I have been a tech in dialysis for a little over 4 years now, and when I finish school I will be working in my unit as a staff nurse. The clinic that I work in has ranged from heaven to hell regarding staffing over the time that I have been there. Sometimes you'll have a nice and easy day, sometime you won't, but most of it depends on the skill of your techs as far as time management and machine turnover and cannulation go. The clinic that I am in is 24 chairs, with 6 techs (if no one calls out) and it can be really tough sometimes, but it really is what you make it. We have had nurses there who are very helpful and will set up a machine, stick a patient, etc.. and it helps us techs out tremendously. There have been others though that choose to have no part and will simply chart and pass meds all day long. If you want to get on the techs good side, seriously just help with even 1 patient during their turnover and it will mean the world. As far as the machine goes, it looks really complicated, but it really isn't. Yeah it will probably take you a few months to get proficient with setup and operation/programming but after you get it, you got it. Dialysis is very repetitive, it's just getting to that point that's the hard part. Also, learn to troubleshoot the machines sooner rather than later, many things are easily fixed if you just know where to look. Don't give up hope, it gets better! Just remember to help help help!