Q&A with James DeMaria, BSN, Renal Care Nursing Executive interviews James DeMaria, BSN and Vice President of Renal Care Registered Nursing Services in New York. Renal Care is one of the Northeast's leading acute mobile hemodialysis providers.

Below DeMaria discusses renal care nursing and entrepreneurship.

Q: What is your current position?

My current title at Renal Care is Vice President.

Q: What is renal care nursing?

Renal care nursing is an acute care service founded in 1991. My mother, Valerie Miller, actually founded it. It's acute dialysis at the bedside for the hospitals that don't really have a dialysis unit affiliated with them. We essentially become that hospital's acute care dialysis service. They don't have to buy the machines; they don't have to find the staff or cover on-call. We do that for them.

Q: How did you get started in this field, and what kind of preparation does someone pursuing this career need?

I've been a nurse for 13 years. I graduated from Dominican College in New York with a Bachelor's of Science in Nursing. After that, I went to work at Westchester Medical Center on med/surg because that was going to offer me the best experience at the time. Just interest will get you started. When I try to hire somebody new -out of dialysis - I really like them to have a critical-care background. They have a better picture of the patient. Most critical care nurses come through a med/surg background. You can't say enough about that background for your assessment skills - and I believe your nursing gut comes from there. You have to be able to work kind of by yourself, and your situations are changing by the minute.

Q: In your work in renal care, what is an average day like?

In renal care, in the acute setting, the office is really a call center. We coordinate things - the office days are boring. We laugh a lot, but essentially in the office, you're putting out little fires because you're dealing on the administrative level. If you're a nurse on the outside, you get your assignment the day before kind of like a special agent. We call you up and say, "You need to go to St. Anthony for Jones and Smith tomorrow." The nurses can basically make their own hours unless the patients need care earlier - at the request of the doctor maybe the [Short Code Error: type value must be either online or ground] is a great area to be in. If you're an idealist, like to work semi-autonomously and aren't afraid to use the phone as a resource, it's a great job.