Would You Be Willing to do This?

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I work for one of the "Big Two" dialysis companies as an acute inpatient dialysis nurse. For those of you not familiar with this, my job is to provide dialysis treatments to patients who are acutely ill and hospitalized.

The problem I am having, is that I and the other nurses that I work with are expected to work extremely long hours on a regular basis. A few days ago I worked 17 hours straight doing back to back dialysis treatments, and then I was still on call for the remaining seven hours of that 24 hr. period, meaning that if the hospital had an emergency treatment and I got called, I could have conceivably worked almost 24 hours straight. It's scary, because by the end of that 17 hours, I was so tired that I was blurry-eyed and fuzzy-headed. This is not the exception, because I have not had anything less than a 14 hour day in weeks.

Needless to say, our acutes department has a real problem hiring and keeping nurses, and I hate this job because of the ridiculous hours. The only reason I am still there is because I have only been with the company for about 15 months and I hate to be a job hopper, because I was only at my previous job for about that same length of time and I'm afraid that no one will hire me if I quit another job after 15 months. However, I really do not feel like this is safe, and definitely not in the best interest of the patients.

My question is, would you be willing to work hours like this? Everyone I talk to thinks it's ridiculous, but if I or any of my co-workers complain to management, we are made to feel like we are being crybabies and whiners. I have applied for a few jobs, but I just don't know if I will look like too much of a job hopper to a potential employer. At this point, I am really getting concerned about my license, but I have to work and carry benefits for my family.

Specializes in Med/Surg, Tele, Dialysis, Hospice.

Happy ending! I am out of there! I had three potential employers interested in me within a few days of getting applications out there, and I interviewed and have been hired for a hospice position with reasonable hours and as an added perk, a $15,000/year pay increase!

I am feeling so blessed today, and I honestly feel like I (and the company that hired me!) just saved my nursing license by getting out of this disaster waiting to happen.

Thanks to all of you for your support and encouragement. :)

Specializes in Pediatrics, Emergency, Trauma.
Specializes in Med/Surg, Tele, Dialysis, Hospice.

Thanks! I feel like a ton of bricks has been lifted off of my shoulders, and I'm no longer scared of losing my license due to fatigue brought on by ridiculously long hours. I will have some long days in hospice, but I love hospice nursing and comforting patients and their families at end of life is much better to me than performing a medically critical treatment on an acutely ill patient when i am fighting to keep my eyes open.

Glad to hear it was so easy for you to move on! Good luck with your new position!

Specializes in Dialysis.

Great news! Congrats!

Specializes in Corrections, neurology, dialysis.

Thisnis is standard operating procedure for dialysis nurses. It's not for everyone but I've managed to make it work.

as for the law, there is no laws against making you work a certain number of hours. The only thing the law says is that if you work overtime, they have to pay you. In the state of Texas the nurse practice act has no rule about limiting hours. All it says is that they dont involve themselves in workplace rules regarding the number of hours a nurse can work. Shocking, I know, but there it is. That's because nurses in Texas don't want anybody telling them how many hours they can or can't work. The dialysis companies know this and have used it to their advantage.

I would double check the labor laws in my state and region.

I would consult with my malpractice insurance relative to my concerns about safety and number of work hours/24.

I would tell the employer that I am not available for more than 12 hours of work/24.

I would ask my employer what the plan is for backup should I be required by the oncall status to work long and unsafe hours.

Specializes in Med/Surg, Tele, Dialysis, Hospice.
In the state of Texas the nurse practice act has no rule about limiting hours. All it says is that they dont involve themselves in workplace rules regarding the number of hours a nurse can work. Shocking, I know, but there it is. That's because nurses in Texas don't want anybody telling them how many hours they can or can't work. The dialysis companies know this and have used it to their advantage.

But to their patients' disadvantage, since a fatigued nurse is more prone to making mistakes. There are small things in dialysis, things like forgetting to clamp a CVC port or grabbing the wrong dialysate bath for example, that could spell huge trouble or even death for a patient, but would be easy for a nurse who has been working 17 hours straight to do.

Shame on these huge corporations for putting their profit ahead of their patients' safety!

Specializes in Corrections, neurology, dialysis.

It's not for everyone. I've been doing it for years so I'm used to it. Working 16-20 hours a day is pretty much the norm. I manage to stay focused. For me it's not so bad because at least we can sit down and monitor and not be on our feet the whole time. There are times when it's difficult, but for me anyway, I can manage okay. I'm glad you found something that works better for you.

Specializes in Med/Surg, Tele, Dialysis, Hospice.

We have a couple of nurses in our department who have been doing it for years too, and seem to be okay with it. They are older, single, and have no one at home, so it doesn't seem like such a big deal to them, I guess, to put in these long hours. They are also able to do other things while monitoring a treatment, like reading a book or talking on the phone, which tells me that they have reached a level of comfort while running a dialysis treatment that I don't think that someone as Type A as me would ever reach.

I find it kind of disturbing to read the words, "Working 16-20 hours a day is pretty much the norm", though, because these kinds of hours in any other kind of nursing would be considered double shifts, and done only rarely if and when there was a severe staffing shortage,and even then they aren't normally mandated but offered with incentives. it tells me that the big dialysis corporations have succeeded in creating a new normal for their nurses, which to me, is not normal at all. I have seen our relatively small acutes department hire, train, and then lose at least eight nurses in the past year alone. That tells me that there is something going on here that is not right, but again, to each their own. If you can handle it and you enjoy it, then you are in the right job for you and I commend you, because someone needs to be able to do it or there would be a lot of patients not getting their dialysis.

It is one thing to help out while they fix the shortage problem. But it seems like they are NOT fixing it. If that is the case, then time to go.

Maybe your job found the mystery Nursing shortage problem that everyone is looking for.

Specializes in Med/Surg, Tele, Dialysis, Hospice.
It is one thing to help out while they fix the shortage problem. But it seems like they are NOT fixing it. If that is the case, then time to go.

Maybe your job found the mystery Nursing shortage problem that everyone is looking for.

If fixing it means hiring and training nurses repeatedly, only to see them quit within the first year, then I guess you could say that they are trying to fix it, but obviously, without the result that they are hoping for.

I just don't understand why, after seeing this cycle repeated over and over and over, they don't try to figure out a better way. Hiring a second shift so that the nurse goes in to work in the morning knowing that he/she is not going to be going home 20 hours later would be a start, but they say it is too expensive to have two shifts of nurses. This makes absolutely no sense to me when you figure in the cost of the overtime and the cost of training people who don't stay with the way things are run now. How can it be cost effective to train someone 1:1 for 3 or more months, only to have then turn around and quit?

Anyway, yes, if anyone is looking for that mysteriously non-existent nursing shortage, then they need look no further than acute dialysis nursing, lol.

I am working in a LTAC faculty currently. I work doubles every weekend. 16-20 hour days. If my shift goes over 16 hours they do not seem worried. If someone falls or I get an admission and have to stay late, they do not care.

I am actually looking to get into dialysis now. I have an interview next week for a dialysis position. I don't think long term/ Long term acute care is my "home".

I am ok with long hours( within reason).

Can anyone tell me what dialysis pays? I've heard the field pays week.

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