Apheresis VS Dialysis job offer....need help deciding!

Specialties Urology

Published

Hi!

After being laid-off twice since graduating last year, I finally got a job offer from Fresenius as an Acute Care Traveling Apheresis RN (I'll cover 74 hosp in a 75 mi radius). This job sounds awesome---lots of autonomy, not being stuck in one place for 8+ hours, 1:1 patient contact, cutting-edge technology in a highly specialized field (which will soon boom b/c of the Stem Cell stuff Obama passed, thus now is a good time to get into this field b4 it get flooded!), learning lots of procedures dealing with apheresis, seeing a myriad of health issues, and being exposed to many different pt populations. However, the traveling could get old, and I HATE hospitals and having to deal with docs. Plus, it involves a lot of follow up calls, both the night before and morning of. I'll be the "visitor"... on foreign turf. My manager warned me to not let the RNs on the unit boss me around and have me do things other than what my purpose for my visit is: apheresis, not the unit RN's duties. Oh, did I mention that this manager rocks?

However, I just got an offer for an interview for a Home Healthcare Therapeutic Dialysis RN for the same company! Home Health is my passion and I've been dying to get a job in home health. Same positives apply for this job, except that dialysis isn't as cutting-edge, and I won't get that "acute care exposure" that a newer grad so "desperately" needs. Plus, if something goes wrong, I'll be all alone... at least with apheresis, i'd have the help of the unit staff. Would i get bored with dialysis? But, I guess the same could go with apheresis.

Can anyone give me any insight on what each position encompasses, and which would provide me with the most clinical skills, knowledge base, experience, and challenges (but not too challenging, lol)? I want to make the right decision---I HAVE to. This has been a horrible year, job-wise, and I need to pick the wise career.

Thanks SO much!

What do I do? Should I talk to my manager so soon? Give it more time?

I need the money and jobs are few and far between. however, i dont want them to spend all this time and money training me in such a specialized field (nor do I want to waste my time learning this) if it's not the right fit.

how do I find my fit in nursing? I really want to do ICU, but no hospitals are hiring.

Specializes in Dialysis (acute & chronic).

Let your manager know your feelings and concerns.

The cost of orientation is very expensive.

Do they have any chronic hemo positions available? Not saying chronic clinics are easy! They are very busy!!!!!

What are chronic clinics like?

at least i'd have shift hours and no on-call

if i let her know my concerns, im afriad she'll fire me without transferring me to dialysis.

I just want a hospital job! why arent hospitals hiring?! this is so ridiculous! im willing to move out of state too... but no place is hiring "newer" grads

Specializes in Dialysis (acute & chronic).

Apparently she noticed potential in you in the first place, or she would not have hired you.

It would be best to be truthful upfront instead of going thru all the training and then losing you.

Hopefully once we are through this recession, the hospitals will start hiring new grads again. Like I stated before, orientation is very costly and that is a way hospitals are trying to save their budgets as with using experienced RN's as opposed to new grads. Plus, there have been a lot of studies out there indicating that new grads only stay in their first offered position for 1 year and then they transfer to another position.

Hang in there, it will get better.

do u think im not giving it enuf of a chance?

I do know that I cannot do the crazy on-call hours, nor am I happy that she wasnt truthful about the hours of the "shifts".

What do I do in the meantime for income? I've applied everywhere!

Specializes in Dialysis (acute & chronic).

First of all 74 facilities to cover is NUTS - they need to divide them out and create "teams" to cover certain facilities.

I though Fresenius had a 60 mile requirement - meaning if the assignment was more than 60 miles from your home you didn't have to accept the assignment unless you wanted to.

FMC have facilities all over and I am sure they are in need of help.

The chronic units are very busy and some clinics you will be the only RN in the building.

These specialty areas is a love or hate type of job.

If you feel that she was not truthful about the shift hours/on call responsibly, let her know.

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