#contract staffing of medical staff near me

[roshni99]

The labs, clinics and hospitals in the healthcare ecosystem are finding difficulty to bridge the last mile delivery gap.

We at RaphaCure, are happy to bridge the gap by providing qualified, trained and experienced Phlebotomist both for temporary and permanent staffing.

We are thus a One Stop Health and Wellness Provider for individuals, corporate and other health providers.

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[trioptus]

Exploring Healthcare Staffing Companies Near Me: A Comprehensive Guide

In today's dynamic healthcare landscape, the demand for qualified medical professionals is constantly on the rise. Healthcare facilities often face challenges in finding the right staff to meet patient needs while maintaining quality care standards. This is where healthcare staffing companies play a crucial role. For those seeking reliable healthcare staffing solutions in their vicinity, the search for "Healthcare Staffing Companies Near Me" can yield a plethora of options. In this comprehensive guide, we will delve into the world of healthcare staffing companies, exploring their functions, benefits, and how to choose the right one for your needs.

Healthcare Staffing Companies Near Me: What Are They?

Healthcare staffing companies, also known as medical staffing agencies, are specialized firms that connect healthcare facilities with qualified professionals such as doctors, nurses, allied health professionals, and administrative staff. These companies act as intermediaries, bridging the gap between healthcare providers and job seekers. By maintaining extensive networks of talented individuals and partnering with various healthcare institutions, staffing companies streamline the recruitment process, ensuring that healthcare facilities have access to skilled personnel when and where they are needed most.

The Role of Healthcare Staffing Companies:

Meeting Demand: One of the primary functions of healthcare staffing companies is to address the staffing needs of healthcare organizations efficiently. Whether it's filling temporary vacancies, providing permanent placements, or offering contract staffing solutions, these companies strive to ensure that healthcare facilities are adequately staffed to deliver optimal patient care.

Flexibility: Healthcare staffing companies offer flexibility to both employers and employees. For healthcare facilities facing seasonal fluctuations in patient volume or sudden staff shortages due to unforeseen circumstances, staffing agencies can quickly provide qualified replacements. Similarly, healthcare professionals seeking flexible work arrangements or opportunities in different locations can benefit from the diverse job options offered by staffing companies.

Specialization: Many healthcare staffing companies specialize in specific areas of healthcare, such as nursing, allied health, or administrative roles. This specialization allows them to better understand the unique staffing requirements of different healthcare settings, whether it's a hospital, clinic, long-term care facility, or home healthcare agency. By matching the right candidate with the right job, specialized staffing agencies contribute to improved patient outcomes and employee satisfaction.

Streamlined Recruitment Process: Recruiting qualified healthcare professionals can be time-consuming and resource-intensive for healthcare facilities. Healthcare staffing companies streamline this process by pre-screening candidates, verifying credentials, and conducting thorough background checks. This not only saves time and effort for employers but also ensures that only qualified candidates are presented for consideration.

Continuing Education and Training: In addition to recruitment services, some healthcare staffing companies offer continuing education and training opportunities for healthcare professionals. This can include workshops, seminars, and online courses designed to enhance skills, expand knowledge, and maintain compliance with industry standards and regulations. By investing in the professional development of their workforce, staffing companies contribute to the overall quality of healthcare delivery.

Choosing the Right Healthcare Staffing Company:

With numerous healthcare staffing companies operating in the market, selecting the right one can be a daunting task. Here are some factors to consider when evaluating healthcare staffing companies near you:

Reputation and Experience: Look for staffing companies with a solid reputation and extensive experience in the healthcare industry. Established firms with a proven track record are more likely to have established relationships with reputable healthcare facilities and a large pool of qualified candidates.

Specialization and Expertise: Consider whether the staffing company specializes in the specific type of healthcare professionals you need. For example, if you're looking for registered nurses, choose a company that has expertise in nursing recruitment. Specialized staffing agencies are better equipped to understand your unique staffing requirements and provide tailored solutions.

Credentialing and Compliance: Ensure that the staffing company adheres to strict credentialing and compliance standards. This includes verifying licenses, certifications, and background checks for all candidates. Compliance with industry regulations such as HIPAA (Health Insurance Portability and Accountability Act) is essential to protect patient privacy and maintain data security.

