A Trip To a Nursing Home.
Perhaps a peak at the future for some? Simply Speaking what most perceive concerning nursing homes can go either way. Keeping in mond ofr those who love their family memebr or loved one that it can be a moment of fear for us and our loved ones. Concerned or worried about their being exploited and abused they left alone in a strange place. Also, one has to understand the premise here is you care. Sadly, a visit indicates the complete opposite in many cases. One left to die. Hey it is reality. Lets just say I do believe for the most part we all hope we never have to visit much less stay in a “nursing” home because of that underlying sense of fear.
So perhaps one may get lucky and find that one that is run by caring professionals? I believe that most fit somewhere in between good and bad. Will they ever meet our standards, most likely not but fundamentals are essential. So for most common sense says they serve a need. Are they necessary, of course. Do they provide a difficult service dealing with many complex issues many of us can’t cope with at home, certainly. Yet, at a time of most vulnerability, need, trust what can we expect for our loved ones whom we place in such facilities? This trip is intended to wake us up to reality. Accept if for what it is. The fact that multiple facilities were involved in a similar fashion is to me an indicator of major issues. Yet, overall service being fair to good if one had to rate it. The fact fair is even a consideration is to me a concern.
Now as I say we can understand in many cases this is the only hope or resort families have. None the less before I start let me say this, we should require our politicians to serve one week a year working as a CNA in a Nursing home of our choice. Perhaps then they would do what they profess they do and not readily sign their name as a witness to the facilities worthiness. Yes on the wall the appropriate politicians statements and signature plaques of how fine a facility it was. They met all the politicians standards, or I should say evidently the standards they professed to have identified or found sufficient.
Of course for many the outward appearance, like everything else in society today is key [The Easter Bunny] not the product, services or what is professed. It speaks better to people who just don’t know. Oh you have your loved one int hat beautiful place? Yet that of course does not necessarily portray the reality of life inside. Now we should not forget that the people working in these “facilities” defined as Nursing, which usually implies to ones mind the word care and professionals, may or may not be such? The exterior of the homes I speak to are really plush and modern. Clean and really beautiful as are the grounds. Like I stated, necessary to project a picture, perspective, to the customer, because you are the customer, no more, no less.
When you walk in you noticed the fine pallor area, or waiting room which ever you want to call it. The executive offices are neat, clean and not overly done, but tasteful. However, the true test begins when you open the door and walk down the corridors. Immediately one can tell you are not in a place you would want to be. The first thing that hits you is the very select oder in the air. It is not over powering just ever present. To that your loved one lives constantly. To the left and the right in rooms and wondering up and down the hallways are the patients. Some in varied states of mental duress, awareness or plain stupor, here and there a person who smiles gently others not knowing where they are they sit for hours upon hours, alone. They are there when you come and there when you depart. In many cases this can be expected in some you wonder.
Some of the staff provide a hello, but for the most part you go unnoticed. You can literally walk all about without one person stopping and saying can I help you, hello, good morning, etc? Yes and these facilities are by our very own government certified. As example,upon entering a room you notice someone eating, or tying to. The woman next to her half naked, looking into space, the food before her unnoticed and untouched. The other having difficulty has food and drink all over her, she is wet with it and tilted to one side, trying to eat with one arm the food falls off of the utencil. A woman comes in and you ask does anyone help these ladies eat? You get a garbled, response you hardly understand, spoken in broken English as you make out as someone will come along and encourage them to eat. Are you going to at least fix the one tilting? Someone will be right here. In fairness to her she was from the food department and cannot touch patients. The woman leaves and five minutes or so later someone comes and says to the woman staring into space do you want to eat? A low soft reply and the woman who came says out loud, no, ok, she picks up the food and leaves. No effort to try to feed or encourage. We then ask her position, CNA. Ok can you help this lady, OK and she does. No ask, no do. Then she says I’ll be back to change her a little later.
