I've been working for a private service for over a year and love it. Yes, we are rightfully called Carcinioma Cowboys or Kidney Kids who do the Renal Roundup, but it's a great place to sharpen your skills and learn a lot (especially gerentology...lol). I have been doing 911 for over 20 years in the fire service and have a whole collection of the "been there, done that" t-shirts in my closet of experiences. This is so different. In addition to the bread and butter dialysis and radiation calls, we also do critical care transport from our moderately sized town to the Big Hospitals in the state, and that is a chapter in itself. We routinely do 50+ mile transports with unstable MI's, expectant mothers with preemies all but hanging out of their bodies, peds in respiratory distress, brain bleeds going for surgery, and, well, I'm sure you get the idea. We also get a chance to build a solid relationship with our regulars, some of whom have no family outside of the folks who take them to the doctor's office or the podiatrist. Call me sappy, but I just finished a Christmas CD that we're going to play in the unit tomorrow, just because I know they like stuff like that. No, we don't get the constant adrenalin rush of a 911 service, but I'm OK with that, too. PM me if you have any questions; I'll be happy to answer as many as you have.