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Thanks for the invite. I'm in Texas though it would be so great to visit other acute centers. Some of the unfairness comes from the fact that our manager does not do the scheduling we staff nurses take turns, we also do peer evaluations yearly. I feel like this is just asking for negativity. Also shifts some of the responsibility off the manager.

I have worked in acute setting for 5 years. Hospital operated, we continue all care during dialysis (give meds, orders etc). We take turns being on call so sometimes we work as much as 20 hours straight. We have tried to develop a night shift for the past 2 years. But someone will always quit due to job change, relocation, but bottom line is no one likes taking care of ill pts alone in the middle of the night. We are losing alot of our current day staff and night staff. Things seem to be steadily going downhill since we have a new nurse manager. NO communication. Seems like the committed staff put up with alot of being dumped on. We are also now being pulled to a new Long Term Acute Care hospital. The pts are growing rapidly at this facility and it is not set up for dialyzing more than one pt at a time. This place is killing our staffing and there does not seem to be anyone putting forth any efforts to change this. The one bonus as far as pay is we do get double call pay if we work overtime that falls on a weekend. We train our new nurses for 12 weeks in HD and PD, 6 weeks ICU and 1 week CC class so any new nurses coming in won't be on the floor and taking call for 6 months approx. Guess I am venting from frustration, but would also like to know what other acute settings are like.