So after she leaves you wait awhile and you decide to test the system. You have seen that four days in a row no one has responded to the emergency light that alarms people of a potential patient problem. You press the bulb attached to the pillow and light the hall light and alarm. This is supposed to be answered within a specific set time by someone on the staff. Now failure to do so means they can be shut down or fined. Are we kidding, by who? So you wait and you notice nothing happens. You peak outside and you notice a nurse in the hall plods along at her duties never looking up or noticing the sound of the alarm and she is but a door away. You wait five more minutes and no one comes. You then decide to go look for someone to assist. You say nothing to the nurse who is still writing away in her logs. You pass two ladies at a desk a short distance up the hall, talking and laughing while the buzzer sounds in their ear. I say rather loudly where can I find the charge nurse? They look up quickly but continue their talking, no reply, oblivious to all but their conversation. You reach the center nurse station and two ladies are there. Both never look up but keep doing their thing.
Finally I say loudly excuse me but can you tell me where the directors office is and one nurse looks up and says, can I help you? I say no but do you know where the director’s office is? She says, I don’t know but calls to her adjacent worker, who still never looks up or acknowledges her. I move closer and say, loudly, never mind I’ll find the director and bring him or her back here. She then turns immediately and says, can I help? Needless to say she couldn’t tell me where the directors office was. How strange was that? As I say this and start to move in that direction the two ladies get up and run down the hall toward the alarm. Strange, I think not. Now as I later find out when they reach the room the nurse and two people are there. One of the who says to the nurse this lady hit the alarm and is complaining. My wife said, no just concerned, a difference. The nurse said to the other staff member where were you? She said busy. Enough said. The key, none responded.
So I wonder off and find the office. I go up to the desk and ask is the director available or the person in charge? I don’t know says the receptionist?. Now picture this, right behind her about 8 feet away is a man and I ask her what is the directors name. Mr, so and so. Is he in, oh I’ll have to check. She’t know, strange? Why not ask that man behind you? Oh that’s him, strange? Now he says, what can I do for you?. He was a just a half a room distance from me and could care less. By this time, I’m not too Christian about anything but I decided to try to be anyway.
May I have a moment of your time in private? What is it about? A question that really could be significant depending on how you answer it. Oh come right on in. I then proceed to ask him when a light goes on and the buzzer in the hall what is the staff supposed to do? Well he says they are, no matter who, to investigate if someone needs help or has an emergency, that is a priority. Oh is that so and within a specific time, right? Yes the state mandates that. They test that regularly. Oh you do and you pass each time? Yes we do. Well you failed the last four days in a row and if I were a Joint Commission person you would have a problem. Yes we would, I’m sorry to hear that there is always someone who is in range of the alarm who should respond.
I said no apology necessary but you need to resolve this problem because somebodies loved one just may die. He said he would take immediate action to correct that. Then he stated that they can’t seem to get good help and the government has cut back severely. I said then get out of the business because your not doing what you profess you do and do well. A little curt I’ll agree but I’m tired of seeing old people literally abused and with a smile.
Well needless to say we returned the next day and more of the same. In fact we went up the road to another facility and it was exactly the same and it was the same at the hospital’s these patients just left. perhaps these “inspectors” should have people they do not know just visit people and take notes. It seems these “inspectors” even though “unannounced” are well known.
So when people say don’t you think you need to put your loved one in a Nursing Home I say find me one that cares and does what they profess they do otherwise you really don’t know what your talking about. I will as long as possible strive not to place my loved one in a situation like that.
Yes and they [these professors and politicians] have a trillion to bailout the wealthy while someone’s loved one gets abused. Yes they can profess all they want to but their works go before them, what they do and yes fail to do. Now lets say this. Is it reasonable to expect a person cannot drop everything they are doing to run to the sound of every alarm. I can understand that is most likely not practical nor possible, yet what response is reasonable and what lack of response may be the difference between life, death or something else? Is it because they are old that those concerns are not significant? Well certainly you will hear not so, yet is it?
Well we can understand this is really a staffing issue. So here is the challenge. The next time your in a hospital, nursing home or care facility, check out when that light goes on, the response. Yes and make sure it isn’t just a one time chance but consistent. If you find it consistent then that is the place you want your loved one to be if necessary. You need to address it with the director. The patients advocate, well let me be kind, skip it. They mean well can’t do, another facade in my opinion by experience. Yes and if it really doesn’t matter to you because what choice do you have, in many cases none and yes fear steps in, so one can understand. My only question is why is that acceptable to us?
