I'm sorry to hear this. I'm not surprised, though; like I said before, the only time a PCT with a major attitude (unfortunately, not unusual in this setting) acted as preceptor in the clinic where I used to work, she ran off two RNs during their orientation; both quit without notice, they were that disgusted. And I can't blame them one bit! (But no, she did not set them up to get fired, and PCTs do not
have that kind of power although some like to think they do
! However, they can certainly make a nurse's work life miserable, no doubt about that.)
It did not take me long to see one of the major problems in outpatient (chronic) dialysis: the lines between UAPs and licensed staff are just too blurred. Some PCTs lack the insight to realize that their job is not
identical to that of the nurse; giving them positions of (perceived) power over nurses, such as unit preceptor, only makes this worse and is therefore not a good idea IMHO. My NM was desperate at the time, but after her RD jumped on her for losing two RNs, she quickly reinstated an LPN as preceptor (not a great choice, either - long story - I'm sure she had to make concessions regarding his poor overall performance, but he was better that the PCT...) Such is reality in outpt HD, sadly. For every good PCT I know (good performance, attititude, respect for nurses and patients, hard working, good attendance, etc.) I know at least two who are bad to horrible. And no, I'm not on a vendetta against PCTs, the system is the problem (for instance, my company had classroom instruction for PCTs and nurses together
; not a good idea, this sent the wrong message from the start.)
In your position (and with the hindsight of 5+ years in outpt HD) I would probably approach your NM one more time and insist that the PCT be relieved of her precepting duties at once; if the NM has to train you herself, so be it (that would send a good message anyway!)
I would hate to lose a nurse as dedicated as you seem to be, but I fully understand that you deserve to be respected in your work environment. If this is simply not the case, and nobody is willing to do something about it, I fully understand your decision.
Good luck to you! Let us know what you decide to do.
P.S. I recently took a position in inpatient/acute dialysis and there is a world of difference - maybe because we have no PCTs at all? Just nurses, the professional atmosphere is refreshing. Do you have a hospital in your area that has a dialysis unit? You may look into it, if they're willing to train (many do) it could be a good alternative for you.