New RN at SNF

I would go with Dialysis. They provide more training than SNF

I agree. I would go with the Dialysis. I am also a (recent) new grad with only 9 months of experience. I currently work in SNF and although in my area, it pays MUCH more than the hospitals, dialysis clinics, and outpatient settings, I kind of regret not going a different route, especially for my first job. You will get some experience in SNF though. I've had patients with trachs, colostomies, urinary catheters, wound vacs, IVs, wounds, among many other things, but many people say once you take a position in LTC/SNF, it's harder to get away from it if you were to choose to move on. I was also looking into dialysis, it's a great specialty to learn I think. You can work in outpatient clinics, or even go work on a dialysis unit in the hospital. Especially if they are looking to provide extensive training, I would go that route. I don't know your area, but in my area, Davita and Frensenius hire new grads without experience. In fact one of my friends who I graduated nursing school with started in a dialysis clinic about a few months ago, and so far she loves it. But also, many people say you kind of get "pigeon-holed" into the dialysis speciality and limits your nursing opportunities in the future. Maybe start there, and try to get a per diem in the hospital so you can keep up with your med-surg skills? If you don't like it, just move on! Good luck.