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Med/Surg, ECF, home care, Dialysis
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nlovell has 10 years experience and specializes in Med/Surg, ECF, home care, Dialysis.

ICurrently working in Western MI as an acute hemodialysis RN. I travel from Foote Hosp in Jackson all the way to PIPP in Plainwell. Moved out here and took this job in May 2010, before that I was a Clinical Manager for an FMC outpatient hemodialysis clinic in SE Michigan. I've been an RN since 2002 and have been working in dialysis since 2004. I've also done a few brief tours of duty in Med/Surg, home care and LTCF.

nlovell's Latest Activity

  1. nlovell

    Future of Dialysis????

    There is nothing Obama (or any other president) could do, no law he could sign, that would eliminate or even reduce dialysis in the foreseeable future. A "artificial wearable kidney" would be a major development for ESRD patients, for sure, but it's at the very least a decade (and I think I'm being generous) away from being available in mass quantities, for the majority of dialysis patients. And I pray that stem cell research does advance quickly enough to reduce the wait for transplants, but again it's not going to be available en masse any time soon. The bottom line is that hypertension and diabetes are the biggest contributors to kidney failure/dialysis and universal health insurance isn't going to impact that much. Most of the "new starts" i see didn't end up in the hospital because they didn't have access to health insurance. Diet, sedentary lifestyles and smoking are major factors in both diseases and until people (Americans especially) start taking control and improving their quality of life by simply taking better care of themselves, there will always be diabetes, always be hypertension, always be kidney failure...and always be a need for dialysis. No law, artificial kidney or stem cell is going to change that.
  2. nlovell

    Acute dialysis?

    Acutes isn't for the weak, that's for sure! I've been in dialysis for over 8 years now. I've worked at Davita and FMC, as a floor RN, charge RN, clinic manager and now acute RN. I truly didn't think I'd enjoy it, but it's turned out great. Yep, the only thing you're sure of is what time you start work. Where you go, how long you'll stay there before you go to another hospital, what time you'll get off work, whether you'll get to eat lunch (usually standing up and in a hurry!) or not, working 16 hour shifts, working 16 hour shifts and THEN getting called back in the middle of the night...all the horror stories are true. But there's also the weeks of low census where you may only work 6 hours or maybe not at all, great during the summer out here (Unexpected days off = fishing) and the fact that you are compensated for those hours. I took a pretty big pay cut to leave my CM position and move "down" to acutes but I make way more money than I did in my years as manager, bonuses included! And if you really want to learn about hemodialysis, there's no better way than acutes. I've been in Western Michigan acutes for over 2 years and I still learn something new every day; something more to understand that helps me gain insight into disease processes or just improves my patient care. And if you got into dialysis to help or teach people, acutes is a great opportunity. I find it very rewarding to be able to sit with a new start and explain the process of dialysis to them and give them examples of how they can live with ESRD. I've heard that Davita pays more in this area, but the fact is that if they paid a significant amount more, FMC would follow suit to be comparable. That obviously isn't happening because FMC is the top dog out here and we've hired more than a few ex-Davita nurses. I consider acutes to be on top, financially, in the hemodialysis spectrum but if you don't like what you're doing, then no amount of money will be the right amount. You've only been doing this for a couple years, you can't have expected to be making top dollar already Have you guys rolled out the UCAP yet? That'll be a good way to increase your "worth" both financially and as a nurse. Anyway, hope you enjoy whatever you decide - good luck!
  3. Thank you for the info!
  4. Hello darling!! I miss you terribly and I'm so happy you are doing well :) I moved out of the Detroit area a couple years ago, gave up all the management stress and moved out here to southwestern Michigan by Lake Michigan. I still work for FMC but as an Acute Dialysis RN, just inpatient hospitals now, no more outpatient clinics. I still think about my wonderful team at Detroit Dialysis and Harper Woods FMC and remember all the good times we had! Love ya right back!
  5. Godd afternoon! I'm trying to hunt up some info for my techs. i assumed that since I can find a thousand sites for C.E. for nurses, it would be the same for CCHTs but nope! Can anyone give me some good websites, or any info, regarding earning C.E.'s for hemodialysis technician recert? FMC has little things a few times a month: a quiz here, a webinar there for a little bit of credit so that's helpful but of course, no one does every single one so I have a few panicky peeps here. I've spoken with my current manager but she doesn't have a lot of info nor did we find anything on the FMC or state of MI websites. Any ideas?
  6. nlovell

    Took Nclex-Rn yesterday..shut off at 84..

    Ok, now I'M curious to know if you passed this time!! Post soon, good luck!
  7. nlovell

    So frustrated with new LVN training!

    Gotta love Davita LOL...unfortunately, I don't care what company you work for, seems like the training is the same: catch it when and how you can!
  8. nlovell

    Anyone been at a clinic taken over by DaVita or FMS?

    I agree that FMC technology isn't up to Davita's...that was a hard thing to deal with! I'm still going to stick with a company that employs the support staff I work with...I sincerely feel that, technology notwithstanding, we are making a difference in our patients' lives.
  9. nlovell

    Anyone been at a clinic taken over by DaVita or FMS?

    Wow. Seems like there's no straddling the fence on this topic!! My first experience with dialysis was with Davita, as a floor nurse, then Charge Nurse. Their training for me, as an RN w/less than 2 years of experience (and only med/surg) was extensive and helped me fall in love with nephrology nursing. Although I quickly came to love my inner-city clinic, I was just as quick to find out that "the Davita way" wasn't what they preached in orientation. The Facility Administrators (we went through 3 of them in the 2 years I was Charge Nurse) who ran the clinic seemed more concerned with their bottom line and bonuses than good and safe patient care. Because I'm a work-in-progress re: tact when it comes to anyone other than my patients, it wasn't long before the managers deemed me "a problem." Unfortunately, I left Davita a stressed-out MESS, and thought for sure I'd never do dialysis again. I began working in a LTCF but found myself missing my "dialysis babies!" Someone mentioned my name to someone else (small world in dialysis!) and FMC called me in to interview for a Clinical Manager position and I was back home. I noticed right away that the training wasn't as good as Davita's (luckily I knew what I was doing by then) but the support I've received from my management has been amazing. I've been with FMC now for 3 years and I've moved through 3 clinics. The clinic I currently manage was acquired by FMC about six months ago. No, the transition hasn't been seamless, but I believe that has more to do with the unethical doings of the previous CM and her family, who were running back-door PCT training courses (among other things) instead of focusing on good patient outcomes. Since FMC has taken over, we've re-trained staff, made staff eligible for benefits and organized study groups and quiz review for the upcoming PCT certification. Our patient outcomes have improved dramatically: adequacy has gone from 25% of patients with eKdrt/v of >1.2 to 79% in just 3 months and our catheter rate has decreased 15%. I've never been a big fan of major corporations, I agree that they tend to lose sight of patient care in favor of budgets and cost. And the new CMS guidelines don't make things easier!! But in the end, people are what make the difference. And at least, in my small corner of dialysis, the FMC team far surpasses Davita's efforts. *climbing off my soapbox now*
  10. nlovell

    A problem with CNAs

    I've always found the best way to work with ANY staff is to be up-front about what you expect. Clearly state your expectations and limits. If you want VS and accuchecks taken before 8am, then say it. I worked in an ECF for a short while and I handled my team the same way then as I do now. There's always time for a quick, 2-minute "homeroom meeting." Again, clearly state your expectations and let them know that if they need help, you are available...but that you don't read minds. If someone comes to you and says "I won't be able get these 2 accuchecks done because Mr. Smith had an accident and I need to spend extra time in his room," then I know what's going on and how to help. But you need to also be clear about what will happen if you "discover" missing vitals or slipshod work, instead of being told up-front...and then follow through with it. Make sure you are available as much as you can to assist, make it seem like fun and don't forget to thank everyone at the end of the shift for their hard work.
  11. nlovell

    i need to VENT!

    Hold on. Take a deep breath for a minute and think about what you're saying. You failed the NCLEX on the first try and now because you're having a hard time studying for a test that is important to you, you've suddenly become the stupidest person on the face of the earth? Now relax. The NCLEX is hard. Every single one of us who has taken it (pass or fail!) thinks the same way. Most of us probably thought we were the biggest idiots in the world WHILE we were taking it. (Or maybe that was just me!) When you're taking your review tests, do exactly what you've been advised. Read the information and the question, and make your decision. All the way through. No second-guessing. THEN, when you go back to check your answers, take a few notes. I bet you can see a trend in your wrong answers. If you can't, then make a list of WHAT you got wrong on each of the wrong answers. What did you miss? Make a couple of these lists and then look them over and see what pops up. Even better, find someone you trust and ask them to look it over and see what they find. It might give you a little more focus. I promise, you're not an idiot. If you were, you wouldn't have made it as far as you have already :)