Sadly you may find that in any facility more think of what they do as just a job and if that is what they think about it then it is time they are replaced. As for staffing, I do believe we need some sort of legislation demanding our politicians serve in a CNA capacity for a week. Maybe our new president could get one passed so write him. I already have. Remember today your loved one perhaps tomorrow you?
So while we know there are some great places out there we must never forget and be vigilant that people are people and while all humans fail we must also consider when those failures become common it is time we all speak up. Yes. There are good places out there, but you need not accept mediocrity. Speak up, call Joint Commission, let them know you are informed. Be it your loved one or another we must all speak up and watch over them.
Robert T. Melaccio Sr. 2008 Copyright 2008 Robert Melaccio Sr.
A Thief Is A ThiefWrapped In Electronic Sheeps SkinJust The
A Thief Is A ThiefWrapped In Electronic Sheeps SkinJust The SameA Thief
You pass them everyday going to work, coming home from work, going out for lunch, running an errand, shopping for groceries, hard working people are engaged at earning a living to feed their families and provide shelter for their care. Many lead structured lives dropping children off for day care and then scurrying off to work and working a job that they may or may not like, but they are there and applying themselves to the task. Some get paid on Fridays; others are paid every two weeks, commission sales people are paid when they sell. The self-employed run their own businesses and many meet weekly payrolls. Whether, employed as an auto mechanic, a nurse, custodian, grocery check out, firemen, policemen, truck drivers, pilots, all are working hard throughout the country and all with a seeming bulls eye on their fore head screaming hit me here. Americans are one of the most productive work forces in the world. The American work force makes things happen. Much pride and satisfaction is achieved through work. Americans work hard for their money. That makes it tough when some scumbag decides to take their money with a slight of hand using the electronic cloak of a thief’s persona. Rationalizations are heard all the time from the convicted felons that the credit card companies make a lot of money and almost deserve to be ripped off. This uttered by a person who has not made the commitment to make and to perform an honest day’s work. Many cards have a $50 liability limit if the credit card Company is called right away. However, what happens when the credit companies are not called right away? Well, it depends on the card limit of course. Thieves have found a wrinkle around that by giving the cardholder a feeling of comfort using a slight of hand. This allows the thief time to run the card up. Again, rationalization abounds in this act. Acting in concert, the card is lifted and either sold for cash or used by the thief. A few examples follow: At a college intramural building a student was playing a pick up basketball game. He had carefully changed and placed his valuables in a locker with a key lock. After working out for two hours and racking up several outside three pointers the game was over. Upon returning to the locker room he discovered the locker to have been left ajar and not locked. Quickly checking his valuables, all the credit cards and cash were there and everything appeared in order. He thought it strange, but nothing was missing. Three days later, the credit card Company called and stated that several thousand dollars in purchases had been made on his card. He carefully looked at his wallet again and this time he pulled out all his credit cards and carefully looked at each one. Low and behold the cards had different names, although the same bank logo, and were all expired. So it appeared that the thief had broken into his locker and substituted some bogus cards and bought a few days to max out the cards in low dollar purchases to stay under the radar of detection. If he had called the credit card Company right away, the card would have been cancelled. Through use of the substitution with the bogus cards the thief was able to buy time to complete the ruse. Oh, because the theft was not reported right away, the cardholder was on the hook for most of the money. Americans work hard for their money.
A Nursing Home VS A Home Nurse
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A Nurse’s Career and What Hours To Expect
A nurse’s career is one that is in high demand. This career is well-worth the demands and the salary; however, a nurse’s career is not for everyone. If the person who is looking to enter the career of nursing is not self-motivated and can not stand for long periods of time, this is not the career choice for them.
Fast-Paced
A nurse’s career is fast paced and is a career that requires the person to be able to multitask effectively. If the person is not able to multitask, they may want to look at other career options or learn techniques that will help them handle more than one task at once.
