PROS AND CONS OF DIALYSIS NURSING - More of Your Questions Answered
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- čas přidán 14. 07. 2024
- Pros and Cons of Dialysis Nursing
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DIALYSIS NURSING:
Chronic/Acute Dialysis Nurse Pros & Cons Your Questions Answered
If you are a Nursing Student, New Nurse, or Experienced Nurse and thinking about becoming a dialysis nurse, I know you have QUESTIONS.
You may even have CONCERNS.
But you can stop worrying because that's why I created this video.
I want you to be INFORMED.
I also want you to be RELAXED.
So let's address YOUR CONCERNS about becoming a dialysis nurse.
By watching this PROS AND CONS video, you'll likely have a much better UNDERSTANDING to the ANSWERS to your QUESTIONS about being a dialysis nurse.
CHRONIC Dialysis Nurse Pros and Cons
ESRD patients that need dialysis 3x/week to stay alive.
- Early mornings
- The dialysis patient will be at the clinic for ~3.5 hours. and where I work we have 3 "shifts" of patients.
- Kind of like a restaurant where we have a morning rush, lunch rush, dinner rush
- Lets do some math.
- So 3.5 x 3 = 10.5 hours of dialysis per chair
- Each patient is there for ~3.5 hours/treatment x 3 shifts/day = 10.5 hours day.
- But each shift ~1.5 hours. 1.5 hours x 3 shifts = 4.5 hours
- 10.5+ 4.5 = 15 clinic hours day
- My clinics 15 hour time frame is we are open from 0445-1930. Our clinic is open for ~15 hours.
- This is not a desk job
- On your feet all day.
- Major multi tasking
- Lab review
- Phone calls
- *Work as a team*
- Major collaboration
- Great video of THE DIALYSIS TEAM you should watch
- Nephrologist, NP, Dietitian, Social Worker, dialysis Techs (become good friends with your techs, that will guarantee you a GOOD GOOD day
- Axillary staff:
- Interventional Radiologist or Vascular surgeon team when needed Fistula maintenance, catheter placement
- Patients are complicated:
- Work with wound clinic, hematology/oncology department, GI team
- Transplant team: do lab work, send treatment records
- Work with the same patients every week.
- You work with the same patients 3 x/week.
- Sad when someone you’ve grown close to dies
- Check out DAY IN THE LIFE video, it was filmed on a HARD HARD DAY
- You are specialized
- You are specialized. You are specialized. You are SPECIAL
- Hire new Grads
Let's start with the Pros and Cons of the Acute Dialysis nurse.
ACUTE Dialysis Nurse Pros/Cons
Provide dialysis care to people admitted into the hospitals, this includes new and established dialysis patients. This includes Hemodialysis, Peritoneal dialysis, and Continuous Renal Replacement Therapy (ICU only)
1. Early mornings and Late Nights-and the rest of the PROS and CONS will explain this...
2. Day depends on census. Your day is done when the dialysis orders are done
- In other words, you have your scheduled shift, but that is just an approximate time of what time you will be done (and what time call in pay will start). Your day depends completely on the amount of HD orders come in that day.
- Lots of patients will means a long day. 12+ hours
- And that's the life of an acute nurse, longs days or short days.
3. Day can change in a dime
1. You think you are going home, and then BAM! someone is in the ED with high potassium and now you have to stay another 5 hours
1. (1:1 HD order = 5 hours)
1. Have to do call
- This is another reason you might not be done on time, you are on call!
2. Work autonomously -Either you love that or you hate it. This might be 1 of the reasons you will decide dialysis nursing is not for you, working autonomously is NOT for everyone.
1. This should be one of your interview question, at what point do you start doing call on your own? 3 months? 6 months?
2. Must be a nurse for 1 year before you can work alone at the hospital
3. Example of when you will be working alone: If you get called in in the middle of the night for an emergent run, you are the ONLY one that knows how to run that machine, cannulate that fistula, use the Water Unit.
