I work in acutes and the hours are insane. Short staffed, I'm in acutes and we could leave anywhere between 12pm-12am (both being rare but I have gotten out at or past midnight a couple times; clinics are much more structured but WAY less pay), work life balance is horrible (but again, it varies greatly between clinics/hospitals). My biggest advice, FIGHT FOR YOUR PAY. Switch clinics if you have to, go to acutes where there's a bigger budget, find a good manager and team or they will absolutely run you to the bone. I've spoken to so many techs around the US and there's no reason to be paid less than $21 or closeeven starting out. No less than $25 for 6 years experience. Don't let them under pay you. Dialysis definitely isn't for everyone though and it really is hard work. Don't let anyone tell you it's easy. Sometimes (a lot of the time) the company comes off very... how should I put this... "drink the kool-aid" if you know what I mean, but they mean well... I think lol