You have to know how to do more than one thing at one time so that when you are in a setting where there is a large number of patients, you are able to keep up with them and their demands, especially if you are working in a hospital.
The Long Hours of a Hospital
When working inside of a hospital, a person who has chosen a nursing career will have to work long hours each day. For most hospitals, the shifts that a nurse must work are 12 hours long. During a 12-hour long shift, you will have a portion in the morning where you report to another nurse and a time in the evening when you must report to another nurse.
These nurses are the ones who are coming on and off their shifts. When reporting to this nurse, you will inform them of important events that took place regarding your patients. This is essential to making sure that the nurse coming on is aware of when medications were given and when they are next due.
The Regular Hours of a Doctor’s Office
If you are looking into a nurse’s career of working in a doctor’s office, your hours will be between 8-5. Most offices will give you a break for a lunch sometime in between as well as time off for breaks in the morning and in the afternoon.
The hours of each doctor’s office may be different from one to another and therefore, the times you will work will depend on the specific office of which you are employed.
The Shifts of a Nursing Home
A nurse’s career inside of a nursing home usually runs in shifts of eight hours. This means that you work a smaller number of hours than both a hospital or a doctor’s office; however, you may find that the pace is slower.
A nurse will have to walk with a patient if they want to go outside and this not only gives you a small break, but also an opportunity to leave your work environment when the group needs to go shopping.
There are so many different hours that can be worked as a nurse. It just depends on the setting of your job and what the employee policy is at your particular workplace. You simply have to choose the place that is right for you.
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A Neonatal Nurse Salary Can Increase Significantly Over Time
Since the 1960s, most hospitals in the United States have included a neonatal unit to care for babies in the first twenty-eight days of their lives. As a result, neonatal nursing has become an increasingly popular career path for people interested in the health care profession. A neonatal nurse salary varies depending on many factors, but there are always opportunities for it to increase over time.
On average, a neonatal nurse working in the United States can expect to make about sixty-three thousand dollars per year. However, in many cases, they make as little as forty-nine thousand dollars per year or as much as eighty thousand dollars per year. It all depends on their education, experience and the location of the hospital. For example, a neonatal nurse will make more in a metropolitan area than a rural area.
The level of education that a nurse has completed will have a significant impact on the salary that he or she is offered. Those who start on the lower end of the pay scale most likely have become certified by completing an Associates Degree in Nursing. Those who have a Bachelor of Science Degree in Nursing can expect to make significantly more money on their first day in the business.
It is important to keep in mind that a neonatal nurse and a neonatal nurse practitioner are not quite the same thing. A nurse practitioner has more responsibilities and must attend more school in order to become qualified to do their job. If a neonatal nurse would like to start earning a higher salary, they should consider returning to school and becoming a nurse practitioner.
After working in the profession for some time, many neonatal nurses feel that they are ready to teach those who are just entering the field. This gives them the opportunity to challenge themselves in a new way while staying within the line of work that they love. When they make the transition to teachers, many neonatal nurses begin earning as much as one hundred and ninety thousand dollars per year.
Becoming a neonatal nurse is a very rewarding career choice for many people because they have the opportunity to help babies start off their lives on a healthy foot. The average neonatal nurse salary rewards them for their efforts by providing a comfortable wage. Once they have worked in the field for some time, many neonatal nurses take advantage of opportunities to raise their base salaries significantly.
