anurseadvocate

anurseadvocate

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  1. CMS releases new proposed Prospective Payment System

    If you are in home dialysis you should familarize yourself with the Proposed Rule. The bundling will affect home dialysis --- how??????? Presently home dialysis training is billed separately. With the...
  2. I am wondering how many of you have thought about how the new 'bundled' rate will affect your facility, affect patients and affect staff. The bundled rate, of course, covers medications and labs...
  3. Dialysate temperature in hemodialysis

    In going back over posts found this one. First I was informed that the 2008K machine temp is automatically set by the machine.. NOT TRUE.. staff set the temperature. Staff often increase the temp when...
  4. It can happen to anyone, anytime

    HD Nurse: Congrats on being well-prepared and for being so compassionate with your patients. We all are aware that not everyone working in dialysis shares that which you have expressed... Your story...
  5. Davita Lufkin dialysis unit

    How does this nurse know it really happened? Did she witness such? Whatever happened to 'innocent until proven guilty by a court of law'? Does one have to wonder if there were two witnesses...
  6. CLINIC MANAGER PAY-Fresenius

    Hopefully, there was a staff who reported this to the regulatory agency to investigate. If staff do not take responsbility to report such events, then they will continue. If the state investigates and...
  7. Fresenius Dialysis Advice on taking the job

    What are salary ranges for a new RN versus experienced RN on the East Coast and West Coast.
  8. hospice

    I am wondering what other units do when a patient is placed on Hospice but wishes to continue dialysis, esp for those patients who are not at bedridden stage and are still up and about but need...
  9. hospice

    Thank you for sharing. I am interested in others experiences with patients as they observe after they stop
  10. Dialysis Cruise

    I was wondering about how nurses are hired in relation to their experience, education, etc. What is scarey as one posted mentioned is that if you are not familiar with a particular machine that is...
  11. Fresenius as an employer?

    It is all about the individual unit, who is in charge and what their expectations are of their staff.............each dialysis facility has its' own unique characteristics, imho. Not all facilities...
  12. hospice

    Wouldn't dialysis keep someone alive until their heart gave out? What is the patient decides to stop dialysis? Has anyone had FIRST HAND OBSERvATION of a patient who has stopped dialysis.
  13. Need Info On Davita..........

    If you go to www.lufkindailynews.com and scroll to the bottom you will see a 'timeline' for a Davita facility in Texas where many problems existed. The surveys are posted on the newspaper site to give...
  14. Need Info On Davita..........

    I would suggest to anyone who is thinking about working in a unit to obtain a copy of their most recent inspection. This can give you an idea about the delivery of care and if facility policies and...
  15. Davita Lufkin dialysis unit

    www.lufkindailynews.com at the bottom of page you will see a section titled 'timelines' this will show all the facility surveys, as well as the articles that were written. Indeed more than meet the...
  16. hospice

    I was also interested in the dialysis staff and how they interact with patients e.g. do they discuss hospice, etc. what is the dialysis facility social worker's role, etc. RenalRuth I know some...
  17. Davita Lufkin dialysis unit

    The facility used 2008K
  18. is your unit running out of supplies too?

    goodness, what company is this? So much for patient safety first,
  19. Davita Lufkin dialysis unit

    Anyone who has any information regarding Davita units, esp Lufkin, should contact the attorney - Ryan Deaton. This unit had problems long before this alledged
  20. albumin low but Hb high ???

    I agree that kidneyschool.org is a great site. There is an entire module(s) for dialysis techs with great info, as well as for patients. Albumin should be around 4.0 but I noted that writer stated...
  21. New Conditions of Coverage

    I am wondering what other units are doing in respect to the new Conditions. Do you all have new procedures or have you already been following, for example, the CDC recommendations for infection...
  22. about Davita...

    A company can be profit-oriented and obligated to their stockholders, as is Davita and other healthcare and dialysis companies. However, let us all keep in mind that one can make a profit and continue...
  23. Advice Re: job interview with Davita

    Sounds like you made the right choice. If each patient has their own dialysis machine that would mean that all three shifts of patients, each patient would have a machine... in fact, usually, three...
  24. Will RNs be phased out of dialysis?

    The newly revised Conditions for Coverage for dialysis facilities requires dialysis technicians to be certified. California, for instance, although already required certification is in place, the...
  25. staffing issues

    The new Conditions specific certification. However, if you review survey findings from states that already have certification in place, versus those that don't, you will not see much difference in the...