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family dollar crock of bull
watched the show not how family dollar works i know have worked there for 6 years i feel the show is pre arranged and not spontanous i also feel undercover boss should go to other locations and see what really goes on underpaid workers and some very unhappy workers if they do not believe me look at family dollars face book page
I loved the episode. I just want Miguel to know that he has been told the biggest lie of all time, that all men have been told generation after generation. A REAL MAN DOES CRY, MIGUEL. We women love to see a man with emotions. It's okay that you cried, it showed me a real man. Get that BIG LIE out of your head.
Reality TV That Leaves You Feeling Good & Hopeful!
So many reality shows are just fluff, anger & silliness. This show was not at all what I was expecting,
Just another reality show. This show teaches so many things, among them humbleness, thankfulness,
tears of joy & hope for the future! It is such a good show, that each episode leaves me thinking, that episode was my favorite, until you watch the next episode, Then I'm saying,Maybe that's my favorite? I've come to the conclusion that the whole show is, My Favorite. Watch a couple episodes & I'm thinking it will be your favorite too!moreless
Gee, what matters now? How about health care companies, like the monster Dialysis company, FMC?
Nomination for Ron Kuerbitz, Chief Executive Officer Fresenius Medical Care North America (FMCNA)
Look at and consider a show in Shelby Township, Michigan...
Terrible cooperate office/upper management
Clinical Manager/Director of Nursing (Former Employee), manyland June 6, 2013
Cons: nurses, and managers are not getting their breaks. unsafe working conditions.
This is the leading Dialysis company. As we all know with bundle and condition of coverage, many policies had changed to correlate the condition of coverage. Upper management and cooperate office they fail to understand that patient population life expectancy has changed too. That have been said, it means our nurses on the clinical area, are seeing patients who are older, sicker and have multiple co-morbid conditions than ever before. People who are in upper management when held low position long time ago, this were very different. Patient education was not reinforced as it is today, no epogen was given, no foot checks, patients assessment pre and post were different, kt/v, hgb , Bicarb, missed tx,pt's death,ect . Nurses did not use there stethoscope to evaluate patients. Many changes have take place, and many rules have been reinforced since the condition of coverage. State need to look into a nurse patient ratio for dialysis nurses. With today economy MBA's are using nurses and technician to work on unsafe conditions, and expect the best results. Less work was done for the safe amount of time, where now their are so many tasks involved with less time and more stress. The company does not care about how the work is done. As far as it is done... TAP... I understand productivity is the major part of today economy, however nurses can not do what they are asked to do on the time they taking care of very sick patients. TAP for state who have the ratio of 5:1, 4:1, and 3:1 is the same... how crazy is that. Cooperate office is aware of this, and the answer is," you guys who are doing 3:1 ratio, you have set up for a failure before you turn the light on in am to start up your this is one of TAP people in cooperate office lectures. Something has to give, which is patient care... which the company pretend to care about. It will be nice for cooperate to listen to the employee's who are working on the front line, or make a visit to different clinics to see how the work is safely done. Try to have undercover boss to see how clinical area unsafely run, or how managers, SW, RD, Technicians, are running with their heads cut off... Clinical documentation is poor/missed, or omitted because of rushing to complete the task and get out of the clock. What is happen Every week there is a new task to be completed... Web they fail to understand is patient care is in jeopardy... Company making enough profits to make changes to create safe working conditions. less
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Tanika June 13, 2013
This is Wordy the read! Glad to see a CM comment that truly understands what RNs do on the front lines in the facility!! Can't believe any CM with morals would want to stay with this company. I could never be a CM with this work people like dogs and don't care about their Unto Others! Keep this in mind as you are reading this to set the tone: Our unit has 90ish some patients total with no charge RN, high acuity of lot of w/c patients w/lots of co-morbids. 24 stations (first large unit=poor, rushed care), two full shifts, M-Sat clinic, starting time 6 am to 3:30 to 4 pm. Sometimes if we are "down in patients" our CM makes us decide which RN goes home of the outstanding work there is to do. There is always work left for the next day, so the RN starting out the next day is already behind the 8-ball because she not only has to finish up the work from the previous day but try to address the issues on her shift also. Two RNs work daily on the floor. We do a third check on all the patients . goals, Rx, bath, pass meds, pass protein supplements because they won't let the PCTs administer them, address acute problems with pts (and this may be quick or time-consuming), then sit down at ecube to check orders, lab alerts, update med checks and this is done monthly (in which our Medical Director always complains aren't done, but we can only be as good as the pts compliance with this in bringing their meds Also, we have quite a few nursing home pts and it takes time to review their MARs and make changes to ecube. We monitor PT/INRs, Dilantin/Dig levels, Vanco troughs, Gent troughs, and any other levels they want monitored (we do the PT/INRS, Dig/Dilantin levels as a courtesy! The cardiologist/neurologist will do it but we just do it because we're nice!..... isn't that we don't have ENOUGH TO DO!) ( I really think the Medical Director doesn't get the drift of all we do Then there are about 17 CIAs to work on for the month (with 3 RNs because