A Joke A Day Keeps The Doctor Away
John : What Newspaper do you subscribe to?Tim : I subscribe to The Morning Express. I love the news and it’s clean .John : What do you mean?Tim : It doesn’t publish “Obituary”.Traffic Police : Sir, we have no choice but to charge you for illegal parking.Driver : How much ?A dying businessman was confessing to his partner at his deathbed.” Bill, I am sorry.I cheated you of our firm $500,000 , I stole your profit sharing every year and I slept with your wife every time you went out of town. I am truly sorry for what I have done.”Bill : Don’t feel bad. It’s me who put the poison in your drink. Jay : Why you look so down and frustrated, are you not feeling well?Ann: Not me. It’s my Computer!If you have worked longer enough in the mental hospital, you will slightly get some side effect.Patient : Nurse, I swallowed a spoon just now.Nurse : never mind! You just lie down and make sure you don’t stir!Patient : Nurse, When I was playing my harmonica, I swallowed it.Nurse : Luckily you were not playing a piano!Patient : I swallowed a roll of film.Nurse : Don’t worry. Nothing serious will develop!Joan has 3 dogs. Each time when she goes out of town, she will call back home to check whether they are safe and sound. One day, Joan called home from another town.” Bob, are the babies okay ?”" Yeah! They are fine! ” answered her husband.” Oh! How I missed them. Do they miss me too?” cried Joan.” Not so sure! They didn’t say anything !” came the reply of her husband.Mary : Our dog is just like one of the family.Sue : Which one in the family do you mean ?Kat : I didn’t come here to be insulted!Fred : I know but where do you usually go?How do people write letters to themselves? They usually begin with ” Dear me…….”Pamela intends to put her little son full day to the Loving Care Center.” Your son needs a holiday break ? ” asks her friend.” No, it’s I who need a holiday. ” answered Pamela.She : I think I have seen your face somewhere.He : How weird!She : That’s exactly what I want to say.
A Caring Gesture
This one is new. Her touch is lighter and she hesitates before she lifts the blanket to look at what is left of me. I can not see her, of course. I haven’t seen any of the others, but I can identify them by their touch, their breathing, and the words they whisper without realizing it. Certainly this is a new one. She is not only new to my case, but probably new to nursing itself.
My name is Lynette. How are you tonight, Mrs. Herron? I’ll be taking care of you tonight. I’ll get you cleaned up and then we can relax and get acquainted.
She uses the first person, “I.” Very unusual. Most of the nurses use third person “How are we doing?” “Let’s get you cleaned up.” “Let’s take your vitals.” As if I were involved in any of it. But, this new nurse says, “I’ll get you cleaned up.” She realizes that I would not be wearing a diaper if I were capable of walking to the bathroom, or calling for a bedpan, or moving. A coma can be so restricting.
I know everything that has happened to me since I left the conscious world. I felt every tube as it was inserted into my body. Pain is no different for the comatose than for the conscious. We scream and cry when a nurse searches for a vein with the tip of a needle. Our cries don’t bother anyone, though. Coma patients learn to be stoic about pain, since no one is aware of it except us. Most nurses and doctors don’t even acknowledge it. Some don’t even say “Ready?” before an injection.
Wouldn’t it be funny if a bunch of coma patients could get together and compare notes on their care. We would have to do it telepathically, I suppose. I can just imagine it.
“Did you hear about Dr. Bailey and Nurse Jenkins?
“Hear about them. They were in my room! I heard every moan.”
“Some people can’t walk buy an empty bed, it seems”
“They did it right in your room.?”
“Yes, honey. Grow up. You’re not in the conscious world any more. No one is going to mind their manners around you. You’re a lamp, now; a coat rack.”
“Oh, lay off. The kid is new here. She still remembers her car accident.”
“I do remember. Why won’t they tell me what happened to my boyfriend?”
“I heard what happened.”
“You did? Tell me, please.”
“Well, I hope his head wasn’t your favorite part of him.”
“Hey, hey. If you can’t be nice why don’t you just wake up and go back to ICU?”
“Sor-rey. I’m sorry kid. I’m just a little cranky since my family stopped visiting.”
“They did! My family will never stop visiting me.”
“Wait until year 2 or 3 or 5.”
That’s how I imagine a typical conversation would go. No matter where it might begin, the every conversation would end up on the subject of visitors. They are the measure of wealth here in the state of the persistent vegetative state. A patient who has visitors, people who talk or read or even watch the patient’s TV, are the lucky ones. They even have a chance of waking up, or so the nurses say.
My family is all gone. My husband, brothers and sisters. All predeceased. My sons both live in Oregon. The older one raises sheep, and they require lots of care. Sheep are really stupid, and if someone doesn’t watch them, they will walk off a cliff, or in front of a truck, or something. So, my son and his wife stay home and care for their sheep. I guess if I made wool, she might pay some attention to me.