Quality Assurance: Inquire about the company's quality assurance processes and measures for evaluating candidate performance. A reputable staffing agency should have mechanisms in place to monitor the performance of placed professionals, address any issues that arise, and ensure ongoing satisfaction for both employers and employees.

Client Reviews and Testimonials: Take the time to read reviews and testimonials from other healthcare facilities that have worked with the staffing company. Positive feedback and endorsements from satisfied clients can provide valuable insights into the company's reliability, responsiveness, and overall service quality.

Conclusion:

In conclusion, healthcare staffing companies play a vital role in meeting the staffing needs of healthcare organizations and ensuring the delivery of quality patient care. By connecting healthcare facilities with qualified professionals, offering flexibility, specialization, and streamlining the recruitment process, staffing companies contribute to the efficiency and effectiveness of the healthcare system. When searching for "Healthcare Staffing Companies Near Me," consider factors such as reputation, specialization, compliance, quality assurance, and client feedback to choose the right staffing partner for your organization's needs. With the right healthcare staffing company by your side, you can access top talent and navigate staffing challenges with confidence.

[yourherocare]

Healthcare Staffing Agencies Near Me - Hero Care

What is healthcare staffing and its types?

Healthcare staffing refers to the process of recruiting, hiring, and placing qualified healthcare professionals into temporary or permanent positions within healthcare facilities. These facilities can include hospitals, clinics, nursing homes, rehabilitation centers, and other medical institutions. Healthcare staffing is essential to ensure that healthcare providers have an adequate number of skilled staff members to deliver high-quality patient care.

There are several types of healthcare staffing, each catering to different needs and situations within the healthcare industry:

Temporary or Travel Staffing: Healthcare facilities often experience fluctuations in patient numbers or unexpected staff shortages. Temporary or travel staffing involves hiring healthcare professionals on a short-term basis to fill these gaps. Travel healthcare professionals are typically licensed individuals who work in different locations on temporary contracts.

Per Diem Staffing: Per diem staffing refers to hiring healthcare workers on a day-to-day basis. These professionals are available to work on short notice and are paid per shift. Per diem staff is particularly common in nursing and other healthcare roles where flexibility in scheduling is crucial.

Contract Staffing: Contract staffing involves hiring healthcare professionals for a specific period, often several months to a few years. Contracts can be renewable or fixed-term, and these professionals work under a contract agreement specifying the duration and terms of their employment.

Permanent Placement: Healthcare staffing agencies also assist in permanent placements, where they help healthcare facilities find full-time employees for permanent positions. This process includes recruiting, screening, and matching candidates to the specific needs and requirements of the healthcare facility.

Locum Tenens: Locum tenens refers to a Latin phrase that means "to hold the place of." In healthcare, it refers to hiring licensed professionals (such as physicians) on a temporary basis to fulfill positions left vacant due to a physician's absence, whether it's due to vacation, illness, or other reasons.

Allied Health Staffing: Apart from nurses and physicians, healthcare facilities often require professionals like radiologic technologists, physical therapists, occupational therapists, and laboratory technicians. Allied health staffing agencies specialize in providing these types of professionals to healthcare institutions.

Healthcare staffing agencies play a vital role in managing workforce needs within the healthcare sector, ensuring that there are enough skilled professionals to deliver quality care to patients while offering flexibility to both healthcare workers and institutions.

[carloshealthcare]

Agency Nursing Companies Near Me

Keeping healthcare facilities like hospitals and nursing homes well-staffed is vital to their operations. When staffing companies find qualified nurses, they connect them with jobs at these health care facilities, making it easy for the nurses to get hired and for the facilities to have the staff they need when they need them. Those who are looking to become travel nurses or allied health professionals can use the services of these nurse staffing agencies to find the best opportunities in their field.

These agency nursing companies near me are known for providing excellent customer service and offering a comprehensive benefits package to their travelers. They also provide a wide range of nursing and allied health positions to choose from, including per diem, contract, and temporary-to-hire opportunities. These agencies are able to offer these opportunities due to the fact that they have relationships with health care providers who are constantly seeking additional nurses to help meet their needs.

One of the top travel nurse staffing companies is RN Network, which has more than two decades of experience in the industry. The company has an extensive job board and boasts a high rate of placement for its nurses. It offers the standard range of benefits, as well as a rare sick pay policy and short-term disability insurance. It also reimburses nursing license fees and partners with Aspen University to facilitate the quick completion of an associate or bachelor’s degree in nursing.

