I graduated in Dec of 13 with my RN and started in an in hospital chronic/inpatient/acute hemodialysis unit. My particular hospital does not outsource their dialysis unit which is nice. I was trained in all three areas immediately upon hire. That's just how my specific unit trains. One day you will do chronic Hemodialysis and the next day you may be in the ICU doing dialysis on a critical patient. I knew dialysis wasn't my passion and I felt I needed more general nursing experience. I applied to medsurg and got hired. I still do dialysis PRN. My medsurg manager loves dialysis nurses because there is so much renal failure these days. You have that specialty knowledge. I would recommend medsurg or even ICU since you have the acute dialysis down. Do you know anyone who can recommend you to their manager to get a foot in the door?