, could be evenings like 11-7:30. I used to work 4 10s, which I absolutely loved. It was 5:30am-4:30pm with 2 breaks in there and sometimes we'd go home early. Some clinics are only open Monday, Wednesday, Friday, and they do 12-14 hour shifts. Usually a variety, someone does 4am-4pm, then 6-6, 7-7, 9-9.. Etc.
One thing I can guarantee is early mornings. Also unpredictability in acutes. We work until our work is done. Your patient is delayed because they're in PACU ? You wait until they're back and then do the 4 hour treatment, so you could work 6am-8:30pm with maybe a small break at lunch.
Dialysis has a reputation for being a cake job or something to retire into. That is a huge misconception. The outpatient is exhausting, non stop busy work. And the acute side is completely unpredictable and leads to burnout fast.
Steve123
63 Posts
I've been a bedside nurse for 6 years. It is not so bad, but I hate working nights and it is hardly possible to find straight days. So I decided to consider dialysis nurse. What is usual shift in a dialysis center? Is it 8 hrs 5 days a week or 12 hrs 3 times a week?