Techs vs. RNs in Outpatient Dialysis

[MrsRN86]

Evening all,

I work in a 25 station dialysis clinic and it feels like we have an internal "battle" going on. It's Techs vs. RNs. On the surface it seems like everything is ok, the staff and patients are happy. Dig a little deeper and all the staff have something to complain about.

The RNs feel like the Techs don't do what they are supposed to do. The Techs feel like the RNs don't help them enough, especially during change over.

Is it like this everywhere? Is it a dialysis problem? Advice on how to fix it is much appreciated!

[Hoosier_RN, MSN]

I don't know why people keep saying that acutes has really long hours, though. When I worked in a medical ICU, I'd come in an hour early to look up my patients, so report would be a breeze, and if the you-know-what hit the fan with the patient during shift change (SUCKS when it happened!), I'd end up staying until 9 AM once in a while. So I'm used to being at work for 13.5+ hours per shift anyway.

I have a friend who did acutes. It's feast or famine. She's worked 16+ hour days because of on call, then had to be right back at it in the morning. She's now in the clinic d/t being worn out from on call. If you are in a small on call area, you will be on call a lot and it never fails, you'll get called in the days you are the most tired. I was offered a job with both acutes and clinic. I chose clinic, no on call, reasonably stable hours