Debbie Cote has been a nephrology nurse for 31 years; she currently works for the University of Virginia Health System as the Administrator for the Dialysis Program. She oversees 9, soon to be 11 chronic facilities, 4 home programs and 3 acute programs in Central Virginia. She actively volunteers her time for professional organizations. She is currently the President of NRAA, and a member of the Mid-Atlantic Renal Coalition’s Board of Directors. She is a Past President of the Nephrology Nursing Certification Commission and still actively participates in the development of certification exams.