3. YOU ARE SPECIALIZED
1. You are specialized, you are special
YOU ARE THE HERO
00:00 Pros and Cons
00:40 About Me
02:42 Chronic & Acute Defined
04:00 Chronic Dialysis Pros & Cons
08:35 Acute Dialysis Pros & Cons
11:38 Chronic vs Acute
DISCLAIMER: This video is intended for education purposes only and is not intended as medical advice
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for me since i work as a dialysis nurse. there are no cons all pros.
Love this!! Thank u 😊
What makes you say this?
Just came out of acute dialysis after a month. Nurses are great and very informed. For me all I did was sleepy during my sessions…
I’ve been a nurse for 2 years, been a charge nurse for a PCU floor for 1 year. I’m literally a burnt chicken nugget now. I have an interview with Davita today, hoping to get the job! 🤩
How’d it go?!?
How did it go? :)
music to the ears. I’m amazed how dialysis can be just like a casual conversation over a cup of coffee. Can’t take my ears off you.😍🙌
Omg thank u!! 🤗
I love the picture in the background.
One thing I know for sure: no psych, icu, no hospital (no nightshift).
Same 💯 ☺️
I love your genuine positivity 🫶🏼
Thank u!
I’m so glad I came across your video! I’ve always wanted to become a dialysis nurse but I’m soooo nervous.
You have?! You can do it, we all start somewhere
I love the work doing dialysis in the ICU.
Diddo!
I am a chronic & acute dialysis nurse in the UK and I love my job! Thank you for the videos. Please keep them coming. I think you are amazing ❤️
Thank u so so much!!! 🥰
Hi friend Can I have your Facebook account if you don't mind
Hi! Im a dialysis nurse frm Fresenius singapore! Love watching your videos! Keep it coming! ❤️❤️
Thank you so much!!!
I just applied with this company in the USA. Are they good to work for
Might be starting at Davita soon. Excitedly curious as this will be a new field. Hoping I love it.❤
I hope so too!!!!
i am a peds nurse of 30yrs various roles. i am now a dialysis nurse. i started in a hospital that had acute, bedside and outpt chronic and did it all. i now am in a strictly chronic clinic. i became a dialysis nurse in jan 2020......covid hit and wow trial by fire in sooooooooooo many ways. so happy to have your videos. still learning and will soak up any and all learning i can! :D
Thank u Jackie! 🤗 grateful for u!
I’m also a peds nurse crossing over….any tips?
Oh wow I felt your dedication towards your specialization. Great job! HD nurse here in the making. ❤
Thank u! Oh gooood!!! Welcome welcome!!
I'm a new graduate on a Telemetry floor. I am about 4 months in. I am seriously burnt out and feel the same way as you. I develop relationships with my patient and they just leave. I carry a lot of emotion since I'm an empath. I have an interview on Monday with Fresenius. I'm so nervous!
Good luck on your interview! I’m sure you will get the job. I am a new grad as well (6 months in). I have not regretted leaving the hospital for one second. I definitely feel the dialysis clinic is a much better fit for me. I enjoy taking care of the patients that I have built relationships with.
@@DeniseRene407 How long did you do hospital for? Im a new grad and thinking of starting off in dialysis outpt.
@@Ruffles729 I was only in the hospital (ER) for 3 months. I just hit my 1 year anniversary at the dialysis clinic. I definitely prefer outpatient dialysis over working in a hospital. The only thing I miss about the hospital is the 3 day work schedule and the option to work nights.
@@DeniseRene407 Oh okay. I have an interview tommorow! I’m not interested in working in the hospital. Do you think you will stay in dialysis nursing long term?
My experience with new grads in dialysis is awesome 💯 they do very well 😃
I have ADHD and am interested in dialysis. It may sound contrary but i prefer less chaos and a routine structure to keep me on task. I love love love people and i also don't enjoy night shifts or inpatient unit drama. I hope dialysis might fit?
This is me too!!!! I’m moving from ward to renal, can let you know how renal is as an ADHDer !
