I am working for a dialysis unit that does not wear the impervious gowns during tx initiantion or discontinuation and this is there policy. I have 20 yrs of dialysis and this has never been acceptable anywhere else. Is this correct? I have read the new federal registry and it is interpreted by our Clinical Director that gowns or aprons are not necessary. What do you think?

The gowns are part of YOUR personal protection, same as your googles/shield. Your clinic can't prevent you from wearing your own fluid impervious gown. However, they don't have to supply you with them.

I think OSHA, CDC, and CMS would be concerned by any employer not providing the required protection.