It is clear to me that Fresenious does the absolute best job of training their staff and take great care in safety for the patients and for their staff. I doubt the the private owned firms have the resources to give extensive training to their staff. Staff are sent to classes away from the responsibility of working with patients at Fresenious. I have worked where nurses and techs were put out on the floor when they are just about clueless concerning dialysis. I am sure an RN would not want to be responsible for dialysis patients when he or she does not know what they are doing. I worked in a private owned clinic where quite a few of the staff did not understand why things had to be done a certain way so they would violate policy and procedure to save time. Fresenious takes the time to educate their staff. Like other businesses, they have to do what it takes to keep costs down. Private owned independent clinics have to take even greater measures to save money to stay in business. I was told that not even Davita will send you off to 2, 3, or 5 weeks of classes before having you out on the floor. Some staff at Fresenious get 10 weeks of training which is at least 3 or 4 weeks in a class room. Quite a few written tests are done and training under a preceptor until it is clear that you know how they want things done and why things are done that way. I suggest working for Fresenious and after a couple of years you can take your knowledge and skills elsewhere if you want to, but first get properly trained.