as for epo, just wait and see. the powers that be will tell you what your unit will do. we currently decrease if hgb >13, but this may change to 12 shortly. my nurses work 10 hour days. this gives them a day off during the week to take care of other things. they like it this way. sticking patients will be the least of your problems. learn your protocols-just because a nurse tells you something is a certain way doesn't make it so. i am 41, and can keep up with the younger ones. patients like to give you a hard time at first-testing you to see how you respond. when they figure out you really care and are there for the long run, they lighten up. don't get frustrated. it takes awhile to learn dialysis. and yes, there are days when everything goes wrong and you are so tired you can hardly move. but then the next day runs smoothly.