Life At DaVita-Many of You Will Find This Interesting...

Specialties Urology

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I am glad to hear that some of the Nurses are doing well. It is important for the dialysis consumer that the Nursing staff is well compensated. For me, as Economics individual, excellent compensation makes for a much more positive experience for the dialysis consumer. It does not make me mad that someone makes a good living, no problem. However, on my posts in the past, I have wrote about my experiences at Davita, from dialysis consumers and members of the Nursing staff. In fact, most of the negative comments have been from Nurses who have worked for Davita. I have had a number of Nurses tell me that DaVita scared them to death, they were scared for the patients. For me, I am in the Home Program and I have never been frightened. In fact, there are some outstanding Nurses in our program. I think patients that attack Nursing staff should be thrown out the door. The Nursing staff is much more patient about that than I would be, that nonsense should not be tolerated and Vice-Versa. This issue is about insurance. I realize and know that the Nursing staff does not have anything to do with insurance and most do not want to be bothered by insurance issues. I was told that when my COBRA insurance ran out after 29 months, as mandated by law, that Davita would obtain Secondary Coverage for me, for what Medicare did not cover, great. When the time came for them to pay for the insurance, they told me that the American Kidney Fund would not pay any premium over $500.00 per month. I called the Kidney Fund and they said they would pay any claim that was submitted. The end of the long story is that I called the Chief Social Worker for the Metro area and basically, she told me that that the stockholders of Davita were more important. In addition, I waited while Davita promised Extended Treatments to me with NxStage for 4 1/2 years, they never delivered on their promises. I raised that issue with the Chief Social Worker and she said, "The Stockholders are more important." My premium was going to $525.00 per month, what did they think the cost would be for a dialysis patient? Basically, in a nutshell, Davita was the one that would not submit an insurance claim over $500, because they did not want to pay anymore into the Kidney Fund. All of this after, I paid Davita 30 months of private health insurance. Well, it is time to call DCI or Liberty, I am thru with these people. I was happy to pay $25.00 per month, yet, that was not good enough. Davita is throwing people into the streets. Where do they think that dialysis consumers are going to get this kind of money? What in the name of God was Kent Thiry thinking? I was told that this decision reaches the top at Davita.

"Very true. It is what you make it. The individual has to have the belief they can do this, they can still live their life and do dialysis. They don't have to let it take them over and let the disease be what labels them. CKD is a very sad disease and I wouldn't wish it upon anyone but the ones who have a PMA (positive mental attitude) tend to be healthier and do more i.e. still work. It is possible!"

That is probably more possible if the dialysis patient doesn't have other illnesses as well. But I wouldn't assume all dialysis patients are well enough to work and just don't want to. A lot of people who become chronically ill are very ashamed when they can't work. My dad was one of them.

Then again there are those who use their illness as an excuse to get everything they can from the government and anyone else.

However, I still say that a dialysis patient might have a hard time finding a job in the current economic climate.

Specializes in RN, BSN, CHDN.

Interesting thread In my experience in the UK and in the USA there is a huge difference.

1/ Dialysis is free no matter what

2/ More IPD or CAPD pts who tend to be the workers-in the Uk we would set up a room in their work environment where they could safely go and do their dialysis

3/ Late shift dialysis was only for the workers-they would come from work

4/ Not the same expectation as the US pts 9 times out of 10 they appreciated that they were on Hemodialysis.

5/ No worries for the pt re payment or owing anything to any doctor

Renal Nurses were/are expected to undergo 18months course to become a renal nurse. (UK)

In order to treat ESRD pt's effectively they only went to Renal Floors to be treated when ill to ensure that no matter what was wrong their ESRD was dealt with effectively. I worked on a tele floor in the US and we had renal pts come in all the time and I can assure you I worried because the tele nurse cannot be a renal nurse.

I also noticed the amount of pts who just miss treatments! Not tolerated in the UK. I have seen pt's informed in no uncertain terms by the Nephrologists what their options are if they continue to miss.

In the dicussion re working In my facility the pts tend to be very old or too sick to work. Some of the pts are barely holding on I work in a depressed area where the able bodied are not getting employment. There is no way a renal pt will get employment especially if they have to give benefits too.

I cannot even imagine what the dialysis pt goes through each day, my heart goes out to each and every one of them

As a dialysis nurse manager, I was very sad to read this post. I do not think anyone should judge someone for whether they feel well enough to work or not when it comes to ESRD.

I am not here to judge anyone and any nurse who is should consider another profession. We are here for the patients, period.

Specializes in Nephrology, Cardiology, ER, ICU.

I'll answer to that since I'm the one that made the comment:

Yes, we're here for the pts. However, we as a nation must look to our healthcare system and realize that we (patients and citizens) have a responsibility too. Nothing is free in our country.

If you are able, you should be working. The entire point of home dialysis is to make as little of an impact on quality of life as possible.

And...CMS (Medicare) is seeing that too: ie bundling of care, increasing pt costs, etc..

Sorry, but yes, if you are able, you should be working. ESRD should not be an auto-disability!

I agree, but just because someone is sick and on disability or not working does not mean they are auto-lazy or auto-criminal. Often younger people who can't work are judged like that and some have a really hard time with how others perceive them. We can't put ourselves in that person's body and know how they really feel. But I agree that everyone should do what they are able to do.

Specializes in Nephrology, Cardiology, ER, ICU.

Agree - if able to work (and work available - the economy is sooo bad), one should be working.

5.5 hours? Wow. That's a long treatment. My clinic has a large home program. Is the Nxstage the one that decides how long your treatments are based on ongoing data, so it can stop whenever you are ready?

I'm not sure what the point is of your post, but I personally think KT and the shareholders are just greedy.

It is decided by the kidney specialist.

As I stated to the original poster, I will just have to agree to disagree on this.

The whole point of dialysis is to provide a quality of life that allows for normal social interaction and a normal life. In the US, that means that usually people hold jobs. There are many chronic diseases and in none of the other disease processes is it expected that the pts will quit work and be considered "disabled."

That is not the reality that I have seen over the past 5 years.

As a dialysis nurse manager, I was very sad to read this post. I do not think anyone should judge someone for whether they feel well enough to work or not when it comes to ESRD.

I am not here to judge anyone and any nurse who is should consider another profession. We are here for the patients, period.

That is the reality that I have seen over the past 5 years and it is very sad. Renal failure is exhausting and I am treating 6 days per week. I wish many in the profession had your attitude. Recently, I have met many that are like you, that made me very happy, that the dialysis industry is not filled with crazy people, all day, all of the time.

I'll answer to that since I'm the one that made the comment:

Yes, we're here for the pts. However, we as a nation must look to our healthcare system and realize that we (patients and citizens) have a responsibility too. Nothing is free in our country.

If you are able, you should be working. The entire point of home dialysis is to make as little of an impact on quality of life as possible.

And...CMS (Medicare) is seeing that too: ie bundling of care, increasing pt costs, etc..

Sorry, but yes, if you are able, you should be working. ESRD should not be an auto-disability!

Yes, dialysis consumers do have responsibility, however, so do the individuals working in dialysis to make sure it is as easy as possible for the dialysis consumer to work. The dialysis industry makes it very, very difficult for individuals to work on a full-time basis in the real world. To expect an individual to take weeks off for training or to have them working while training is bizarre, I know, I lived it. In addition, to expect the dialysis consumer to drive 45 minutes each way after a full night of working is insane.

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