Simply put, for me dialysis nursing is controlled chaos. Turnover can be crazy and you must be a master at multi tasking in order to get through your day. I always keep a list of things i need to do and then prioritize. You do have to supervise the techs, some closer than others, to make sure they are not cutting corners in order to save time. As the charge nurse if something goes wrong it is all on you. While dialysis nursing can be stressfull I find that it is also very fulfilling seeing the same pts 3 days a week. You become a part of their lives. I love knowing that I have such an impact on so many people's lives. Not only do you provide a life saving treatment but you also really get to know the pts and their families. Dialysis patients spend so much time together that they become a "family" and working there with them, for me, is a privilege. While dialysis nursing is not for everyone, if you can handle a fast pace environment and love interacting with patients i would recommend it.