@julianafontana9847 I would love to hear about your experiences!
Absolutely! I start next week, will let you know :)
I love your passion for this speciality!
Thank u! I appreciate this 💜
@@dialysisnurselindsey I am BS Nephrology Nurse ( Dialysis Nurse) how to apply for job at this hospital
That is one of the reasons why I would want to specialize one on one care with your patience develop being a relationship instead of like being a regular floor nurse were your six to one
I’m so happy I came across your video and reading these comments have helped a lot! I feel the same way about some of the things you talked about. I’m a new grad and I really want to start dialysis and in a way I felt pressured to start in a hospital setting. I spoke to a recruiter and will be scheduling an interview soon, I’m so nervous and excited to see where this goes!
Yes! New grads are awesome!! U got this! Q
@@dialysisnurselindsey Thank you!
Did you end up taking the hospital job or working at the dialysis clinic
@@Ruffles729 Hi! I went with Dialysis!
How is it so far? I’m also a new grad!
in my clinic we do cvc dressing changes and heparins, I just find it hard to multi task and do things quickly when multiple patients come at same time
Thnak you!
Thank you!!!!
I am sooo happy I found your channel!!!! I am in the middle of the hiring process for Davita. I have been a RN for two years but not dialysis experience at all. I am really excited about this opportunity! I already asked to join to your Facebook group ☺️
I’m so happy too!! Welcome welcome welcome!! 😃 it’s a great group, lots of support in there
@@dialysisnurselindsey I just received the last call. They offered me $35 per hour. Do you think that is fair?
Congrats!! Are ur rural or city? It’s a complicated question! I’d say as long as it is more than what u were making before.
@@dialysisnurselindsey I live in Houston, Texas.
@@alianetdiaz4900 I would come back and ask for more…38-40$…or a sign on bonus of some kind. Worst they can say is no :) big city…with that big medical center down there…lots of competition. I used to work at st Luke’s Episcopal…like 8 years ago on their stroke unit :)
I have my interview and shadowing day in about a week
🙌 🙌 u got this!!
I've been a chronic dialysis nurse for about a year now. I recently got an offer to do acute dialysis. I'm hoping the change would be good since I have a decent grasp of HD.
That’s great news! Congrats! 🎈
@@dialysisnurselindsey Thank you!
I am a dialysis nurse too here in the philippines i handle ckd pts as well... will take my nclex to become US RN this 26th and planning to apply as a dialysis nurse in texas 😊☺
Good luck kabayan,! 👏🏽👏🏽🇵🇭
Diddo!
I start my dialysis nursing position Monday!! Excited/nervous! New grad here🙋🏻♀️ lol
Welcome to dialysis!! U will do great!! I love new grads!! Welcome to our super niche club!!!
Hi Claudia Ale, I know it’s been 5 months but how is your experience with Davita being a new grad? I graduated 3 years ago and never worked since. I am very interested in applying for Davita. I see a lot of hiring here in my area. Thanks in advance! :)
Go for it! The nurses at the Davita where I live are longtimers…never leave :)
@@dialysisnurselindsey That is awesome! Would definitely go for it. Thank you for replying! :)
Keep me posted please!
I start my dialysis Rn job on Monday! Nervous!
This is so exciting!!! Welcome to the club 🤗
How is it going??? I just applied to some dialysis rn jobs.
@@DeniseRene407 yes! I want to know too!! Are u applying for acute or chronics? I’d love to learn about ur interview experience too
@@dialysisnurselindsey I am a newly licensed rn (I’m actually still in orientation for my first nursing job) so I am applying for positions in dialysis clinics. I hope to move into acute after getting dialysis experience under my belt. I am currently working as an ER nurse and yikes, I am in over my head. I have watched a few videos on dialysis nursing and I am excited about the prospect of switching to this field! I had a phone interview with Fresenius today and afterward they emailed me to set up a virtual interview for next week. I have a phone interview scheduled with DaVita for next week as well. Thank you for your videos! Before I leave my job in the ER I wanted to have a clear sense of direction as far as what I want to do next. I feel really good about going into dialysis nursing!
