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Leaving dialysis?

Has 21 years experience. Specializes in Dialysis, Diabetes Education.

I finally landed back in outpatient dialysis 3 years ago after a 10 year break and I was so excited! Overall it has been good, I love my patients and most of my coworkers. I have a 4 minute commute and work the typical 3-4 days a week. However, the 4am start time has been much harder on me this time at 45 than when I started in dialysis as a 21 year old nurse. Our clinic is also always short staffed. Which is typical in this area. And there are The typical problems with working for one of the big 2. And our health insurance is horrible. The biggest issue is the RN with the most seniority has been very underhanded with me lately. I won't go into details now, but I feel like I have to watch my back whenever we work together now. I haven't really been looking for anything else, but recently was made aware of a position that opened up for a physician group I worked with as a diabetes educator, the same group of people that I would love to work with again. But it's a 5 day a week office job with some Saturdays and a 25 minute commute. It pays about $10/hr more and I could have a more normal sleep schedule. I'm really torn and am considering talking to the CRNP who I worked with at the physician group, but not sure if it's a good idea. Any thoughts?

kbrn2002, ADN, RN

Has 25 years experience. Specializes in Geriatrics, Dialysis.

Honestly you had me at $10.00/hr more. That's a pretty significant raise unless it's a no-benefits situation in which case what sounds like a great raise really isn't.

At the least it wouldn't hurt to talk to that CRNP you used to work with there and explore the possibilities. If you like what you hear you could always proceed with applying. If you are offered the position at that point you'll be able to review their formal offer and decide then if it's something you want to accept, something you want to negotiate or something you just want to respectfully decline.

Duncan6

Has 21 years experience. Specializes in Dialysis, Diabetes Education.

@kbrn2002 Thanks for your feedback. I did talk to the NP and she was very enthusiastic and feels I would be a good fit for the position. So I'm going to apply and see what happens. The hourly raise would be great, and they do have full benefits that are better than what I have now. And I would get to work with people I can trust. That alone is huge!

Hoosier_RN, MSN

Has 27 years experience. Specializes in dialysis.

you could always offer to stay PRN at the clinic, in case the new position doesn't work out if offered. I hate hearing that another nurse treated you that way. They should be glad that someone with some knowledge is there. I have one at my clinic that way, that I have had many discussions on attitude. Of course, she complains the loudest when short staffed, but is one reason given when new hires quit. My bosses won't allow me to do more than smack her hand. I'd love to go more drastic steps...but that's a whole 'nuther thread...

Edited by Hoosier_RN

Duncan6

Has 21 years experience. Specializes in Dialysis, Diabetes Education.

PRN is an interesting idea. If it weren't for the problematic RN I would definitely consider it. Everyone at the clinic had warned me about this RN trying to cause problems for other staff, but she has never been a problem for me until now. She's been there 12 years, since the clinic opened, and has gone through 3 managers, so it could be the same type of thing where they can't really discipline her like they wish. Basically I thought she was helping me by finishing meds so we could get lunches started. Came back from lunch and meds were gone. She left for the day and didn't say anything. I came back in the next morning and opened a drawer to find the meds I thought she gave. She deliberately moved them and let me think they were given. Things like that-not quite as extreme- have happened to other staff here, but this crosses a line for me. I can't work with someone who I think will sabotage me when my back is turned. I have honestly never worked in an environment like this before.

Hoosier_RN, MSN

Has 27 years experience. Specializes in dialysis.

On 8/25/2020 at 1:04 PM, Duncan6 said:

PRN is an interesting idea. If it weren't for the problematic RN I would definitely consider it. Everyone at the clinic had warned me about this RN trying to cause problems for other staff, but she has never been a problem for me until now. She's been there 12 years, since the clinic opened, and has gone through 3 managers, so it could be the same type of thing where they can't really discipline her like they wish. Basically I thought she was helping me by finishing meds so we could get lunches started. Came back from lunch and meds were gone. She left for the day and didn't say anything. I came back in the next morning and opened a drawer to find the meds I thought she gave. She deliberately moved them and let me think they were given. Things like that-not quite as extreme- have happened to other staff here, but this crosses a line for me. I can't work with someone who I think will sabotage me when my back is turned. I have honestly never worked in an environment like this before.

sorry about that.  There's always 1 that has to be a jerk...

Duncan6

Has 21 years experience. Specializes in Dialysis, Diabetes Education.

We'll I was offered the coordinator position today.  Better pay, better benefits, a new challenge, and people I trust.  Too many positives to turn it down.  The only downside is 5 days a week, but it helps to have every weekend and all holidays off.

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