Regional dialysis staff are became harder to secure, junior/graduate staff being used to increase staffing. An improved guide for new dialysis staff needed to give prospective staff the tools needed to be confident in working independently within a short period of time. 
 
There was inconsistency in training and willingness of senior nurses to train new staff, many were not confident to take on the responsibility. Resulting in inconsistent outcomes or staff not feeling confident or prepared to independently or missing important information. There was heavy reliance on one or two staff members to provide the majority of training, resulting in burn out. 
 
Working together, a new orientation workbook was developed built on previous pathways and recommendations from all staff and students. The workbook gave both senior staff and new staff/students clear pathway and standardised education to help instil confidence and the best outcomes for new staff and students.