Another top travel nurse agency is TNAA, which provides a full-team approach to assist its travelers. This includes specialty staff that handle housing experts, clinical leadership, and more. The agency is also known for its low census pay, which allows nurses to work more hours if needed, and for covering or reimbursing nurses’ licensure fees before their first assignment. It has also partnered with Talkspace and Teladoc, which helps nurses with mental health issues.

The next top travel nurse company is Host Healthcare, which has a reputation for fostering great relationships between its recruiters and the healthcare professionals they place on assignments. The company is also known for its exceptional benefit packages, including health, dental, and vision coverage, and a generous housing stipend. It also has a unique COVID-19 quarantine pay policy and a 401(k) with a company match.

Other notable nurse staffing agencies include NuWest, which prides itself on its speed of deployment for new assignments. It has a smaller feel and a personal touch, but still offers competitive pay rates and standard benefits. Another top travel nursing agency is OneStaff Medical, which also has a dedicated team and claims to have a high placement percentage for its healthcare professionals. The company has a strong presence in the Southeast and is based in the United States. Its dedicated recruiters are known for building long-term relationships with their clients, and many of its clients have remained loyal to the firm for years. They are praised for their expertise and dedication to the field of healthcare.

Carol’s Healthcare is a specialised disability support and Aged Care in Homes or within or existing care facility. We not only provide essential respite for caregivers while offering NDIS Support Services in Sydney, but we also strive to increase our participants’ freedom so that they can achieve their full potential.

[deniscollins]

Nursing Homes Oust Unwanted Patients With Claims of Psychosis

What would you do if you were a nursing home employees and your boss tells you to evict unprofitable patients — primarily those who are poor and require extra care — by pouncing on minor outbursts to justify evicting them to emergency rooms or psychiatric hospitals. After the hospitals discharge the patients, often in a matter of hours, you are told to refuse them re-entry: (1) follow orders, (2) refuse to do so, (3) inform government regulators? Why? What are the ethics underlying your decision?

In a New York nursing home, a resident hurled a bingo chip. At a home in Georgia, a 46-year-old woman, paralyzed from the waist down, repeatedly complained that no one had changed her diaper. In a California facility, a patient threw tableware.

In all three cases, the nursing homes cited the incidents as a reason to send the residents to hospitals for psychiatric evaluations — and then to bar them from returning.

Across the United States, nursing homes are looking to get rid of unprofitable patients — primarily those who are poor and require extra care — and pouncing on minor outbursts to justify evicting them to emergency rooms or psychiatric hospitals. After the hospitals discharge the patients, often in a matter of hours, the nursing homes refuse them re-entry, according to court filings, government-funded watchdogs in 16 states, and more than 60 lawyers, nursing home employees and doctors.

The practice at times violates federal laws that restrict nursing homes from abruptly evicting patients.

“Even before the pandemic, there was tremendous pressure to get rid of Medicaid patients, especially those that need high levels of staffing,” said Mike Wasserman, a former chief executive of Rockport Healthcare Services, which manages California’s largest chain of for-profit nursing homes. “The pandemic has basically supercharged that.” He said homes often take advantage of fits of anger to oust patients, claiming they need psychiatric care.

About 70 percent of American nursing homes are for profit. The most lucrative patients are those on short-term rehabilitation stints paid for by private insurers or Medicare, the federal program that insures seniors and people with disabilities. Poor people on longer-term stays are covered by Medicaid, which reimburses nursing homes at a much lower rate than Medicare.

The financial incentive to have more Medicare or privately insured patients, and fewer on Medicaid, becomes more pronounced when the Medicaid patients have illnesses, like dementia, that require extra care from staff.

Nursing homes have faced acute staff shortages as the coronavirus has left employees sick or afraid to go in to work. Workers said they faced increased pressure from their employers during the pandemic to get rid of the most expensive, least lucrative patients.

Invoking psychiatric problems is a popular tool. Nursing homes routinely admit patients with dementia, Alzheimer’s or similar illnesses, and angry outbursts are common.

