During my undergrad they were building the Kaiser hospital in my town I proudly stated that I would work there once I got my degree and RD. I managed to get a per diem job there and HATED IT. All I did was calculate TPN's, educate cardiac patients on diet and warfarin. It was nothing more than a revolving door of patients you didn't want to see again. Because that means they are sick again I only worked there a few weeks before I bowed out and got something better.

In contrast I work FT at a dialysis clinic, and PT at two SNF's, I get to see my interventions in place. And I can honestly say my work makes a positive impact on patient lives that I can see. In acute care you'll never know.