Fresenius medical care...taking over dialysis unit HELP! - page 5

Hello. I am an RN that is currently employed by Renal Care Group. Today we just learned that Fresenius Medical Care has bought out all of RCG's stock and they are taking us over. We were a privately... Read More

  1. by   MSLNT1.1
    The bottom line is their is no longer RCG and unfortunatetly it is only FMC or Davita. Don't get me wrong as I stated in my earlier post their are a lot of things that FMC definetly needs to change, but what company doesn't. If FMC does not meet up to your standards then definetly don't work for them. But I do know of FMC clinics where the nurses have been able to educate and focus on the patients. But yes you have to very creative. But I don't know of any place where in regards to paperwork that there is not a tons of it. I know that they are finally putting out the chairside which in electronic charting. Hopefully it will help. But I do agree that a lot of uncessary duties are put on then nurses that need to be supervised by other departments. Hopefully one day they will get it right. I just wanted to put out that every organization has it flaws and that not one is perfect. So assess the situation and location and decide if it best for you or move on. Also FMC is making improvements in services that are provided to their patients. They do provide their own TV's, their is VCR to play movies, their are brand new facilites as well as those that have been renovated. So some facilites or states may need to catch up and hopefully some of the RCG philosophy will rub off on them.
    Last edit by MSLNT1.1 on Jul 8, '07
  2. by   Hellllllo Nurse
    Quote from MSLNT1.1
    The bottom line is their is no longer RCG and unfortunatetly it is only FMC or Davita. Don't get me wrong as I stated in my earlier post their are a lot of things that FMC definetly needs to change, but what company doesn't. If FMC does not meet up to your standards then definetly don't work for them. But I do know of FMC clinics where the nurses have been able to educate and focus on the patients. But yes you have to very creative. But I don't know of any place where in regards to paperwork that there is not a tons of it. I know that they are finally putting out the chairside which in electronic charting. Hopefully it will help. But I do agree that a lot of uncessary duties are put on then nurses that need to be supervised by other departments. Hopefully one day they will get it right. I just wanted to put out that every organization has it flaws and that not one is perfect. So assess the situation and location and decide if it best for you or move on. Also FMC is making improvements in services that are provided to their patients. They do provide their own TV's, their is VCR to play movies, their are brand new facilites as well as those that have been renovated. So some facilites or states may need to catch up and hopefully some of the RCG philosophy will rub off on them.
    Some FMC units no longer even provide gauze or tape for their pts. The FMC Flagstaff, AZ unit is one such place. Pt's are required to provide their own gauze, tape and band-aides.
    All their staff has quit. They were 100% travelers (even the unit mgr) when I was there. Even the travelers don't stay. Many break their contracts and run for the hills. I have seen this at three FMC units.

    IMO, FMC does not really even understand what a nurse is. A nurse is just a work-horse to them.

    I won't work for FMC.
  3. by   zoo4uRN
    Quote from Hellllllo Nurse
    I won't work for FMC.
    I won't either. I worked with some great folks at FMC, but my employment there caused too many ethical dilemmas.
  4. by   sbrnrs69
    Quote from kenzy
    I also work for RCG and Fresenious is coming to look at our small 12/chair unit this month to buy. I am an LPN and have been told that they only hire RN's and Tech's. Does anyone know if this is true? I've worked there for 2 years straight out of nursing school, so I have very little experience any where else. However I can do the Tech's job, and do work with the Doc's in the clinic setting. Any advice would be appreciated.
    I work for FMC and as far as i know we do not hire LPN's. I think this is a bit too late, oh well, sorry
  5. by   Natkat
    I work for Fresenius elbow-to-elbow with an LVN. I will (hopefully) get my LVN license in the next couple of months, and my boss assurred me that I will get LVN pay once I have my license. I have traveled to other clinics in the Houston area to help out, and those clinics also have LVNs working there.