In March, the Rehabilitation Center of Santa Monica, Calif., sent Joan Rivers, who suffered from dementia and was on Medicaid, to the emergency room at USC Verdugo Hills Hospital. The nursing home’s staff said Ms. Rivers, 87, had tossed aside her chair, scaring other residents, according to her daughter, Evon Smith, and a government-funded watchdog.

Within 24 hours, the hospital cleared her for discharge.

Ms. Smith said that she had repeatedly asked the Rehabilitation Center to take her mother back, but that it had refused. A social worker at Verdugo Hills said she, too, had tried unsuccessfully to get the nursing home to readmit Ms. Rivers.

Linda Taetz, the chief compliance officer at Mariner Health Care, which operates the Rehabilitation Center and 19 other nursing homes in California, said the center hadn’t known that Ms. Rivers wanted to return.

Ms. Rivers eventually was admitted to the Colonial Care Center nursing home in Long Beach, Calif. There, she contracted Covid-19. She died on July 20.

Federal law requires nursing homes to follow strict guidelines when they intend to evict someone: They must give 30 days’ notice and come up with a plan to transfer the resident to a facility that can meet his or her needs. If a resident goes to a hospital, the facility must hold the bed for a week.

But nursing homes frequently flout these rules, according to employees and state-funded ombudsmen who help oversee the industry. The New York Times reported in July that nursing homes were evicting an increasing number of low-income — and therefore low-profitability — residents into homeless shelters and run-down motels, apparently in violation of federal law.

There is no national data on nursing home evictions. The Times contacted ombudsmen in all 50 states. Some said they had not seen nursing homes dumping patients in hospitals during the pandemic. But in 16 states, including California, Texas and New York, ombudsmen said the problem was continuing. Some said they believed it was getting worse.

“We have been seeing these kinds of illegal discharges all the time, because nursing homes seem to have figured out that they will rarely, if ever, be penalized,” said Alison Hirschel, senior legal counsel to the Michigan ombudsman program. “It’s devastating for residents and their families all the time, but especially horrible and dangerous during a pandemic.”

Medicaid patients who require lots of staff attention “have a target on their back,” she said.

The problem predates the pandemic.

Gloria Single was a resident of the Pioneer House nursing home in Sacramento. She had dementia and pulmonary disease and was on California’s version of Medicaid. Pioneer House was receiving about $400 a day for her care.

In 2017, Ms. Single got upset and threw utensils, according to a lawsuit against Pioneer House filed in state court by Ms. Single’s lawyer. The nursing home called 911, and Ms. Single was taken to a hospital for an involuntary psychiatric hold, in which patients are held until they are determined not to be a danger to themselves or others. The hospital determined later that day that there was nothing wrong with Ms. Single aside from her pre-existing dementia.

But Pioneer House would not let her return. The California Department of Health Care Services concluded that Pioneer House had violated the law and ordered it to let her go back. The home still refused. After about five months at the hospital, Ms. Single was moved to another nursing home. She died last year.

“You can get $1,000 extra a day by getting rid of the Gloria Singles of the world and replacing them with someone on Medicare,” said Matthew Borden, Ms. Single’s lawyer.

John Supple, a lawyer for the Retirement Housing Foundation, which operates Pioneer House, said that its medical director had deemed the home unsuitable for Ms. Single’s medical needs and that Pioneer House had never received the medical records it needed to readmit her. (Ms. Single’s lawyer disputes that. The lawsuit is ongoing.) Mr. Supple said Pioneer House had held Ms. Single’s bed for months and had not replaced her with a Medicare patient.

During the pandemic, nursing homes in Illinois and Michigan have repeatedly sent elderly and disabled Medicaid patients to NeuroBehavioral Hospital in Crown Point, Ind., said Kimberly Jackson, a discharge planner at the psychiatric hospital. In one case, a resident who yelled at a staff member was branded as being violent and having a psychotic break.

“The homes seem to be purposely taking symptoms of dementia as evidence of psychosis,” Ms. Jackson said. (Christy Gilbert, the chief operating officer of the hospital’s parent company, said instances when nursing homes dumped patients in her company’s hospitals were “very few and far between.”)

In June, Life Care Center of Plainwell, Mich., sent Nicki Safapour, a Medicaid patient who needs a wheelchair, to NeuroBehavioral Hospital. Because of a developmental disability, Mr. Safapour, 55, has the mental capacity of a 5-year-old, according to his brother John, who is his legal guardian. He said Life Care had told him that Mr. Safapour assaulted an employee and another resident.

