My first job as a new grad was in a dialysis clinic. I recently started working at a hospital after nine years so there is hope. I will tell you that I am learning new skills at the hospital but I miss the structure of a dialysis clinic. It is hard to be responsible for so many systems- heart, lung, wound care etc. I now understand why the older nurses are ending their career in dialysis- I have to finish my contract out (I am in a residency program) but I imagine that I will go back to dialysis one day. The grass is always greener on the other side.