The other son made a career of the Navy. He’s on a ship somewhere. He used to send me the most beautiful scarves and purses from his travels. I wish I had one of those scarves here in the hospital. There was a deep blue paisley silk with gold threads throughout that I used to love. He brought it to me from Turkey. What would it hurt to have it wrapped around my neck? It would at least cover this ventilator tube and the tape criss-crossed over it. I might feel more human if I had that scarf. It still smells of Estee Lauder, I’ll bet; even after all these years. How nice to feel that delicious silk on my skin and smell flowers. How long has it been since I heard the whispering rustle of silk as I turned my heard to catch people looking at me.
If I had the scarf, the nurses would take it. I don’t mean steal it, but just put it away so they could do their job more easily. The nurses do work such long hours, and on their feet so much. I’m not unsympathetic of their hard work and fatigue. I just wish they might slow down, some times. Hold my wrist a few extra seconds when they take my pulse or let me listen to the little radios they all carry.
The new nurse is coming in again. That’s odd. I know her shift is over because the nurse who says “OK,” after everything she does has already been in to check on me. Why is the young one back?
Did you know it is snowing outside? My brother is late picking me up this morning, so I came in to sit with you. I hope that’s all right. It helps me not think about him driving on the dangerous slick streets.
Uh, sure. Help yourself. There’s an empty chair in here somewhere. Of course, you know that. You can see it.
Ah yes, the familiar sound of magazine pages being flipped. New Nurse is reading while she waits. She can probably see the parking lot from my window. That’s why she’s here. I’ve been in a coma long enough to know that she isn’t really in my room because of me. Her cell phone reception is probably better on this side of the floor. I may be unconscious, but I’m not stupid.
Here’s one about a family with twelve children. Two sets of twins and two sets of triplets. They have a show on television. Let’s see one set of twins is 10 years old. The other set is 8 years old. And the triplets are 6 and 4. My goodness: ten children under ten years old. I’d like to have children someday. One at a time, though. Oh, there’s my husband. Gotta go.
Oh now, listen to that. New Nurse is ripping a page out of the magazine. Taking coupons, no doubt, or a recipe to cook for her darling brother.
She’s still in the room. Why doesn’t she just go? Oh now she has put something on my pillow. That fragrance! Did I slip over into heaven? It’s the fragrance of magnolias and a fruity smell of some kind; pears maybe. New Nurse tore out the page with the perfume sample on it, and put it on my pillow. If my son ever came to visit, I swear I would wake up and introduce him to this sweet girl. Wouldn’t that be something!
A Career As A Travel Nurse
Travel nurses are healthcare professionals such as registered nurses or therapists who travel to various locations to work for certain portions of the year. They usually work up to four travel jobs per year. A travel nurse can work in any region in the United States and many International regions. Most nurses secure travel nursing jobs through a reputable travel staffing agency.
A career as a travel nurse can be personally and financially rewarding. Most people who have experienced life as a travel nurse say it is an exciting profession and a great way to earn a living. A travel nurse will enjoy living in new and exciting locations, reside in wonderful accommodations, and work in excellent hospitals. Other benefits include:
Travel Assistance: Most reputable travel nurse agencies will arrange such travel details as directions and maps. They should also have a 24-hour emergency hotline.
Great Pay: While on assignment, travel nurses are offered comprehensive packages consisting of excellent pay with many benefits and bonuses. Annual earnings for an RN travel nursing jobs can be as high as $110,000.
Your Facility Choice: Most travel nurse agencies have available jobs in all 50 states and at the highest ranking hospitals.
Free Private Housing: Housing accommodations are selected by travel nurse agencies for their excellent services and amenities that may include spas, swimming pools, and fitness centers.
Flexible Work Schedule: Many nurses choose a career as a travel nurse because the stress of a traditional hospital and medical jobs can be the result of long hours and increased physical demands. Travel nurses have more flexible work schedules. It is often much easier for a travel nurse to plan for special engagements and vacations
Free Health and Dental Insurance: Travel nursing agencies offer many free comprehensive health plans to meet all their clients needs. Dependents can also be covered at a nominal cost. Travel nurses can also receive supplemental insurance that provides income if they are unable to work as a result of a non-work-related illness. As well, professional liability insurance should be offered at no extra cost.