A state health inspector later determined that the discharge was illegal, according to a copy of the inspector’s report reviewed by The Times.

“It seemed like they were just trying to get rid of Nicki,” John Safapour said. “He took up a lot of staff time.”

A spokesman for Life Care, Davis Lundy, said that privacy rules prohibited him from discussing Mr. Safapour’s case, but that Life Care had a significant number of residents on Medicaid and that “we never discharge patients based on their payer source.”

The families of some evicted patients have had to take them into their homes, although they lack the training or equipment to care for them.

In June, Connie Rodina got a phone call from the Richmond Healthcare and Rehabilitation Center in Richmond, Kan. Her 63-year-old brother, Jon Fowler, who suffers from mental illness and dementia, had hit another resident. Ms. Rodina, her brother’s guardian, was told that she needed to pick him up immediately.

By the time Ms. Rodina arrived, Mr. Fowler was already being transported to an emergency room. The hospital was ready to discharge him a couple of days later, after treating him for a urinary tract infection. Ms. Rodina said Richmond Healthcare wouldn’t take him back.

“You can’t just put somebody out like that,” said Camille Russell, a regional ombudsman who filed a complaint against the facility with the Kansas Department for Aging and Disability Services. The complaint is pending, she said.

Ms. Rodina couldn’t find another nursing home that would admit Mr. Fowler, who needs near-constant care. After her brother had been in the hospital for weeks, she reluctantly moved him into her home.

“It’s basically taken my life away from me,” Ms. Rodina said. “It’s impossible for me to care for him.”

Representatives of Richmond Healthcare didn’t respond to requests for comment.

In some cases, nursing homes have ignored orders from regulators to take back patients they sent to emergency rooms or psychiatric hospitals.

Charles Borden, a stroke victim with dementia, had been staying at the skilled nursing facility at Tahoe Forest Hospital in Truckee, Calif. Medicaid was covering his long-term stay. But in April, after Mr. Borden elbowed a nursing assistant and cursed at her, the nursing home sent him to the hospital’s emergency room for a psychiatric evaluation.

Within hours, the emergency room cleared Mr. Borden to return to the nursing home. But it wouldn’t take him back, according to court records. (While the nursing home and the main Tahoe Forest hospital share a campus and are owned by the same organization, the nursing home is financially independent from the hospital.)

Later that day, the nursing home dropped off all of Mr. Borden’s possessions at the E.R. and moved another resident into the room that Mr. Borden had shared with his wife, Beverly.

Two days later, on April 22, Mr. Borden’s son appealed the decision to California’s health care agency. It determined that the nursing home was legally required to take Mr. Borden back. The nursing home refused.

The state agency said it had no authority to force the nursing home to let Mr. Borden return, aside from fining it $50 for every day it refused.

Matt Mushet, a lawyer for the nursing home, said it “is committed to the optimal safety of all patients and team members.” He said that he couldn’t comment on Mr. Borden’s case but that “it’s important for the public to understand there is more than one side to this story.”

Mr. Borden has spent the past five months marooned in the hospital. His dementia makes it hard for him to understand what is going on, his son said, but Mr. Borden asks every day to see his wife.

[bellboy905]

Trump now fancies himself a “wartime president.” How is his war going? By the end of March, the coronavirus had killed more Americans than the 9/11 attacks. By the first weekend in April, the virus had killed more Americans than any single battle of the Civil War... On the present trajectory, it will kill, by late April, more Americans than Vietnam. Having earlier promised that casualties could be held near zero, Trump now claims he will have done a “very good job” if the toll is held below 200,000 dead.

[...]

That the pandemic occurred is not Trump’s fault. The utter unpreparedness of the United States for a pandemic is Trump’s fault. The loss of stockpiled respirators to breakage because the federal government let maintenance contracts lapse in 2018 is Trump’s fault. The failure to store sufficient protective medical gear in the national arsenal is Trump’s fault. That states are bidding against other states for equipment... is Trump’s fault. Air travelers summoned home and forced to stand for hours in dense airport crowds alongside infected people? That was Trump’s fault too. Ten weeks of insisting that the coronavirus is a harmless flu that would miraculously go away on its own? Trump’s fault again. 

