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Sensing Savvy

Deborah Brouwer-Maier RN, CNN

Deborah Brouwer-Maier is a nephrology nurse for more than 30 years. Her area of expertise is hemodialysis vascular access. She served on the KDOQI Vascular Access Work Groups in 1997, 2000 and 2006. She also served in various volunteer roles for the Fistula Frist Initiates since the formation of the initial Work Group. She is the support for the Hemodialysis Circle of Care Transonic products to support access creation, surveillance and preservation.

Recent Posts

Ways Dialysis Providers Can Defuse Patient Conflict

Posted by Deborah Brouwer-Maier RN, CNN on Nov 8, 2017 8:00:00 AM

As a dialysis provider, you know that healthcare settings and patient conflict go hand in hand. But unresolved patient conflict creates more stress for your staff, decreases productivity and teamwork and harms your clinic’s ability to safely deliver top-quality dialysis care.

Despite these consequences, providers often shy away from confronting challenges with patients because conflict is almost always uncomfortable. Experts call this avoidance a lack of “conflict competence,” and cite it as a major reason for dysfunctional dialysis units.   

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Topics: Hemodialysis, patient communication

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Nov 1, 2017 8:00:00 AM

Don E. Williamson Named COO of American Renal Associates

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Easy Ways to Improve Patient Communication at Your Dialysis Clinic

Posted by Deborah Brouwer-Maier RN, CNN on Oct 16, 2017 8:00:00 AM

How a patient feels during his or her dialysis treatments often affects whether he or she will return to your clinic for further treatment. The National Kidney Foundation recommends patients evaluate the staff of a dialysis clinic before choosing a provider. The organization advises patients to see if the staff makes them feel welcome, if they were helpful, knowledgeable and were able to answer their questions. Patients also are encouraged to notice if clinic staff listens to them and addresses their needs.

Patients want to feel understood and at ease, and if your clinic is struggling to retain patients, this could be a contributing factor to patient retention.

Thankfully, a few changes in the way your staff communicates can improve patient experience at your dialysis clinic.

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Topics: Hemodialysis, dialysis patients

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Sep 20, 2017 8:00:00 AM

Fresenius Medical Care Acquires NxStage Medical

The deal was for about $2 billion, or $30 per common share. The deal is expected to close in 2018. Fresenius hopes the acquisition will help it accelerate growth within the home dialysis markets.

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Topics: kidney care

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Aug 21, 2017 8:30:00 AM

Largest Dialysis Providers Ranked

Fresenius Medical Care (No. 1) and DaVita (No. 2) ranked as the top dialysis providers in the USA. Fresenius saw 192,964 patients this year, while DaVita saw 190,500. Coming in third was U.S. Renal Care, seeing 25,120 patients. Fresenius’ bump in volume came from an increase in patients accepted for treatment for acute kidney injury.

Source: Nephrology News & Issues

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Topics: kidney care

Is Dialysis Travel Nursing Right for Me? 6 Things to Consider

Posted by Deborah Brouwer-Maier RN, CNN on Aug 16, 2017 7:30:00 AM

If you feel like your career is at a standstill, dialysis travel nursing may be the solution. Dialysis nurses are uprooting to take advantage of the flexibility, quality of life and variety of experiences a traveling job offers. But before you buy a plane ticket, you should do your homework on what being a traveling nurse will involve as well as its benefits and drawbacks.

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jul 24, 2017 7:00:00 AM

Lifeline Vascular Access Names Chief Medical Officer

Lifeline Vascular Access, a subsidiary of DaVita Inc., has named Dr.

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Topics: kidney care

5 Ways Huddles Can Benefit Your Dialysis Clinic

Posted by Deborah Brouwer-Maier RN, CNN on Jul 12, 2017 8:30:00 AM

Football fans probably are very familiar with the concept of a team huddle and its role in a successful game. Although your dialysis clinic isn’t a football field, huddles are key to improving and sustaining quality care. Today, we’ll give a quick definition of a huddle, and look at five ways huddles can benefit your dialysis clinic.

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Topics: VA Flow & Patency

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jul 10, 2017 8:30:00 AM

DaVita Income Lower in Q1

DaVita reported income for Q1 of 2017 was 21 percent less than the same time last year. The drop in income was attributed to lower ACA enrollment among dialysis patients, an increase in wages for clinical staff and adjusted operating income for pharmacy operations.

Source: Nephrology News & Issues

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Topics: kidney care

5 Simple Ways to Improve the Dialysis Patient Experience

Posted by Deborah Brouwer-Maier RN, CNN on Jul 5, 2017 8:30:00 AM

Providing excellent patient care should be the top priority for all dialysis clinics. Minimizing pain, making patients comfortable, and treating them with compassion creates a respectful experience during a difficult, tedious process. But that can be easier said than done, especially if clinics have problems with leadership, staff and patient communication. If clinics don’t address issues such as lack of professionalism, low staff morale and patient safety, they risk losing patients and money. Below are five effective ways clinics can improve the dialysis patient experience.

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Topics: Hemodialysis