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Author Topic: 2 techs and a nurse, is this reasonable?  (Read 5294 times)
sullidog
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« on: June 25, 2011, 06:54:48 PM »
Sounds like a movie, but that's exactly what we are down to as staff at our center, there's 2 techs, and a charge nurse, well we have an FA but she hardly is there, and when she is she doesn't play the roll of a nurse, she is considered a tech. Is it reasonable to have 2 techs in a nurse with all of these patients? No wonder why my center is so slow at getting people hooked up and taken off. Last week they even changed the locks on the doors, but no one was told why. I don't think my center is hiring either.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
YLGuy
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« Reply #1 on: June 25, 2011, 07:25:46 PM »
How many chairs?
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sullidog
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« Reply #2 on: June 25, 2011, 07:32:44 PM »
24
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
lmunchkin
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"There Is No Place Like Home!"
« Reply #3 on: June 25, 2011, 08:38:03 PM »
Wow thats alot of chairs!  Can you do dialysis at home?  Are you on a transplant list?  I don't know but it sounds like your clinic will soon be shut down if it doesnt pick up more help!  Don't know that for sure, just saying!  Can't see it going on much more like that!

Check into NxStage if you can!

lmunchkin      :cheer:  :flower;
« Last Edit: June 25, 2011, 08:39:12 PM by lmunchkin » Logged
11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
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jbeany
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« Reply #4 on: June 25, 2011, 09:10:50 PM »
How many people in the chairs?  Are all 24 filled every shift? 

Just curious about that - but regardless, that does seem like a VERY small amount of staffing.  My old D center had a nurse and a tech for every shift - and we only had 3 chairs, all full most shifts.  They've just upgraded to a 6 chair facility, but kept the staff levels, so even that's not bad.
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HILINE
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« Reply #5 on: June 26, 2011, 01:25:23 AM »
WOW what would happen if the building had to be evacuated ? Maryland has a 1 tech to 3 patient requirement
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sullidog
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« Reply #6 on: June 26, 2011, 04:07:31 PM »
I am totally blind so I'd rather leave it up to in center pros to stick me and stuff.
I don't think all 24 chairs are full, but the majority of them are and there's not just been me complaining.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
okarol
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« Reply #7 on: June 26, 2011, 04:19:16 PM »

Is there another dialysis unit nearby that you could visit and see what it's like?
Jenna's unit had 58 chairs, all full, and about 8 techs and 2 nurses per shift (4 shifts per day.)
5AM 9AM 2PM 5PM
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RichardMEL
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« Reply #8 on: June 27, 2011, 02:16:00 AM »
Yes, I saw this subject heading and wondered if Charlie Sheen was somehow involved.....  :rofl;

Anyway 2 techs and one nurse for 24 chairs is an insane ratio. My unit we usually had 1 nurse to 3-4 chairs (we don't have techs - the nurses setup, teardown and run the sessions). If all 24 chairs are occupied it's not reasonable to get proper care - what if 10% of the patients are alarming? That's 2.5 - so 3 people!! And then what if one of those is a serious case??? Surely there are regulations on minimum staffing ratios????
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25/7/2006: Started hemo 3x/week 5 hour sessions :(
27/11/2010: Cadaveric kidney transplant from my wonderful donor!!! "Danny" currently settling in and working better every day!!! :)

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sullidog
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« Reply #9 on: June 27, 2011, 06:38:46 PM »
Well today we only had one tech and one nurse, it was horible, They had to move some patients to Tuesday. I think I'm going to investigate this issue and see if this stuff is reasonable. You can't even get immediate help when you are crashing for goodness sake!
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
Stacy Without An E
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« Reply #10 on: July 07, 2011, 12:24:05 PM »
I'm appalled at the lack of care some of these Dialysis units are receiving.  We have 48 chairs in our unit and the rule is 4 patients per tech max.  I'm on the night shift & there's only about a dozen patients and we have one nurse for the shift.  We don't have a lot of catheters patients, mostly fistula, so her workload isn't that high. 

I've been pretty fortunate to be in a non-profit clinic that is well managed and always fully staffed.  Although they are watching the books, they're not cutting every corner possible like a lot of for-profit clinics. 

I've never quite understood why Dialysis is treated like the ugly stepchild of the American health system. 
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Stacy Without An E

1st Kidney Transplant: May 1983
2nd Kidney Transplant: January 1996
3rd Kidney Transplant: Any day now.

The Adventures of Stacy Without An E
stacywithoutane.blogspot.com

Dialysis.  Two needles.  One machine.  No compassion.
GraphicBass
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« Reply #11 on: July 09, 2011, 04:13:05 PM »
48 chairs? Wow! Big center!

Mine has 16 chairs, and usually 2 nurses and 4 techs, with a new schedule of hookups/off staggered.

The only problem is when techs are on vacation or don't show.

g
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