Joni's Mom

Depends on where you work, some places you do receive wage increases other places you do not. Expect to receive a 1-2% wage increase per year as a floor nurse and excuses that they have to stay within the budget. This explains quarterly profit increases. Again it depends on where you work, some places employees are treated like gold other places profits are more important. Hope you will be one of the lucky ones where you will be treated like gold. Good luck

Just curious, How did they treat this person? Did the MD believe you and did you show this to the MD? Wow, strange.

Be aware that you could apply and receive this position, and upper management could possibly call this move lateral which means you get the title, without a change in pay.

New job titles and salary ranges are coming. Can anyone explain these to me? Thanks in advance

Oh Goodie Sounds like another way we can do more, get lateral positions with no increase in pay. I already have more titles than most and got promoted with what they called a lateral position as Clinical Coordinator. I imagine that with all my titles the ladder won't take into consideration all those things. Sounds like this is a good way the company can get out of the annual pay increase, another way to cut corners. Got to make sure they stay within the budget. More for the top- less for the bottom. Thanks for responding

Anyone hear of the Ladder system for how the company will pay the nurses techs and other staff members? What I heard is that there will be levels 1 2 3 for each but thats all I have heard.

Sounds like this patient needs a higher dry weight, meaning that she probably lost some weight and they are taking to much fluid off of her each treatment. Does this patient have edema in the legs, does she have fluid on her lungs? She should not have bad leg cramping during or after dialysis. Hope this helps

You are 100% correct. If you have horrible management then it sucks to be us, but if your one of the lucky ones then great for you. It is unfair practices happening to both you and me, and how many others. I think they go to school to become bullies for the company, that and big big big bonuses. There is only one independent provider in our area and it's not hiring right now, but I keep looking, as I do love dialysis. Your also right on wrecking it for ourselves d/t being non-union meaning no rights for us only rights for the big company. Low wages, advancement in name only , and we should put up or shut up. With my new name only advancement Clinical Coordinator I am suppose to fill out a survey on how I think the recruiter did at his job. I haven't done this as of yet as the recruiter was working with the ROD and FA, and got reamed out for even calling me and giving me a heads up on that posted position. I still haven't gotten papers to sign that I agreed to become the Clinical Coordinator for my facility. Once I sign the invisible contract that I asked the recruiter to get for me, in which he said I would have to get that from the FA, then I will fill out that survey. If it sounds like I'm bitter then it's because of all the bullying that has been done to me. Sorry for the long ranting Continue to find out why that other facility put the request in for a full time nurse if one was not needed, find out the hours available and fill in those spots. Good luck and keep us posted.

If only there would be some compitition in the area. I keep my eyes open for full time work. I do not like to travel, maybe that's my problem. I have been putting CC on my resume, also thinking about changing to something like PACU I know a change will be difficult, and those nurses dont have it easy either, but so was learning Dialysis. I do love dialysis though, and that's where the upper-ups know that they have me. Thanks for your support.

So sorry you are going through this, it just shouldn't be. You must have the same Managers (FA) (ROD's) that I have. Sounds like they're covering their back side. If you transfer it sure wont be in their best interest and it's all about their "best interest" not yours. I'm sorry that I don't have any advice to give you, but my heart goes out to you. Just know you aren't the only one these type of people Bully. I think at my company you have to be a position 6 months before you can transfer out, but again I'm not one hundred percent sure. You would think that if the job was posted then someone should get the position.

Oh I realize they are getting more than one over on me, but there is no one to talk to about this, the higher ups all stick together, each one states I'm already doing the same job so why should I expect a higher wage. The ROD laced into the recruiter for even calling me and giving me a heads up on the job posting. When I asked the recruiter any questions he informed me he couldn't answer the questions and I would have to ask my FA(facility administrator) or ROD(regional operating director). I asked the recruiter if he could at least get me a contract and again he stated go to the FA or ROD. Again it all depends on the management team if you have a bad one then your out of luck (I'm out of luck) continuing to look for a different job, but I don't want to go back to the hospital or nursing home.

There are no Fresenius in our area, wish there were more competition. Maybe put a bug in their ear to open more facilities in WI. I would apply in a heartbeat. I love dialysis, but am heartbroken by what they are doing to me.

Thanks Marisette, That's what I thought use the title on my applications, seems as if there is always someone to replace you no matter where you go, so when they threatened to give the other nurse the title since she doesn't know the patients, passes the buck (meaning if there are injections or TB test to give she has one excuse after another to avoid giving them and saves them for me to give) and has to have the tech tell her everything to do, I told them that I would take the title. I also believe that loyalty is a thing of the past, although I sure do put my all in this and every job I have had. Your right I won't be training the next nurse. Sounds like I'm bitter, but I also feel that I have reason to be. Right now I'll be a "good little team player" and play along with their game. Hope to find a new job soon.

Are you also working for Davita??

Where in WI do you work? I'm a chronic dialysis nurse in WI making 24.03/hour just got the title of Clinical Coordinator which they stated was a lateral move, anemia manager, infection control manager, adaquacy manager, Back up FA, Head nurse, and have >2.5 years of Dialysis experience, a little over 5 years of nursing. I guess it all depends on who the manager is. They say it's all about the budget, or could it be the company?