    So, yes, Fresenius does hire LVNs. I don't know if it is up to the discretion of the individual clinic or the company as a whole, but our clinic most definitely hires LVNs.
  6. by   MSLNT1.1
    Your best bet would be to talk with your clinical manager. Considering that you are in a small clinic may present a challenge. Here is Illinois, I mostly see LPN's in larger units because it is more than one nurse that needs to be there because of the number of chairs and it does have to be an RN. But in smaller clinics it is not possible because of the state laws here in Illinois, that an RN can only be in charge in a dialysis setting. Check your state laws, and if they are the same then maybe finidng a clinic with more chairs will be your answer if you want to stay in the field. Hope this helps.
  7. by   judymm
    Hello Nurses, I would like to have some questions answered by experienced dialysis nurses. I retired several months ago to babysit my new granddaughter during the week. I have a prn position in a long term care facility but, have always wanted to try dialysis nursing. There are several clinics in the city where I live. I would only be able to work on weekends. Do the free standing clinics provide weekend training and how stressful is dialysis nursing? Thank you for the help. Judy
  8. by   Natkat
    Quote from judymm
    Hello Nurses, I would like to have some questions answered by experienced dialysis nurses. I retired several months ago to babysit my new granddaughter during the week. I have a prn position in a long term care facility but, have always wanted to try dialysis nursing. There are several clinics in the city where I live. I would only be able to work on weekends. Do the free standing clinics provide weekend training and how stressful is dialysis nursing? Thank you for the help. Judy
    I don't know about other dialysis centers, but as for Fresenius the training is five days a week for six weeks. Then for several weeks after that you work with a preceptor. Finally you work with the clinic manager or other charge nurse to learn nursing duties.

    They might let you work just weekends. In my experience though, it's extremely difficult to learn dialysis working just weekends. There is a very long learning curve in dialysis. It takes six months to a year before you feel like you know what you're doing. I am not a nurse, but worked as a tech for a year before dropping down to just weekends when I started nursing school. Even after a year I felt like I was learning all over again when I came back the next weekend after being off all week. It might not be that way for everyone, but that was my experience.

    If you're willing to give the time for six to eight weeks to go through the training, they might be okay with letting you work just weekends. You'll have to ask them though. I think it's up to the clinic manager.
  9. by   DeLana_RN
    Agree with pp, it would be difficult to be trained for a weekend-only position in dialysis (most chronic units are closed on Sundays, so you would only be able to work Saturdays - unless they also cover a hospital, where you could do acute call. However, this requires even more experience than basic dialysis nursing, which takes at least a year to become proficient at).

    However, I have seen some seasoned nurses catch on extremely quickly (all had previous ICU experience), one was even trained for a hospital acute position in only 6 weeks and was then on her own! So you never know, if you're good with machines and "catch on" quickly, it may work for you. I know one thing - the companies would certainly love an RN who is willing to work every Saturday (giving the other RNs a break).

    I would advise you to contact the clinic managers and see what they have to say. Best of luck to you!

    DeLana
  10. by   iriskkerry
    Decided to put my quandry here, for obvious reasons. I need to know what other RNs would do if faced with this dilema. In July '07 after a year of sharing a charge position in a 'hellhole' clinic I was sent to a fulltime acutes position in a hospital in the city I live in. It was not my first choice but the clinc here had no openings and I live 10 minutes from this hospital, so, I thought I would give it a go. Within the first week on the job I realized the toughest part of the job was going to be the nurses on the renal floor. I've never had a problem getting along with coworkers, ever, but these people would be an exceptional challenge. They would sometimes ignore you when you asked them a question, refuse to assist in transporting a patient to the tx room, take forever to bring the heparin/saline to initiate tx. It was the strangest thing? I felt given time we would grow to a 'cooperative' state. So I tried extra hard to be exta kind, complimenting everytime someone helped me, trying to be helpful to them.

    I was warned that they could be harsh by another nurse who had held this position. As a matter of fact, a few nurses have left because of this. After my third week on the job(each of these weeks were 50-60 hours) I was told that someone had placed a complaint about me with the charge nurse. I verbally reviewed it with her, there was no documentation shown to me, and I discussed some corrective actions on my part and we let it go. My supervisor came, discussed the complaint, the corrective actions I took and said that was fine, it happens to everyone when they first learn this job. Then she told me "you need to watch your back, the charge nurse just told me that perhaps you're just not a good fit here" That's a direct quote. We found it odd because of course we don't work for the hospital, we work for Fresinius,

    Fast forward another two months some 150 treatments later I return from a week's vacation (first one in years) to find a message on my answering machine telling me not to go to the hospital the next morning, instead to meet with local Clinic Manager and Regional manager at the clinic at 1pm. It just so happens that this acute clinic has now come under a different scheduler and my former supervisor is no longer in charge. The Regional Manager (the one who sent me to this job to begin with) has taken over the schedule and when she went to the hospital to post the schedule this charge nurse asked her if she was aware of the "complaints" about me. well of course she was not, so this nurse tells her about the same issue handled in August and throws a few more vague, undocumented and FALSE accusations in for good measure.

    So, at the meeting this manager simply tells me that I am suspended WITHOUT pay until she can complete her investigation and she has no idea how long that will be because she 'has alot on her plate'. I am in the state of shock, I excuse myself and I return home. I wait 4 days, call the Clinic Manager who tells me she has heard nothing from the Regional manager and does not know what to tell me. I am now facing the week w/o ant pay. So. I call Human Resources, they tell me to document what happened and fax it to them So, I typed the info, faxed it in and called on Monday morning to make sure it got there. Tuesday morning I get a call back from the assistant director who informs me that she has turned it over to the Director of Human Resources and that I should just "be patient" as it will be taken careof.

    Next Tuesday I call to ask if he has found out anything, or maybe has some questions for me because I have not heard a thing from anyone yet.( The only word I had heard from anyone was my past supervisor advising me to put in for a transfer to one of her clinics to remove myself from what she called "that regime". The clinic is an hour from my home.) I had to leave a message as he was 'out of the office for the day. No call from anyone the rest of the week so I call on Friday, again get voicemail and leave another message. End of week 2 w/o pay.

    I pick up the newspaper on Sunday to find my job posted in it. I proceed to cry for the next 30 hours. I cannot believe someone would do this to a peron who works for them. BTW, I have a PERFECT work record up till now. I find the courage to call HR back on tuesday and once again, get voicemail. No matter which extension I try. I finally get a call back on Thursday afternoon! The first thing the asistant asks me is "Are you back at work yet?" I say um, no and furthermore my job was posted in the newspaper on Sunday. So, I ask her what the director has done about my letter? She said "well, he gave it back to me because he did'nt have time for it"So, I she tells me she has been trying to reach my Manager but has not heard back from her yet. I tell her that I am inweek 3 w/o pay and I need to think about looking for another job. She says "WELL I WOULD HAVE BEEN DOING THAT SOME TIME AGO" I said, no, you told me to be patient, that it was being taken care of. She tells me she cannot discuss it any further until she hears back from my manager, that there's nothing she can do until then. I ask her to check my employment staus, she comes back and says you are still in the computer as a fulltime emplyee. Says again that she'll get back to me. End of week 3 w/o pay.
    WHAT DO I DO? WHAT WOULD YOU DO??????
  11. by   starbin
    I am sorry about your situation. don't know what to say. I understand what u might be feeling.
    Probably, give ur resignation and look for a job somewhere else. Make sure to put someone who is supportive and understands your situation (and you trust) as a reference.
  12. by   Natkat
    I would definitely get another job. You are still technically employed by them. When you look for other work just tell your potential employer that you don't want them to contact your current employer. That way you have some money coming in and you don't have a black mark on your record.....yet. By the time they get around to giving you a black mark you're already established someplace else and it won't matter. Who knows how long it will take them to get this mess straightened out. Loyalty in this day and age will get you nowhere.

    You're definitely getting jerked around for whatever reason, and you are also definitely a victim of bullying. I work for Fresenius and we have a nurse who bullies people and runs them off all the time. Obviously she has issues but unfortunately you can't reason with people like that. She can't see that good help is hard to find, and when we get a good employee we should do our best to keep them around. By some miracle I was able to get on her good side right from the start and she hasn't bullied me. There were times when she tried, but I gave back as good as she dished out and told my boss IMMEDIATELY when it happend so at least she heard my side first and it was documented. Nothing ever came of it - bullies rarely follow through - but I made sure I was covered if I ever needed to make my case.

    Move on and chalk this up as one of those horror stories you can tell people later. Good luck. Let us know how it goes.
    Last edit by Natkat on Oct 25, '07
  13. by   iriskkerry
    Hi and thank you for your responses. After waiting 24 days, I finally got a call today from the clinic manager.She asked me to meet with her and the Regional Manager tomorrow @ 3 PM. I never recieved a return phone call from anyone @ Human Resources, which is so sad because that is where we are supposed to turn for help when we need it. I don't know what they will say tomorrow, but, I know what my patients think of me,so, that will get me through this torture I guess. I will come back tomorrow and post the results of the meeting. All she said when she called me was "We have come to a determination" ????????? Thanks again for your thoughts. It helps to know what others in the field are thinking.

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