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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

Emergency Preparedness for Dialysis Clinics

Posted by Deborah Brouwer-Maier RN, CNN on Oct 31, 2018

One of the most devastating hurricanes in the history of the United States, Hurricane Katrina caused $75 billion in damage in New Orleans and along the Mississippi coast. Beyond its toll on infrastructure and the lives of the area’s citizens, the hurricane exposed several gaps in emergency preparedness for hemodialysis patients. Many clinics in the area didn’t have sufficient emergency preparedness plans in place; patients didn’t know how to adequately prepare for the storm; and public health officials were unaware of how much of the population was dependent on dialysis.

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Topics: Hemodialysis

Kidney Care News To Know

Posted by Deborah Brouwer-Maier RN, CNN on Oct 24, 2018

Otsuka Acquires Visterra
Otsuka has acquired antibody therapy maker Visterra for $430 million. Otsuka hopes to take advantages of Visterra’s therapies for CKD and other conditions.

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Topics: Hemodialysis

Researchers: Don’t Overlook Emotional Health in Kidney Care

Posted by Deborah Brouwer-Maier RN, CNN on Oct 1, 2018

Not surprisingly, many patients undergoing care for chronic kidney disease often experience an emotional toll along with their physical symptoms. The emotional health of patients is often overlooked by their care teams, though they are either unaware patients are experiencing these issues or are focused entirely on maintaining patients’ physical health. 

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Sep 26, 2018

Here is your latest kidney care news for September 2018. 

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3 Tips for Attracting and Retaining Dialysis Patients

Posted by Deborah Brouwer-Maier RN, CNN on Aug 13, 2018

End stage renal disease is increasing by five percent per year in the United States, and in 2014 over 100,000 people began treatment for ESRD. As the amount of ESRD patients increase, so does the need for dialysis clinics to help treat them. 

Attracting these new ESRD patients to your dialysis clinic and retaining the ones you have has several benefits. Lower patient turnover has been associated with increased profitability, happier staff and lowered risk of patient treatment errors.

But attracting and retaining patients is often easier said than done. Here are a few tips for attracting and retaining patients to your dialysis center.

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Aug 6, 2018

American Renal Associates Reports 10 Percent Increase in Operating Revenues in Q1 

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Kidney Care News

Posted by Deborah Brouwer-Maier RN, CNN on Jul 11, 2018

Bill restricting third-party premium payment for patients with ESRD wins California Senate committee approval

The California Senate Committee on Health recently approved the California SB 1156 bill, sponsored by Sen. Connie Leyva. SB 1156 prevents third-party organizations, such as the American Kidney Fund, from helping patients on dialysis pay for more expensive, commercial health plan premiums. 

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on May 16, 2018

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

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

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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