Work Protection Plan: A work protection program should be offered by a reputable travel nursing agency because it ensures that if a shift is cancelled, you will still be paid.
Travel Expenses Reimbursement: Most travel nursing agencies will provide travel allowance to nurses. Travel allowance may be given before you depart or as a reimbursement after you arrive.
Tax Advantage Plans: Tax laws allow full-time travel nurses to receive non-taxable credit for meals.
Licensure Reimbursement: Travel nurse agencies will reimburse nurses for their State Nursing Licensure fees for every travel assignment. They will also help travel nurses acquire a State Nursing License.
Auto Club Membership: Many travel nurse agencies offer a discount or free membership to the an auto club. Travel nurses will have access to roadside assistance, hotel discounts, rental cars, free trip routing with detailed directions and maps, emergency check cashing, and no fee travelers checks.
401(k) Plan: Travel nurses can enroll in a retirement 401(k) plan where a portion of their earnings will go into a retirement savings plan.
Free Course Upgrades: Many travel nursing agencies will provide free education courses so nurses can keep up with new technology and education.
Referral Bonuses: Travel nursing agencies will give bonuses to travel nurses who recruit other health professionals into their travel nurse program.
While the pay and bonuses of a career in travel nursing are very rewarding, travel nursing positions are highly sought after. It is important that you keep up with modern education and experience. There are hundreds of agencies that specialize in placing travel nurses. Registering with several agencies will increase your assignment choices. With the right planning and knowledge, you will discover great joy with a career as a travel nurse.
3 Things to Consider in Breastfeeding
Well, relax. While it is true that much of what a woman puts into her body does make its way into her milk, moms can use careful timing to their advantage. A mocha java or glass of rose quaffed right after a feeding will be all but metabolized in three to four hours, when the next nursing session rolls around, leaving little of anything that is potentially harmful in the mother’s system. So eat, drink, and be medicated within some easy-to-live-with guidelines.
Food
Contrary to breastfeeding folklore, there is no strict list of foods that nursing mothers must swear off. Women have been warned for generations to stay away from onions, garlic, broccoli, cabbage, and anything spicy, or suffer the consequences of a colicky, grassy baby. In fact, each baby responds differently to these foods, and the only way of knowing whether a particular item will cause trouble is by trial and error. Of course, if there are serious food allergies on either side of the family, it is wise to avoid those choices for a while. If your baby does end up fussy, think about what you have eaten. To find out which foods are causing the problems, eliminate all suspect foods, then reintroduce them one by one, monitoring your baby’s reaction. In addition, rather than banning the offending food altogether tries it in a few months. Babies do outgrow their intolerances.
Medications
Always check with your doctor and your child’s pediatrician before taking any over-the-counter or prescription medication. In many cases, doctors can recommend safe, effective alternatives.
In general, acetaminophen and ibuprofen are considered safe for lactating women, while aspirin usually is not recommended because it may cause side effects. Large doses of antihistamines could inhibit milk production and cause drowsiness in your baby; nose drops and vapor rubs, however, will not get into your breast milk.
When it comes to prescription drugs, the general rule is that any drug safe for a baby to take like antibiotic, ammoxicillin, can usually also be taken by a breastfeeding mom. Make certain, though, that the doctor prescribing medication knows that you are breastfeeding. These same goes for birth control pills: Minipills that contain only the lowest does of progestins, and the Norplant implant, which has even lower hormone levels, are considered safe. However, since the long-term effects of hormones on breastfed infants are not really known yet, barrier birth control methods are still the best choice.
Alcohol, Cigarette, and Caffeine
Until recently, having a beer or a cocktail was actually recommended as a way for moms to relax and help get their milk flowing. However, a recent study showed that infants consumed less milk when their mothers drank alcoholic drinks before nursing them; they also slept more often and for shorter period. As with guidelines for drinking during pregnancy, however, the debate rages on over how much is actually harmful. Though few studies have been done on the subject, medical experts believe that the benefits of breastfeeding far outweigh the risk of an occasional drink.
