Just started as a dialysis nurse. And as a nurse in general. Two weeks since I started. While first week was only computer now I learn to work on the floor as a pct for a first month and then the nursing part will start as well.
Last week my preceptor showed me how to set up a dialysis machine himself, and then moving on to another machine during turn over asked me to set that one myself, which I didn't do that well. So I asked him to walk me through the process while I am doing it, which helped me much better then just observing him. it was three days (that I worked that week) on the floor, the last day I felt like I did much better at setting up/priming the machines. I am also very anxious about everything and feel pretty overwhelmed, for there is still so much new info to learn. But today the nurse told me that I am being too slow, and the preceptor cannot move on to another tasks cause I am not good at priming the machine
I really thought it was the matter of practice. I tried to work faster today but then I make pretty silly mistakes. So it is just really discouraging.
For those who once were new to dialysis, how much time did it take for you to learn the machine and work at a normal pace. And how did the learning go in general?
I'm new to dialysis but not new to nursing (I left an ICU RN job to give this a try). I'm in my third week (out of six) of tech training, and feel a bit disillusioned. The machine set-up, I've pretty much gotten down after about 3-4 weeks (while I was in lecture class, with an hour or so being on the clinic) of being drilled non-stop and just repeating it over and over again. You'll get it, I'm sure of it. A major reason why I took an acute dialysis RN job was because of the workload, the prospect of having 1 or 2 patients at a time, and a repetitive workflow. I didn't get hired as a tech, and I'm not even going to be working in a clinic, so to me it's like, "Why am I spending time being trained on rapid turnovers and clinic procedures when that doesn't even apply to my role?" Also, I'm not even sure what exactly I'm supposed to learn at this point, other than cannulating patients. I've gotten rinse-backs and decannulating down pretty good, so what else am I going to learn for 3.5 more weeks here?
Last edit by Naturally Brilliant on Apr 30
I'm new to dialysis (3 months in) but a nurse of 20 years with multiple areas of experience. Dialysis is a totally different animal! I work with the Fresenius 2008K2 machines. I literally 2 weeks ago just started the nursing orientation part, which isn't bad. Some things are done differently, of course, but an assessment is an assessment and administering meds is just that. The tech part is hard, and I'm still as slow as sap! I've been told it takes about a year to become confident/competent, by many nurses. I do like the comment that every patient will get on and every patient will get off. I will share this wisdom and remember it as well in the future. I'm still up in the air as to if I like it or not. I don't hate it, enjoy my work while there, but loved my LTC work so much more, but my body couldn't take it anymore so I had to give that up. I'm going to give it a year or 2 to see. Right now, my big issue is being there at 5-5:30am as I'm training to open the 3rd and 4th shifts, which are just going to be opening in my clinic (to normal folks this is approximately 2nd shift in the regular world), so maybe once I get to my regular hours of work, things will be better-I'm not a morning person by any means. We'll all get through this and in a year we can have a good post of how we made it!
Last edit by Hoosier_RN on May 2
: Reason: clarification