As a long time DON at a rehab facility, I would offer the following advice.....circle back and talk to the person that interviewed you. There may be a miscommunication between the person that you spoke with and the person who does the actual scheduling. It's very short-sighted for a manager to push someone out of orientation before their competency in the job has been validated while a scheduler will call everyone and their sister to fill a hole in the schedule. Secondly, don't believe all the gossip and drama you hear. Folks love to interpret coincidence into fact, and embroider into "truth". If you're not satisfied after talking to the folks in charge, it's perfectly ok to say the actual job is not how it was presented in the interview and is not a good fit for you. You could also say that to the dialysis manager, as well. As long as you conduct yourself in a professional way, there shouldn't be any long term repercussions. Yes, the rehab will be in a temporary snit if you leave but if they were dishonest with you, they'll have done it before and had others leave for the same reasons. And they'll get over their snit as soon as they focus on the next candidate.