This is awesome! It takes courage to try something new. And the ER is not right for me either. Acutes is super cool, and u can to spend time in the icu as an acute dialysis nurse. I agree, clinic will give u a good base. Congrats on the second interview, I hope u get it ❤️ 👏🏻
Thanks sounds like dialysis is not for me. I need to be able to sit occasionally 😅
I gave it a try but setting my alarm clock for 3am was a deal breaker. I hated it! Then you always have some a-hole unstable client that comes in every other day and makes working there horrible.
I get it. It’s not for everyone. Where are u now?
I love your videos and thank you for giving your pros and cons to help us determine if this is the right time to go into dialysis. I wanted to ask for your personal opinion. Being that I am a new grad, expecting, and I already have a secured position on a med/surg unit overnights, but I am wanting to go into dialysis nursing, would you advise me to start on nights MS and then go to dialysis later down the road? After you mentioned that there's a lot of standing, bending and reaching, I am worried that with me expecting, it would compromise my position. So should I go get in my MS experience and then go back to dialysis?
Up to you, do what is best for u ❤️ dialysis is a great place for new grads, that’s been my experience anyway!
Would you consider the chronic dialysis routine? I know things happen out of the blue, but for the most part I’m looking for a nursing job that’s mainly routine. I graduated in May, and I’m currently an RN supervisor which isn’t really for me. A lot of my residents go to dialysis, though, so I was wondering if maybe dialysis would be for me? Thank you so much!
Very very routine 💯
Thinking about this. I did long-term care/rehab for 5 years as a LPN. Tried the hospital bedside did not work out...only lasted for 6 months in one hospital..transferred to another hospital which only lasted 4..dont know if the hosptial bedside is for me...not necearrily interested in going back to LTC exception would be the paycheck. I was looking into this
that's so great!!!! Thank you so much!
This help a lot ,thank you 🙏 What kind drugs most common in dialysis units? I got a job offer in dialysis ,and I am nervous about the job.
Epo, iron, zemplar, parsabiv, Tylenol, oxygen 😀
You will do great! The med pass is easy! All IV except for Tylenol and oxygen.
You are already ahead of schedule by watching dialysis videos!!
Thank you so much💗 @Dialysis Nurse Lindsey sippl
@@medhinsoul6194 u are welcome 🙏 I
Hi, Great video! When you're an acute care dialysis nurse, are you by yourself or are there other dialysis nurses with you? What kind of support do you have in a hospital setting? Thanks!
Sometimes you are the only dialysis nurse in the hospital. Especially in rural setting or the night shift call. A lot of dialysis nurses will work in the clinic then transfer to acutes once they have more experience
Hey thanks for this video....I was contemplating on whether I should study to become an RN or a Dialysis Nurse ...but interms of burn out.. which one between the two do u think would burn me out less???
Dialysis nurse is the same as a nurse. Same schooling, same boards. First things first….nursing school 😃
Hi Lindsey, I am a relatively new RN of almost four years. I did LTC for the first year out of school and for the last 3 I have been working with ID and special needs population. This is a supervisor and DCS instructor position. I have always had an interest in dialysis nursing since my LTC position. I have been looking for another position and I am always drawn back to dialysis! My biggest hang up(and only) is that I am a young 60! Physically I'm good no meds no issues for me ... What is your opinion? Are there older dialysis nurses around?
Depends on the clinic! Are u looking at clinic setting or Hospital dialysis! I would give it a shot! And try to shadow at the clinic after the interview to get the vibe. Are u in a rural area or more “city”. Yes, a young 60…this is awesome!
Hi there, I would think your age wouldn’t be cared about as long as you can physically do the job. There’s individuals out there who are in their 50s/60s and look 15 to 20 years younger than their age. I’ve seen them! Anyway, you’ve already communicated you’re in healthy shape. That’s what matters. It’s the person not the age. There’s a shortage of dialysis nurses. I would think you’d stand an excellent opportunity to be hired at many clinics/hospitals. Dialysis/Nephrology nursing is autonomous and intellectual. It requires early very early mornings and handling being able to filter the blood out of someone and circulate it back in using a machine. Potential employers will be looking at ability to do the job, no matter the age. Also prisons are eager to hire nurses and an option for any aged nurse. I hear it’s great autonomy.
4 year RN is definitely not a new RN 😂😂😂
Thank you for your informational video. I have been in chronic dialysis for over 5 years on and off...I am in FNP school and I am really ambivalent of my future if I continue in dialysis. Do you have any experience with dialysus nurses that advance to NP and if so,which areas do they work?I really want to stay in hemodialysis😔please advise,ty
I’m in FNP school too! Best case scenario for me is they are hiring NP in nephrology. I do like the idea of doing primary care for a couple years to get a good round base. What are ur future goals as an NP?
The NP where i work works closely with the HD patients in my clinic and surrounding clinics. She also see’s people in nephrology with earlier stage kidney disease
@@dialysisnurselindsey Wow!!! what a coincidence!Same here,I would like to do some primary care to get my feet wet and stay relevant in both settings
@@catherinemacharia5201 same!
I'm interested in becoming a dialysis Nurse just wondering where to start.
Right where u are! Apply and ur over half way there 😃 ❤️
In UK and Australia the nurse patient ratio for a dialysis nurse is maximum upto 4.sometimes only 3 .why don't these management which runs such dialysis clinic hire new nurses ?they are literally making the nurses to burn out due to staff shortage.this is really a debatable thing in US.
Nurse Lindsey, you've mentioned that you were a nurse for 8 years before you went to dialysis. I'm sure all your previous nursing experience helped you to be the best dialysis nurse you are today. But for the brand new nurses like me with zero experience, would it help me become a better dialysis nurse if I do med/surg or work in the hospital first? I'm looking to specialize in acute after I do a few years in chronic. Thank you in advance for replying.
oh my gosh, dialysis is a great place to start as a new grad. I have worked with many new grads and they make great dialysis nurses!
Free PDF on Zemplar med: www.buymeacoffee.com/dialysislindsey/e/220802.
Can someone with ADHD do dialysis nursing? I am a second semesters nursing student with ADHD. I feel like bedside nursing isn’t for me. However, if dialysis nursing follows like same type of routine everyday that way it would be easy for me to plan everyday if doing the same thing.
U betcha!! Please join us!!!!!!!! Many nursing students work as dialysis techs!
I just asked a similar question. Some adhd people love chaos but me, I need a structure imposed on me.
@Dialysis Nurse Lindaey Sippl I wanted to ask about dry weights, my MD ordered to challenge the dry weight of my pt.. what should I do, should I increase the dry weight or decrease the dry weight? I don’t know the concept about this.
Challenge means go below dry weight. Depending on symptoms, i will try .5 kg below dry weight. And use a Crit line if u have it!
@@dialysisnurselindsey Omg! Thanks for your response. And thanks for all your videos. It was all very helpful.
@@zyryldlr7691 you are welcome 😃
Hi
Are you not able to check with the MD directly on any critical questions? Or an APP? It seems stressful to have to ask them on a random internet. Not to mention you’d require an answer stat for the life of your patient!
yup, at least where I work there is always a provider available
I know you have more! Let us know with a comment 😀
In my country sadly it mostly is in hospitals, so not a lot of daytime opportunities
like they run chronics and acutes together? I want to know more! Thank you for your comment
@@dialysisnurselindsey Yeah all dialysis happens at the hospital and the dialysis nurse has to be available for the ICU and such as well apparently. Sucks imo if not I'd consider it, but I want our of the weekend, evening etc work
Hi. Just curious what the typical nurse to patient ratio is in chronic dialysis? I heard 1 nurse to 16 patients 😮 Is that even doable? Thanks!
