shamrick24
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I love nocturnal in center hemo dialysis verses day shift. There is no shift change, less chaos, and stabler patients. However, it's getting exhausting working night shift. I love my schedule and the freedom I have to be off. I'm just so tired. I've been looking into home hemo, as it seems you have a little more automony along with daylight hours. That, as well as, PD. Is this true or am I completely off based? Has anybody done home hemo? What is your schedule like?
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In my unit of 20 beds, we used to run a bay of 10 patients with 2 techs and a nurse. Now that we've lost two techs and there is no thought from management to replace them, we scrounge to make ends meet. Lately, more than likely due to the lack of wage's for techs from this particular company, only nurses have been filling in the gap. It's not unusual for a nurse to have 5 patients of her own and be expected to assess 5 more. It's hard to get all your nurse stuff done, especially correctly. Not to mention, no one's ever trained the nurses to make bicarb or acid. The techs we have left get snippy when we dont' realize things like diasafe testing days. In the past that is not something nurses were required to keep up with. Course everyone is a little snippy as we have been working short for a long time now. It's no unusual to have 4 people working 19 patients, or to have 1 nurse and 1 tech for 5 catheters and 3 sticks. That being said, I work as a tech all the time, and I make it my business to be able to do anything they can. Mostly because if I don't they start telling me how, I couldn't do my job without them, and how they have seniority over me. Ha ha... No.
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My question is why have you been wanting to get into dialysis? Usually training is on the floor or another clinic's floor, along with some book or classroom training. What company are you interviewing with?
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I've been doing outpatient dialysis for a 30 bed unit. I've heard we pull fluid more aggressively in the clinic as they are generally more stable. I know that it is basically one to one, nurse to patient ratio. How does Acutes differ exactly from a clinic?