one RN quit) in addition to a copious amount of foot checks because this is a large unit and 90% are diabetic. This is only "some" of the paperwork that we have to do! Also, 5-6 chart audits per month. We also do monthly medical justifications paperwork, access flow monitoring paperwork with appts scheduled at our access center for acute problems with access or poor access flow outcomes, in addition to completing the referral paperwork for that and faxing it. New patient education which we are to sign off saying we discussed cath care, infection control, emergency take-off, diet, etc with the patient which gets done haphazard because we don't have time. We also do scheduling for CTs having to do pre-authorizations at times with those. With no charge RN, we have to check on hospital discharges daily and obtain new orders from physicians or when the patient comes back they can't be put on the machine, sign consents with new admits and get them settled in. Schedule pts for blood transfusions at the local hospital (we have a few that are chronic Plus, get antibiotics hung at the correct time on the patients during their course of treatment during all the chaos and interruptions. We also pass Midodrine if it is ordered on patients mid-treatment, so we have to remember that also. Also, if a PCT yells at you which happens a lot if you don't have experienced staff, we have to be at their whim. They also yell out at you during changeover to "call the taxi, call the nursing home", etc. for the pt to be picked up. (They are stressed out too!) We have to correct problems with validation from the day before which sometimes aren't an "easy fix" and take some thought. At the end of the day we have to reschedule pt labs that weren't obtained from the PCTs for some reason, peel off stickers from the tubes and re-label them, that is, if our Zebra printer is working. And in a large unit, around MB time, there can be at least a dozen pres/post BUNs to reschedule/re-label and this is an ongoing thing until near the end of the month. We are constantly rescheduling labs/re-labeling tubes for no shows or missed d/t hospitalizations. Also, keep logs updated daily . water, temp logs, infection blood culture logs, rounding tool, hospitalization log, missed treatment log, extra treatment log, med expiration log-monthly, In addition, assist the PCTs on the floor during changeover by setting up machines, washing chairs, taking the pts to the BR, weighing assist patient d/t prolonged bleeding. All this and getting "nurse phone calls" ranging anywhere from "what time does my mom get off!" to "I am not coming in for dialysis today" to "I am from another local clinic and having problems what should I do?" to "I have an order to use an access, should I fax it or send it with the patient?" to "Could you fax HD orders with Hep B profile results to the hospital?" to I" want to discuss my mom's meds" to personal phone calls for the staff. We also do transplant referrals now because our social worker no longer does them. We also do potassium bath adjustments on every patient once monthly labs have been resulted as our medical director has established an algorithm for this and we also adjust biweekly per algorithm. Potassium bath adjustments are VERY, VERY time-consuming in itself on this many patients. It is VERY..... VERY difficult to get all of the paperwork done with everything that is required of the RN. All of this paperwork is very time consuming and with no charge RN what ends up happening is: First and foremost..... 1. The pts don't get the care they deserve! 2 .The quality of the paperwork and documentation is very poor because it is rushed, then our manager is critiquing it and asking why this, this and this wasn't done! 3. Poor morale, negativity, backbiting and high turnover because when the nurses sit down to actually do paperwork they must not "be busy" so they can take a patient to the BR that just happens to have to go. 4. Errors with orders, bath changes, antibiotic/trough order entrys, etc. because we get sooo many interruptions on the floor when we are trying to concentrate that it's not funny! I have to physically clock out and leave the building if I want an uninterrupted break, otherwise I get called to the floor all the time and never get an interrupted lunch! When is this company gonna wake up! Can't have a charge RN until we have at least 100 patients and maintain that amt for a while But instead of management understanding these things, they just push,,,,,push,,,,,,push...... and "it better be done and done with quality so you can get out the door!" Well, it will be done NOT with quality! We definitely need to do Undercover Boss! I would love to just keep pushing work at the ! ... and on and on it goes...moreless
Never thought this show would touch me so much!!!!!!!!!!!!
I watch this show every week, from the first time it has come on. I look at this show and it makes me cry every time at the endings to think their are such wonderful companies and businesses out that that really care and feel for their employees'. I being a very ill person, have lost my job a month ago due to my illness due to missing too many days, I am now paying 600.00 a month for COBRA just so I have it because I am in possible need of another surgery and my prescriptions on my own would cost me close to 1500.00 or more a month. It is hard with one income, but I am fighting to do what I must do to find another job hopefully one I can do out of my home on days when I am feeling sicker I can stay home and work there. Of course I have had no luck thus far. This show has really made an impression on me that their are people out there who owns businesses who really care for their employees. HOORAY for them. Dedication is a great payoff for someone who cares. Again, I LOVE THE SHOW>>>>moreless
Retro Fitness is one of the best episodes that I have ever seen. It rivals with American Idol & The Apprentice, because it rewards the winners and reprimands or fires the big losers. It was more realistic, because it showed that not all employees are to blame for bad morality in a company, and that management is not untouchable when they do not do their job right. I hope you will continue down this same path in the near future !moreless