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What is the average social worker/patient ratio and Dietician/patient ratio??
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There are no ratios for any staff in the federal ESRD regulations. Texas has set a maximum of 125 patients per FTE social worker in Title 25, Part 1, Chapter 117, Subchapter D, Section 117.41 Governing Body at$ext.ViewTAC?tac_view=4&ti=25&pt=1&ch=117.

The Council of Nephrology Social Workers has done several surveys of caseloads and salaries. The most recent one was published in the Journal of Nephrology Social Work in 2018. It compared 2014 to 2017. It's posted at You may not be able to access it if you're not a member. The abstract says, "In 2014 and 2017, the National Kidney Foundation Council of Nephrology Social Workers (NKF-CNSW) conducted online surveys of nephrology social workers employed in outpatient dialysis settings and transplant programs to assess caseload and salary trends at the state, national, and End-Stage Renal Disease Network levels. Between 2014 and 2017, the mean caseloads for outpatient dialysis social workers remained steady at 75 for those employed 20–31 hrs/wk, increased from 113.2 to 126.9 (up 12.1%) for those employed 32–40 hrs/wk, and increased from 116.1 to 129.5 (up 11.5%) for those employed 40 hrs/wk. Median caseloads showed a similar pattern between 2014 and 2017 for those employed 32–40 hrs/wk (110.0 to 120.0; up 9.1%) and for those employed 40 hrs/week (117.0 to 120.0; up 2.6%). Increases in mean hourly wage between 2014 and 2017 were also reported across all three employment status groups: $29.45 to $31.31 per hour (up 6.3%) for those working 20–31 hrs/wk, $28.23 to $30.62 per hour (up 8.5%) for those working 32–40 hrs/wk, and $28.21 to $30.48 per hour (up 8.0%) for dialysis social workers employed 40 hrs/wk.

Annual pre-transplant evaluations of potential donors increased between 2014 and 2017 for transplant social workers who were employed full time (32–40 hrs/wk) and those who worked 40 hrs/wk. Specifically, the mean number of potential donor evaluations increased from 22.1 to 33.8 (up 52.9%) for those employed 32–40 hrs/wk and 23.0 to 33.8 (up 46.9%) for those employed 40 hrs/wk. Pre-transplant evaluations of potential recipients decreased for those employed full-time (283.7 to 219.2, down 22.7%) and for those employed 40 hrs/wk (315.6 to 219.2, down 30.5%). Mean hourly wage data showed an increase for transplant social workers employed full time ($30.74 to $31.50, up 2.5%) and for those employed 40 hrs/wk ($28.74 to $31.03, up 7.9%). In general, increases in social work caseloads and increases in hourly wages were found on a national level; however, variability in mean caseloads and mean hourly wages across ESRD Networks and states persists."

I do not know the ratios for dietitians, but have heard that they are somewhat higher than social worker ratios. You might post a question in the dietitian forum.
Posts: 21 | Location: Overland Park, KS, USA | Registered: 07 June 1999Report This Post
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