Leaving dialysis?

[Duncan6]

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?

[Hoosier_RN, MSN]

9 hours ago, Eileen Meyers said:

I'm leaning towards going back to the clinic- there's some craziness there,but I'm not the one that has to fix it.

If the issues are that problematic, I'd leave. As you said, a corporate person controls issues in a dialysis clinic. I'm biased because I'm happy with dialysis, so I'd go back in a heartbeat

[Eileen Meyers, RN]

I've decided to go back to dialysis.  I think I'm a dialysis nurse at heart-even with the issues that are there.  Still hate leaving the office after such a short time, but it's not going to get any better at this point.  I even have providers that have been there years that are talking about leaving.  So I guess I'm in good company.

[Hoosier_RN, MSN]

10 hours ago, Eileen Meyers said:

I've decided to go back to dialysis.  I think I'm a dialysis nurse at heart-even with the issues that are there.  Still hate leaving the office after such a short time, but it's not going to get any better at this point.  I even have providers that have been there years that are talking about leaving.  So I guess I'm in good company.

It's sad when you go to make positive changes you were hired to do, but those that hired you to make those changes, don't allow the changes to be made ?

[twitter]

On 6/6/2021 at 8:41 PM, Eileen Meyers said:

I am finding that I don't have the authority to do much of anything.  I can make some small changes and I have implemented some measures that have improved things somewhat, but the more systemic issues that are causing big problems are way beyond me, for instance antiquated IT and poor training.  Every place definitely has its issues for sure!  I'm leaning towards going back to the clinic- there's some craziness there,but I'm not the one that has to fix it.

Maybe nephrology nurse practitioner is the most likely path towards more employment autonomy? Just my two cents ?? 

[Eileen Meyers, RN]

Twitter - 

Maybe if I was younger!  I'm also realizing I really like hands-on care and the technical aspects of dialysis.  I guess I'm just a dialysis nurse at heart. ?