I work in davita acutes--I like my job. Lots of variety. and autonomy. If I have questions regarding my patient or want to change my orders, I talk to my nephrologist within minutes. The hours are long, when you include call and call back. This all depends upon the physician groupo you work for. Some will call you for stupid things like a K of 6.0, ainstead of giving them Kayelate. I don't particularly like my boss or the company, but I am not sure there is any for profit company that is truely good to work for.