[...]

For three years, Trump has blathered and bluffed and bullied his way through an office for which he is utterly inadequate. But sooner or later, every president must face a supreme test... that cannot be evaded by blather and bluff and bullying. That test has overwhelmed Trump... He is failing. He will continue to fail. And Americans are paying for his failures.

The coronavirus emerged in China in late December. The Trump administration received its first formal notification of the outbreak on January 3. The first... person known to have succumbed to COVID-19... in the United States died on February 29. The 100th died on March 17. By March 20, New York City alone had confirmed 5,600 cases. Not until March 21, the day the U.S. Department of Health and Human Services placed its first large-scale order for N95 masks, did the White House begin marshaling a national supply chain to meet the threat in earnest. 

[...]

Those were the weeks when testing hardly happened, because there were no kits. Those were the weeks when tracing hardly happened, because there was little testing. Those were the weeks when isolation did not happen, because the president and his administration insisted that the virus was under control. Those were the weeks when supplies were not ordered, because nobody in the White House was home to order them. Those lost weeks placed the United States on the path to the worst outbreak of the coronavirus in the developed world.

[...]

Through the early weeks of the pandemic, when so much death and suffering could still have been prevented or mitigated, Trump... made two big wagers. He bet that the virus could somehow be prevented from entering the United States by travel restrictions. And he bet that, to the extent that the virus had already entered the United States, it would burn off as the weather warmed. Those two assumptions led him to conclude that not much else needed to be done. 

[...]

On January 18, Trump (on a golf excursion in Palm Beach, Florida) cut off his health secretary’s telephoned warning of gathering danger to launch into a lecture about vaping... Two days later, the first documented U.S. case was confirmed... Yet even at that late hour, Trump continued to think of the coronavirus as something external to the United States... In a January 22 interview with CNBC’s Squawk Box, he promised:

We have it totally under control. It’s one person coming in from China. We have it under control. It’s going to be just fine.

Trump would later complain that he had been deceived by the Chinese. “I wish they could have told us earlier about what was going on inside,” he said on March 21. “We didn’t know about it until it started coming out publicly.”

If Trump truly was so trustingly ignorant as late as January 22, the fault was again his own. The Trump administration had cut U.S. public-health staff operating inside China... from 47 in January 2017 to 14 by 2019, an important reason it found itself dependent on less-accurate information from the World Health Organization. In July 2019, the Trump administration defunded the position that embedded an epidemiologist inside China’s own disease-control administration, again obstructing the flow of information to the United States.

[...]

On January 31, the Trump administration at last did something: it announced restrictions on air travel to and from China by non-U.S. persons. This... has become Trump’s most commonly proffered defense of his actions. “We’ve done an incredible job because we closed early,” Trump said on February 27. “We closed those borders very early, against the advice of a lot of professionals, and we turned out to be right. I took a lot of heat for that,” he repeated on March 4. 

[...]

Because Trump puts so much emphasis on this point, it’s important to stress that none of this is true. Trump did not close the borders early. In fact, he did not truly close them at all... The ban applied only to foreign nationals who had been in China during the previous 14 days, and included 11 categories of exceptions. Since the restrictions took effect, nearly 40,000 passengers have entered the United States from China, subjected to inconsistent screenings.

[...]

A few days after the restrictions went into effect... Trump’s impeachment trial ended with his acquittal in the Senate. The president, though, turned his energy not to... the virus, but to the demands of his own ego. The president’s top priority through February... was to exact retribution from truth-tellers in the impeachment fight... Late on the evening of April 3, Trump fired... Michael Atkinson, the official who had forwarded the Ukraine whistleblower complaint to the House and Senate Intelligence Committees, as the law required. 

[...]

Intentionally or not, Trump’s campaign of payback against his perceived enemies in the impeachment battle sent a warning to public-health officials: keep your mouth shut. If anybody missed the message, the firing of Captain Brett Crozier... for speaking honestly about the danger facing his sailors was a reminder... The president’s lies must not be contradicted. And because the president’s lies change constantly, it’s impossible to predict what might contradict him.

[...]

