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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

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on May 16, 2018 6:43:00 AM

DaVita’s Net Q4 Net Income Increased

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Hemodialysis Patient Story: How Vascular Access Surveillance Technology Helps

Posted by Deborah Brouwer-Maier RN, CNN on May 14, 2018 6:58:00 AM

Most hemodialysis patients aren’t like Lori Clark. While most patients take the usual steps to stay healthy and attend their hemodialysis appointments, Lori goes a step further — she investigates and experiments based on what she learns at her dialysis sessions.

While that might seem odd, doing so has helped her take better care of her vascular access. She couldn’t do it, however, without the help of Transonic’s HD03 monitor, which her clinic uses to monitor its patients’ vascular access flow.

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How Empowering Dialysis Patients can Improve Patient Experience

Posted by Deborah Brouwer-Maier RN, CNN on May 2, 2018 7:00:00 AM

You may think that improving treatment for your dialysis patients is solely your responsibility — but the patient experience is a two-way street. And in a field where nurse burnout is a high risk and bloodstream infections are the leading cause of patient hospitalization, it pays to take a closer look at how your dialysis patients can become more empowered to manage their healthcare.


The first step to opening up the road is changing the way you see your patients. Kidney patient advocate David Rosenbloom challenges the assumption that dialysis patients are all victims receiving end-of-life care:

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Apr 23, 2018 6:00:00 AM

In Patients with Type 2 Diabetes, BMI can be a Predictor of Developing ESRD

After a five year follow up, researchers found 5.8 percent of patients classified as obesity grade two and 7.8 percent of patients classified as obesity grade three had developed a “major renal event” compared to 4.2 percent of patients classified as normal weight. They also found: “Every additional unit of BMI over 25 kg/m2 increased the risk of major renal events by 4 (1-6)%.”

Source: Nephrology News & Issues  

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Kidney Care News to Know: Caffeine Could Reduce Mortality Risk in CKD Patients

Posted by Deborah Brouwer-Maier RN, CNN on Apr 11, 2018 6:13:00 AM

Researchers found that CKD patients may get some medicinal benefits from consuming caffeine. They found that those who consumed higher amounts of caffeine—between 206.5 to 1,378.5 milligrams daily—cut their mortality risk by nearly a quarter compared to those who consumed lower amounts.kidney-care-news.jpg

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How Dialysis Clinics Can Prevent Infection

Posted by Deborah Brouwer-Maier RN, CNN on Mar 7, 2018 6:18:00 AM

Protecting patients from bloodstream infections (BSIs) should be a top priority for any dialysis clinic. Dialysis patients are at high-risk for infections as the bloodstream is being repeatedly exposed for access, and patients’ immune systems are compromised.

Dialysis patients with central lines experience an estimated 37,000 BSIs per year, with 1 in 4 of those cases resulting in death. Additionally, patients are hospitalized for infection to the tune of $23,000. Nephrology experts agree that this potentially deadly and costly BSI problem is preventable when dialysis clinics follow some important guidelines.

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Topics: patient communication

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jan 15, 2018 7:30:00 AM

DaVita Profits Decline 15 Percent for Q3

The loss can be attributed to higher than expected medical costs and the underperforming managed care business. Net loss for the quarter was $214 million. As of the end of September, DaVita provided services to 218,200 patients.

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Topics: kidney care

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Dec 13, 2017 8:00:00 AM

U.S. Renal Care Names Michael Huguelet Executive Vice President & Chief Development Officer

Huguelet previously held positions with North Star Anesthesia and DaVita. Prior to becoming involved in the kidney care space, he was involved in investment banking. The executive vice president and chief development officer is a newly created position for U.S. Renal Care.

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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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