I have worked in chronic outpatient dialysis for almost 5 years and recently switched to working outpatient pediatrics/acutes and adult acutes. Because I'm per diem I'm not required to be on call, so I can't speak to that.
But, I love being in the hospital! I still work per diem outpatient and the difference for me is mind blowing. Going from being responsible for 12 patients per shift with 3 patient care technicians working under your license, to now working 1:1 with patients, and support staff only setting up machines, is amazing.
I can more closely monitor my patients and tailor their dialysis treatments. I have more access to tools to help facilitate fluid removal and assist with hemodynamic monitoring.
In the outpatient unit I am constantly moving between people and trying to stay on top of medication administration, lab monitoring, notifying physicians, adjusting dry weights and getting people out the door in a stable condition.
It feels good knowing I am knowledgeable about a specialized, life-saving treatment. I enjoy the time I have to sit down and get to know my patients and their families. I'm still busy, but in a more focused way which feels more manageable to me.
I'd make sure to ask about how your coworkers function and how approachable your physicians are. The most challenging periods for me have been when I haven't felt part of a cohesive team.
Best of luck!