Moderation is also a key for smoking while breastfeeding. It would be best for nursing moms to kick the habit altogether, since a small amount of nicotine does pass into the breast milk, and babies whose mothers smoke are at risk for more respiratory infections caused by breathing second-hand smoke. Moms who just cannot kick the habit should limit themselves to as few cigarettes as possible a day, and smoke after rather than before feedings and never around the baby.
Small amounts of caffeine, too, pass into breast milk. It is been shown to cause irritability and poor sleeping patterns in infants. But rather than ongoing another nine months or longer without coffee it is recommended that nursing moms drink more than two cups a day – after feedings.
Why Should I Buy My Viagra through an Online Pharmacy
Why Should I Buy My Viagra through an Online Pharmacy
Things have changed in this world, and the biggest change, has come with the Internet, which has completely transformed the worlds shopping habits. Now that pharmaceuticals are available through the Internet, the practice of having to make a trip to the drugstore to get a prescription filled is rapidly becoming obsolete. The online pharmacy has replaced the corner druggist for many people, and for a variety of reasons, some of which are listed below.
1. Elimination of embarrassment. Many men, especially men who consider themselves too young to need Viagra in the first place, are often embarrassed to admit that erectile dysfunction (ED) has impacted their lives. Men used to deal with extreme embarrassment when quietly purchasing condoms from a person behind a pharmacy counter and preferably it was a man behind the counter, as buying condoms from a woman was the supreme embarrassment. So today, men who need a little help can experience awkwardness, or even shame, when picking up a Viagra prescription, again, especially from a female pharmacist. And for men who live in small towns, the awkwardness and embarrassment can be even worse. In a small drugstore in a rural town, theres no telling who a man might run into, and that person may, intentionally or inadvertently, spread the word that a certain guy was at the pharmacy for a little pick-me-up. Online prescription ordering of Viagra and other ED drugs can help eliminate the risk of such embarrassment.
2. Ease and convenience of purchase. When you order ED drugs like Viagra, and other medications, through an online pharmacy, you dont need to leave work early to make a trip to the drugstore, or make that extra stop on the way home after work, or wish you had stopped to pick up the drug when you need a little help at bedtime. These are just a few more of the benefits of online ordering, which was detailed to a House Committee by Janet Woodcock, M.D., Director, Center for Drug Evaluation and Research of the U.S. Food and Drug Administration, U.S. Department of Health and Human Services.
3. $aving$. Even if you have insurance, a doctors visit is seldom free, and most insurance plans wont cover the cost of erectile dysfunction drugs like Viagra. So between going through a doctors exam, paying the cost of the prescription, absorbing the cost of driving to a pharmacy at $4 a gallon, and maybe even losing income because of taking off work for a doctors appointment, obtaining medication the old way can be pretty expensive. But when you order online, many of these problems are eliminated. After you have been approved for an online prescription, a few clicks of a mouse will give you access to competitively-priced products without taking time from work to drive to a doctors appointment or pharmacist, and maybe losing money while you wait.
4. Security in ordering. Some guys are reluctant to use online ordering for fear of being hacked or having their financial or personal info stolen. But, in reality, this information can be stolen through a variety of means, and using a credit card in a store is certainly no guarantee of safety. A legitimate online pharmacy will use a number of security features that will ensure that your information will not be hacked, stolen or sold, and you have every right to inquire about these security measures before making your purchase.
Literally millions of products, from books to automobiles, are now safely and securely ordered over the Internet from thousands of legitimate, reputable companies. Why should it be any different with pharmaceuticals?
Author Resource Roger Grossman Health article author specializing in mens health issues. The author currently writes for a U.S. online pharmacy- http://www.edrugstore.md.
eDrugstore.MD is a leading U.S. online pharmacy with over eight years of experience offering FDA-Approved online prescriptions, at the lowest prices available on the internet. Buy Viagra online at eDrugstore.MD and learn about the benefits associated with buying prescription medications online. Visit their online pharmacy knowledge base at eDrugstore.md to learn more about safe online pharmacies.