DaVita is all about the bottom line. They will go for months without filling an opening because it increases their profit margin. PCT's are given work loads that make a budget but are not managable. So they have the RNs do PCT work to make up the difference and don't leave RNs time to do their own work. There is no budgeted time for admin work so it is supposed to be worked in with patient care. The environment is dog and dog and management looks the other way. It adds up to a bad deal for the employee and the patient.