Throughout the crisis, the top priority of the president, and of everyone who works for the president, has been the protection of his ego. Americans have become sadly used to Trump’s blustery self-praise and his insatiable appetite for flattery. During the pandemic, this psychological deformity mutated into a deadly strategic vulnerability for the United States.

For three-quarters of his presidency, Trump has taken credit for the economic expansion that began under... Barack Obama in 2010. That expansion accelerated in 2014, just in time to deliver real prosperity over the past three years. The harm done by Trump’s own initiatives, and especially his trade wars, was masked by that continued growth. The economy Trump inherited became his all-purpose answer to his critics. Did he break laws, corrupt the Treasury, appoint cronies, and tell lies? So what? Unemployment was down, the stock market up.

Suddenly, in 2020, the rooster that had taken credit for the sunrise faced the reality of sunset. He could not bear it.

Underneath all the denial and self-congratulation, Trump seems to have glimpsed the truth. The clearest statement of that knowledge was expressed on February 28... at a rally in South Carolina... Somebody in his orbit seemed to already be projecting 35,000 to 40,000 deaths from the coronavirus... and his answer to that estimate was, “So far, we have lost nobody.” He conceded, “That doesn’t mean we won’t.” But he returned to his happy talk. “We are totally prepared.” And as always, it was the media's fault. “You hear 35 and 40,000 people and we’ve lost nobody and you wonder, the press is in hysteria mode.”

By February 28, it was too late to exclude the coronavirus from the United States. It was too late to test and trace, to isolate the first cases and halt their further spread... It was too late to refill the stockpiles that the Republican Congresses of the Tea Party years had refused to replenish, despite frantic pleas from the Obama administration. It was too late to produce sufficient ventilators in sufficient time.

But... it was still not too late to arrange an orderly distribution of medical supplies to the states, not too late to coordinate with U.S. allies, not too late to close the Florida beaches before spring break, not too late to bring passengers home from cruise lines, not too late to ensure that state unemployment-insurance offices were staffed and ready, not too late for local governments to get funds to food banks, not too late to begin social distancing fast and early. Stay-at-home orders could have been put into effect on March 1, not in late March and early April.

So much time had been wasted by the end of February. So many opportunities had been squandered. But even then, the shock could have been limited. Instead, Trump and his inner circle plunged deeper into two weeks of lies and denial, both about the disease and about the economy... As late as March 9, Trump was still arguing that the coronavirus would be no worse than the seasonal flu... But the facade of denial was already cracking... The overwhelmed president responded by doing what comes most naturally to him at moments of trouble: he shifted the blame to others.

The lack of testing equipment? On March 13, Trump passed that buck to the Centers for Disease Control and Prevention and the Obama administration. The White House had dissolved the directorate of the National Security Council responsible for planning for and responding to pandemics? Not me, Trump said... Maybe somebody else in the administration did it, but... “I don’t know anything about it.” Were ventilators desperately scarce? Obtaining medical equipment was the governors’ job... Did Trump delay action until it was far too late? That was the fault of the Chinese government for withholding information... On March 27, Trump attributed his own broken promises about ventilator production to General Motors... Masks, gowns, and gloves were running short only because hospital staff were stealing them, Trump suggested on March 29... Were New Yorkers dying? On April 2, Trump fired off a peevish letter to Senate Minority Leader Chuck Schumer: 

If you spent less time on your ridiculous impeachment hoax, which went haplessly on forever and ended up going nowhere (except increasing my poll numbers), and instead focused on helping the people of New York, then New York would not have been so completely unprepared for the “invisible enemy.”

Trump’s instinct to dodge and blame had devastating consequences for Americans. Every governor and mayor who needed the federal government to take action, every science and medical adviser who hoped to prevent Trump from doing something stupid or crazy, had to reckon with Trump’s psychic needs as their single biggest problem.

[...]

The federal response has been dogged by suspicions of favoritism for political and personal allies of Trump. The District of Columbia has seen its requests denied, while Florida gets everything it asks for. The weeks of... denial and delay have triggered a desperate scramble among states. The Trump administration is allocating some supplies through the Federal Emergency Management Agency, but has made the deliberate choice to allow large volumes of crucial supplies to continue to be distributed by commercial firms to their clients... In his panic, Trump is sacrificing U.S. alliances abroad, attempting to recoup his own failure by turning predator. German and French officials accuse the Trump administration of diverting supplies they had purchased to the United States. On April 3, the North American company 3M publicly rebuked the Trump administration for its attempt to embargo medical exports to Canada, where 3M has operated seven facilities for 70 years. Around the world, allies are registering that in an emergency, when it matters most, the United States has utterly failed to lead.

