Pros: pt interactions
Cons: getting up early
First is patient familiarity. You will see the same patients three to four times. This can be good. Of course you will learn about them; you can tell by looking at them if there is something acutely wrong. They will develop a trust relationship with you which you may not find with other venues where your patients rarely see you.
Second is more than likely it will be a nurse led clinic. This means I schedule dialysis related appointments, fax treatment sheets, call hospitals and nursing homes for follow up. I may even have to file documents directly into charts. In a larger setting there will be more aides to do this for you but sometimes in the dialysis clinic if you want a job done right you have to "do it yourself."
Third There's a water treatment system to learn, and hemodialysis machines to learn how to operate and troubleshoot. You will have to keep an eye on infection control because there's several patients in the clinic. You'll have technicians and LVNS working under you of course however I like to know inside and out how to perform my job.
You wake up very early and have 4 10 hour shifts if you want and basically have 3 days off.
Dialysis becomes very routine sometimes even though it is a highly specialized field, there's only 3 medications you will routinely give and maybe 10 PRN medications. I've been doing this for 6 years and I'm getting bored. yet there are times when some patients have MIs, CVAs, etc on the machine and that patient require your quick response. As soon as you think this is routine job, something like a patient going out on a machine, will keep you on your toes, and put all of your nursing skills into play.
The hardest part of my job is waking up early @ 3:30am.
The most enjoyable part is my patient interactions
The patients are what keeps me dedicated to nursing.