Sounds like u have a great set up - coupled with lack of incentive to do it yourself so I don't blame you. One of my good friends is a nephrology trained intensivist who is a big proponent of ICU run (non nephro run) crrt actually because it ends up being a more efficient use of resources at many places. Again depends on the setup of the individual place. I assure you with proper training you wouldn't half ass it! Why are you so bitter? U must be a Micu attending?
j/k
For me I was trained in the mode in units with and without nephro. Frankly the care was identical, but it was just a bit more complicated with nephro from a time perspective - having to call them and wait etc. Where I'm at now though I have limited resources and I'm at a place with no ICU fellow BUT with nephro fellows (and no nephro attending with experience using it) so I'm being asked to essentially run it, AND also incorporate the nephro fellows (which I am a big proponent for them to learn!) and (hopefully) nephro attendings (some of which are not enthused about it, but some of which really want us to start).
Hence my questions.....