Gooseberry

The pump sucking the blood out creates negative pressure on the arterial side or the systemic circulation which reduces periferal resistance. At the same time it overloads the venous side - end diastolic volume grows, making the heart work harder. That's my reasoning.

no really, ON THE AVERAGE i make S39-40/hr.

In Southern CA acutes we use the following QB provided the access functions properly. VasCath 300 PermaCath 350 Graft 350-400 Fistula 400-450

In Southern CA acutes get paid much better and the job is much easier.

first time i hear PICCs are used for HD. Wow! how can they do it? VasCath can barely provide an adequate blood flow. I can't imagine that. Of central catheters we use only VasCath and PermaCath. BTW are you russian?

don't see any hint of insanity and rudeness. might seem unprofessional. but wouldn't mind being called with a better offer. by the way, i was promised a bonus of 5K. never got it. Remember "Employer of choice".

I work for acutes too in CA. It's my 4-th year after a job in PACU. We get paid x1.5 after 8 hrs and x2 after 12 hrs. and i hit double time as a rule. absolutely right, slower pace, more focused care, backup for the floor nurse, cna at hand, md on the phone, more autonomy, any delay is paid for, going around different hospitals is like visiting various kingdoms/palaces very exciting. DaVita Acutes differ from place to place. No all bosses are good, but they are not behind your shoulder most of the time.

Chronic HD units are hell, no doubt. That's why I work in acute HD. I think you have it in your region. The job is uncomaratively easier and the pay is much higher. Consider it.