That's what I thought just continue working with the Clinical Coordinator title for awhile and I plan on applying elsewhere d/t the fact that I can't take too much more titles with no pay. Who can be happy when you know that your being taken advantage of. I am told over and over again that this is not the way this company is suppose to run, but there is no one that I can turn to. Why is there such a tight budget for some facilities, and others can have a larger budget where they can hire a separate Clinical Coordinator which is suppose to make there own 60,000 to 70,000 per year, and why do they even have a recruiter if he is not there to protect the employee.

They mentioned that they need that title on the paycheck in case they get checked up from the state or other entities that indeed there is a clinical coordinator at this facility. Again they both said I will be doing nothing different than what I have been doing such as monitoring lab trends, vital signs, weight and such, I am the anemia manager, infection control manager, adequacy manager, back up FA, head nurse and more that I can't remember. I already agreed to this position on Friday, don't know if I can refuse anymore. I guess it will look good on my resume. Yes I do know that management is taking advantage of me, since this position was posted. I did get in touch with the recruiter,the one that called me at the facility, but one of the managers got in touch with him first and he would only say I needed to talk with R and B and why was I not talking with R and B, I told him R said that this position would not pay anymore and that she said I was already doing this job so why would I receive an increase in wage. I asked him if he could at least tell me the job class or grade and he again said I needed to talk with R and B about that. So no help from him. I asked if R contacted him and he did say yes. I don't know where to go from here, except I agreed to this position. Thanks for responding

Well, just today, I did agree to this position and I was told this is a (lateral) position meaning no pay increase. I did ask for a raise and the management told me no, no pay increase because I was already doing it. I was also told that if I didn't accept this title, that the other nurse who is in line to take my job, will be offered this position. I should have told her she could have it, now I feel like emailing my FA and telling her I thought about it and really don't feel right about this position it's not right for me. What are they going to do, but make my life miserable, and send me to another unit that's managed horrible. Do I feel like I have been taken advantage of? YES Do I feel like a loser? YES Am I a female? YES I was told that when my evaluation comes up in Sept. that they'll adjust my wage, to reflect a nurse of my experience. I'm not holding my breath. I'm sure it will be a whopping 48 cents, 2% increase and they'll think I should be so greatful for that since times are tough. Seriously thinking of emailing my FA to cancel this position. Now I don't know how long a person has to decline a position.

Hi all, I'm back, Can anyone explain the Clinical Coordinator position? What's the job class or Grade vs a Staff RN? Just got voluntold that I'll become the Clinical Coordinator, new title, and as you guessed it, with no extra pay. I guess I'll have to take this or I'll not be a good team player. So many titles with no extra pay. Why is there a posting for this position if there is no increase in wages? Are they just going through the motion, and voluntolding RN on the floor that they will now become the Clinical Coordinator? Is this happening in other facilities? Has anyone been hired just for this position only?

Thank you iluvivt this is exactly what I wanted. Doc did state that if I felt uncomfortable with the cath removal he would come to the facility and remove the cath. I may have him come just so I can see the correct way to do this for the next time, but with your instructions I should be fine in case he didn't show up. What occlusive dressing do you suggest on the outpt floor we also have suture kits and triple antibiotic ointment packs I could use.

This is going to happen in the outpatient clinic, the patient will have to be sitting in the chair. I will not have all the material that you suggest, not sure if we even have sterile gloves. How often are you asked to do this? If there is no P&P do I still do this proceedure?

Hi all, Hope you can help. Does anyone have a P&P to remove a temporary catheter? This will be my first time to remove a temp cath and was just wondering what or how others went about it. My patient will come to the unit and have this cath for 1 week then it is to be pulled on Friday, he will be getting a perm cath on Monday. Thanks in advance

Next time this happens, do what you can, then you give report and let the on-coming nurse take over, state you would love to continue to finish what was started, but can't d/t overtime. If she complains bring it up to management. Also state she will have to chart on her patient interventions. We had some CNA's report skin tears or other incidents just before we clocked out. No good timing, bring this up in meetings.

Thank you so much for the wonderful reply. You do get it. The ironic thing is, I had received a special award from the ROD for just that thing the middle of Dec. 2012 and was told the unit wouldn't be the same without me, I make the unit, I'm fun and all other core values. Then 2 weeks later when census are down and only room for one nurse someone comes up with this unreasonable offer. Thing is the tech does not have to rotate "Go Figure" Thanks again for understanding

Be very careful. I worked at a LTC facility that fired a nurse for not being able to get her charting done, this nurse actually clocked out, then did her charting thinking she was doing a good thing, management found out then fired her basically for clocking out then working, or so they said. Of course that was when the company was "restructuring" and management was thinning out. I was in on the firing time when they just couldn't come up with anymore ligitament reasons to fire, so they fire 8 of us at the same time and said it was d/t " restructuring" What do the other nurses do? How do they get their charting done on-time? Are you just doing more work then the others, such as answering the call lights when the CNA's should be doing that? Make time to do the charting. The moral of the story is, make sure you do not clock out and then chart or they will fire you. Good luck