Acid Vendors

The only other one I'm aware of is Fresenius and they're probably just as bad. Both want you to switch to dry acid mixing. A couple problems with that is the Rockwell mixer is a POS and $$$$$, and the Fresenius mixer isn't available and is probably $$$$ too.

On top of that, Rockwell gave us about a 2 weeks notice that all of our facilities were being switched from every other week deliveries to 1 per month. Our holding tanks don't have that kind of capacity so we had to make room to store drums. At one clinic a PD training room was partitioned to make half of it storage space. At another, a PD exam room was made into an office for the nurse manager so that her office could be used for storage. To top it off, we had to purchase a drum pump for each facility and teach clinical staff how to pump into the holding tanks. We got high speed pumps to minimize how long it takes (each drum takes about 2 minutes) but it still went over like a lead balloon.

Oh Rockwell... how you are the BANE of my existence. So I'm in Maryland like Chuck. They tried to move us from weekly to monthly as well. Since we use Fresenius for Dialyzers and Saline, I happily fired Rockwell and moved our Bicarb and Acid needs over to Fresenius. The savings from switching is almost 20k alone. They are not cheap though. I know our company is probably going to eventually move us over to the dry mix as well... I have the room in one facility, none in the other. The best thing with Fresenius is the fact its a weekly delivery and I don't have a minimum delivery weight requirement.