Im at a not-profit clinic. Our ratio is 1:8 with a pct. Other clinics might be more. U r welcome to join our Facebook group: dialysis nurses supporting nurses 😃
Hi Lindsey!! I’m an RN with one year med surg experience in house at a hospital.
I’m interested in dialysis as a specialty. I know you guys have some in depth training. Can you ball park the on the job training ? I’m in Alabama and I know the big players here are fresus and Davita. Any comments about those. One over the other ?
Davita and Fresinious have a great training program for new dialysis nurses. 3 months of training with classroom time and tests….
Check out my Facebook group… dialysis nurses supporting nurses…we have a lot of new nurses with Davita and Fresinius and they have shown to be happy with their training. I work at a stand alone clinic, so I haven’t experienced it myself
As soon as Facebook is back up I’ll include the Facebook link, but the link is included in some of my other videos!
Thanks for reaching out Miranda!!!
How many days during the week do u work?
Most of our staff work 3 or 4 days a week…not counting the shifts they pick up…then it’s maybe 5 plus call ☎️
What shoes do you recommend for standing all day?
I have a video on that!! czcams.com/video/mEdrRS7FtAI/video.html
would you say that dialysis is a lot less overwhelming than working bedside?
💯
When you say bending, what if there’s a wheel chair you can sit on and roll it?
Hahahahah. There are rolling stools at my clinic 💯
@@dialysisnurselindseythat’s what I meant.
😂
Oh geez. Did Jaime take that pic?
I do all my own photography :)
Heyy quick question...is PCT and a Dialysis Nurse the same thing?
Pct = patient care tech
Not the same scope of practice as the nurse
👏❤🤗
🥰
I am interested in dialysis nursing but donot know how can I get training for this. Whixh hospital can provide me training. I have 12 years of experience and currently in UAE. I have passed my NCLEX. If you can assist please
Hello Lindsey! I got an offer with a dialysis clinic that is hemodialysis based. Do you have a video on what to study or get really familiar with before starting a dialysis job? What would you recommend I study up on? thank you
Hmmm…..my machine videos would be good, learning about what dialysis does. The dialysis filter…
But be sure to not overwhelm urself! Lots to learn. One bite at a time 😃
@@dialysisnurselindsey thank you!
You’re welcome ☺️ u got this!
Do you need experience as a chronic dialysis nurse before they will let you be an acute dialysis nurse? I currently have 4 years of hospital bedside RN experience, with no HD experience.
I was offered an acute HD position and had no prior HD experience.. I believe they want you to have at least icu or ED experience if u lack dialysis experience before allowing you to enter into acute HD but I’m not sure.
@supertenor561 thank u for this! I’ve heard this trend lately tooo! Congrats!!!!! 🎉
@@dialysisnurselindsey thanks; however, I ultimately decided to do Chronic dialysis due to location and work life balance. (Don’t want to be on call). But who knows? Maybe I will switch over to acute once i gain more experience. I have ED experience and I am used to switching patients often.
How can I become a dialysis nurse?
Do dialysis acute nurse dont make money since I heard sometimes there is no patients?
Hi, Love from India ❤, How's the scope for dialysis tech. From indians..? What's the procedure Please Explain Ma'am, I'm waiting for your reply.. a good day 😊
Train on the job 👏🏻 no prior experience necessary. Thank u Sumit!
@@dialysisnurselindsey thank you for replying... Procedure?
Hey friend... Even though i am a dialysis nurse for 2 month i am sometime feel so nervous.... I am also felt so nervous when thinking about cannulation... What i shall do ya...?? Pls help me to guide...
Hi Friend! All you need is more time. It's normal to be nervous, trust your assessments and ask for help when you need it. U got this!
🙂
@@dialysisnurselindsey Tq so much my dear friend..
Ur welcome, anytime!
In my country dialysis nurses have to work nights 😢
How much "bending" are we talking? I have bad knees lol
Feet all day. Repetitive bending. Not the sit down clinic type of job for sure