[...]

As the pandemic kills, as the economic depression tightens its grip, Donald Trump has consistently put his own needs first... He has never tried to be president of the whole United States, but at most 46 percent of it, to the extent that serving even the 46 percent has been consistent with his supreme concerns: stealing, loafing, and whining. Now he is not even serving the 46 percent. The people most victimized by his lies and fantasies are the people who trusted him... who harmed themselves to prove their loyalty to Trump. 

[...]

In the past, Americans could at least expect public spirit and civic concern from their presidents. Trump has mouthed the slogan “America first,” but he has never acted on it. It has always been “Trump first.” His business first. His excuses first. His pathetic vanity first.

[...]

He has taken so much that does not belong to him, that was unethical and even illegal for him to take. But responsibility? No, he will not take that. Yet responsibility falls upon Trump, whether he takes it or not. No matter how much he deflects and insults and snivels and whines, this American catastrophe is on his hands and on his head.

[kindcare]

Kind Care Healthcare Staffing Agencies Near Me –One-Stop Solution For Your Worry

Are you concerned about staffing support for your beloved one? Then we can say that you are in the right place. The US-based medical agency named Kind care offers satisfactory service to all of its patients.  It removes all of your worries and tension.  Reliability, quality, and value all are available in kind care. 

They fully justify their name “kind”, care”. They know how compassionate the medical staff should be to look after patients. Apart from offering trained nurses, and medical professionals, they are sincere and kind to their employees also.

Why kind care is one of the reputed medical agencies in Indiana

Culture

Company culture is crucial for developing an agency. Their goal is to fulfill all requirements of every patient.  The healthcare staffing agencies near me meet all additional medical staffing demands for patients' needs.  All the staff in kind care work hard to fulfill its mission. The goal of this healthcare agency is the betterment of its service.  Since they are committed to each patient to offer the best service, the staff try their level best to do their job for better outcomes. 

The clients as team players ensure compassion for all patient's experiences and support staff. With the help of a certified nursing assistants and medical staffing agency, it sets a standard and enhances facilities' morale so that every patient's requirements are fulfilled. 

Administration 

Kind care is not running their business only for profit making. They test their employee's credibility for the safety of patients. This agency keeps records of their staff and upkeeps newly entered professionals. 

Quality Service Offered 

Kind care is determined to give you the best quality services.  Before employing health care professionals, it checks their educational qualifications. Most importantly we say that they offer jobs only to those who have licensed practical nurses, qualified medication aides, and registered nurses. Apart from this, it provides full-service staffing solutions such as term contracts, temp-to-temp, and permanent hires. 

They stress kindness in the care of patients.  The caregivers treat every patient with the respect and dignity they deserve.  Every patient wants a homely atmosphere for treating their issue. The staff give a feeling of home while giving care to their patients.

Taking Care of The Needs of Employees

Kind care never neglects the comfort of their hired professional. Their main motto is to offer quality service to their patients. Taking care of the needs of professionals is very crucial so that they maintain a healthy work-life balance.  They are given the facility of flexible working hours, suitable locations, premium pay, etc. 

Education Program Launched for Aspiring Medical Professionals 

Kind care gives opportunities to aspiring healthcare professionals for CNA certification courses so they can uplift their careers and improve their service in the field of medical science. In addition, kind care offers many lucrative job opportunities to qualified health care practitioners. 

Kind care is moving further along with noble objectives.  It serves the educational purpose of philanthropy. Their main aim is to serve better with sincere effort, compassion and kindness. So that the entire community goes further with each other united.  Kind care became successful in making many new avenues in charitable actions through several initiatives and campaigns.

Conclusion 

Those who are curious to know about the services, and facilities given for health care, can communicate with the medical care staffing support system. They are open 365 days a year. They are available five days a week (Monday-Friday) between 9 am-5 pm. You can send them mail here at kindpeople@kindcare.org. Feel free to call their number +866–627–8233  for further details.

[trioptus]

Healthcare Staffing Companies Near Me - