California Legislature

[kitkatz]

I found a letter int he waiting room asking patients to tell the legislature they were NOT in favor of the new regs they want in dialysis centers.
It was very one sided and listed several things that might happen.  Here is a link to the new rules they want to put into the centers.

https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB349


What do you all think?

[Simon Dog]

I was a visitor at a clinic with 4 chairs (all in use); one tech and on RN.  The total Tech to patient ration was 1:4, but the overall staff ration was 1:2.   Would this load require two techs, even though the RN ratio was 1:4?  if so, the reg has unintended consequences.

[kitkatz]

Seems the legislation has gone through. I received a time change today from 12:45 pm on time to 1:25 pm time.  A fifteen minute before time to get ready for the dialysis is included in those times.  True on times are 1pm and 1:40pm

[Charlie B53]

Recent amendment of CMA Rules have placed a time limit on how soon the next patient can be seated in a chair.  The time is supposed to ensure staff perform adequate 'cleaning' of the chair, machine, etc., before the next patient is seated.


My Clinic just passed out a letter informing us of this requirement and the need for us to be timely on arrival for treatments as being late will cause the next patient to also become 'late' because of these time constraints.

[Simon Dog]

Seems the legislation has gone through. I received a time change today from 12:45 pm on time to 1:25 pm time.  A fifteen minute before time to get ready for the dialysis is included in those times. 

What is funny is when the facility administrator changes your time and asks "would that be all right with you?" and when you say yes, just happens to have a printed schedule with your time to hand you.  Kind of makes one wonder what response a "no" would generate.

[GA_DAWG]

Our techs handle a max of five patients supposedly. However, if there are 11 or 12 patients, they will let the third go early and the other two have to pick up the extras. Sometimes the nurses help, sometimes not. That would be on each side of the center. Our techs work their behinds off, and sometimes get help from the nurses, depending on mood. Some nurses just basically refuse to help. We also went a couple of years with no charge nurse. The director shows up to get onto the techs and coddle the nurses.  OOur techs are definitely the reason for staying with our center. We also have the fifteen minute early request and a supposed limit between putting patients on.

[Charlie B53]

Maybe I am in a good clinic as I see our Nurses lending a hand almost every day.  They are often putting someone on or off a machine while the Techs are busy with another patient.

I have to admit they all seem to have a pretty great attitude.

But then again, I'm still pretty new at this and haven't been to 'other' clinics, so I don't have near the experiences many of you others have.

[GA_DAWG]

We had nurses like what you describe at one time Charlie. However, they have for the most part left because of the attitude of our Director. She takes complete advantage of those who do more than required, while defending those who do less.