Hemo to Acutes

shinynurse · May 5, 2008

Hmmm...this is what I'd do. Look up the Davita job search site for the state and area that you're relocating to and find out what's available to you. Going from chronic to acute I would probably suggest staying with your company and asking them to train you since you've already got contacts.

The responsibility level from chronic to acutes can be huge. The chronic pts. that you see in the acute facilities normally have their usual challenges that they have on a day to day basis. Then on top of that, everything is very dependant on their reason for hospitalization and their acuity level, as well. All of my work is one on one and mostly in the intensive care arena. As you know, all renal pts. have tons of challenges including working with their underlying diagnosis, ie. CHF, diabetes, hypoalbumenia, CPD, etc. Those challenges then become your challenges. You are making large intracellular exchanges. You're dealing with pts. that can be very hypervolemic but with blood pressures in the bucket, intubated, septic and on tons of meds that you have to always challenge to have your perfect outcomes. You could be performing treatments on pts. going through drug and ETOH detox, liver failure with extremely high ammonia levels and their confused and sometimes combative. You are working with a multidisciplinary team that is trying to work around you and be successful with their jobs, as well. For myself, I never have any backup so if something goes wrong, it's on me and I better figure it out real fast!!!

I could go on for days regarding the difference but if there's anything specific I can help you with, would love to help. :nurse: