Fresenius medical care...taking over dialysis unit HELP! - page 4
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
May 20, '07I do not know how it is there but I do know LPNs who are working for Fresenius. You have experience and I do not see how they would let you and then go through the trouble of retraining another person. Plus, they pay for techs and LPNs to further their education. If you were an LPN with no experience that would be a different story. I do not see them letting you go. You will be an asset to them.
May 20, '07Thank you so much for your advice, but my real concern is that we are really over staffed at the time, 6 Rn's, 1 Lpn and 4 Tech, and a D.O.N., for a 12/chair unit, and only 2 shifts. If someone had to go now, I feel they probably would keep the RN's and Tech's more to satisfy their patient ratio. My only hope would be that I really do the same job as the RN's on any given day,except the Med. nurse, in our state LPN"S can not give IV push meds, but I'm also half the cost. However, I do know that there is NO way that I would take a step backwards and work as a Tech. I was already talked to about the fact that I could work as either, once in a while maybe!, but I stated then and I state now not permenatly. Don't get me wrong they definitly work for their money, but I also have worked way to hard to get were I'm at now. Not to mention I'm 6 classes short of my RN degree which I'm also working on at the present time. I have to admit I am scared to death about the take over after reading this and past threads regarding FMC. I love my job and benefits now. thats another question what's your thought on already aquired PTO, should I use before they take over or will it roll over?, I hate to lose it. After setting the whole picture any different thoughts?Last edit by kenzy on May 23, '07
May 20, '07This is my personal opinion. Being that you are only 6 classes short, I do not see how they would choose a tech over a soon to be RN. You are trained and performing much like an RN. Are there any other associated clinics close by? I honestly do not see them letting you go. As for working as a tech once in awhile, if they do, it will be at the current salary that you are receiving right now.
As for the PTO, it depends. I would think they would allow you to keep it and roll it over. But it depends if they have a union and the union policies. PTO, unlike sick pay, is yours outright. They should pay you out should you decide not to use it. Here in Hawaii, that is the law. I do not know how it works at where you at. If I were Fresenius, I would definitely not let an LPN so close to becoming an RN go. Fresenius encourages LPNs and techs to further their education. So to let go an LPN, soon to become an RN, goes against their beliefs. Remember though, that every state is different though. But I honestly do not see it happening. You will become an RN and go to another dialysis company or unit already trained. Rns are in demand.
May 20, '07ok, thanks, but just one more question, what will they do with me personal/ sick time aquired?, no one has said anything about a union or not.Last edit by kenzy on May 20, '07
May 20, '07I am not sure what you mean by personal time acquired. Are you referring to vacation time or length of time you have been with the company?
May 20, '07In retrospect, a new company is taking over and they may not allow you to rollover your PTO because that means that they will be paying to you. You may want to consider using your vacation or selling it back to the company. Some companies only allow sell back at certain times of the year. You may end up losing it all. It all depends what Fresenius decides to you. Honestly, I do not see a company paying for vacation that was accrued from another company. It is money out of Fresenius' pocket. I honestly cannot say what Fresenius will do as far as PTO.
May 20, '07Would anyone out there happen to know what medications Patient Care Techs can give and by what route?
May 20, '07Thanks for the advice. I will definetly be looking into it!. As far as your question in our state Tech's. can not administer any medications, not even tylenol. Thanks for your help.
May 20, '075-20-2007
I trained at FMC in Phoenix last summer. They have a good training program (in Phoenix), but the worst pay scale I have seen. I was not impressed by the way they treat staff (like cattle), not to mention, the patients. I swear they must use cow prods to get three shifts in and out in twelve hours! There was a lot of opportunity to move up the ladder, if you're interested. But, I prefer to have a personal life. 12 hours is more than I care to do, let alone management. They really jerk people around!
a21chdchic in AZ
May 20, '07Quote from GingbroIt varies by state. Your state's board of nursing makes the determination about what meds you give.Would anyone out there happen to know what medications Patient Care Techs can give and by what route?
For example, I am in Texas and techs give heparin (IV push) and lidocaine (intradermal). We don't give any PO meds at all. I have a co-worker who moved here from Louisiana and she said they weren't allowed to give heparin but could give Lidocaine. Another co-worker transferred from Mississippi and she said techs could not give any meds at all and couldn't cannulate patients. So you'll have to check with the clinic you plan to work in and have them tell you.
May 20, '07Quote from kenzyOur clinic has an LVN working there. As far as I know they hire LVNs. As for getting out, I have no idea. Dialysis seems like a good gig for a nurse. I'd stick around and see how it goes.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 4x a month. My question is should I get out, while the getting is good? Any advice would be appreciated.
May 21, '07In regards to PTO, the business unit that I work for allowed RCG employees to take some of their vacation time so that they would not lose their time. But you do have a CAP so if you don't take the time it will either go into ESL bank or twice a year they offer you the opportunity to sell up to 80hrs of PTO to as long as you will still have 40hrs left. In regards to LPN being replaced , it depends on your state laws. In Illinois it will not work with and LPN in a small unit because state law states that an RN must be present in the facility at all times. In the bigger facilites they have more wiggle room because you have enough patients to support having 2 nurses on the shift. I started in a unit that had 39 chairs and it was me and LPN. But I have to agree that I can't see them letting go of a nurse over a tech. But you should check your state nurse practice act and talk with your manager about your concerns. When it comes to medications again it depends on your state. Here in IL PCT's can't pass meds at all they can give NS to treatment nausea and cramping and LPN cannot push IV meds, but I see in clinic all the time where LPN are pushing heparin(go figure).:spin:
Jul 8, '07Quote from MSLNT1.1....I don't understand what made RCG so superior over FMC.....
I am a traveler and have worked quite a number of FMC and RCG units. Imo, a bad RCG unit is better than a good FMC unit.
Profit is not just the main thing w/ FMC, it's the only thing. FMC units overwhelm charge nurses so much with so many reports and paperwork, the nurse does not have any time to know what is going on on the floor, yet she is responsible for all of it.
Most FMS units I have worked at are "upside down" units. Meaning, the units are run by the techs. I'm sure this is not intentional, but as I said, the charge nurses and unit mgr are so overwhelmed with reports, they have no time for pts, or to properly supervise techs and pt care.
Floor nurses @ FMC clinics are overwhelmed with such things as lugging bicarb/acid jugs around, doing water checks, constantly accounting for supplies, running pts as well as doing things for the techs and the techs' pts.
RCG has (had) a totally different view of nurses and nursing. RCG assigned most labor and technical duties to non-nurses. RCG felt that nurses should have time to know what is going on with all of their pts. Working at an RCG clinic, I didn't have to count supplies, had nothing to do with the water system, and had no reports to do. RCG used far better supplies, and there were plenty available. FMC does not provide their pts with cable TV and vcrs, or their own TVs. RCG did. The only FMC units that have these things are units which originally were not FMC units.
RCG units are clean, modern attractive and efficient. FMC units are known for the most part, to be old, run-down, dirty, and out-dated. RCG recocnised and rewarded excellence in both nurses and techs. Techs could become certified tech educators, who are very respected.
Even as a traveler, I always got to really know the pts and what was going on w/ them as RCG units. For example, at one RCG clinic, the soc worker, dietitian and myself worked together daily. We got together and discussed out pt's labs- I knew off the top of my head whose PO4 was high, Whose K+ was high, whose albumin was low.
Together, the SW, RD and myself brainstormed ways to address the pt situations which cause poor labs and dialysis adequacies to occur and continue. We worked together and reversed this. Our unit even got an award, because our pts' albumins improved so much.
I had time to do tons of pt teaching and finally got some thick-headed pts to truly unserstand that their actions affect their health. I was able to get some long time fluid abusers to decrease thier fluid intake, lower their PO4 and K+ levels.
RCG units provided an atmosphere where I was able to grow as a nurse and greatly improve my charge nurses skills, and truly make a difference in my pts lives. What nurse has ever had the time or resources for these kinds of things at an FMC unit?
RCG respected and valued nurses. FMC does not. I mourn the loss of RCG to FMC.Last edit by Hellllllo Nurse on Jul 8, '07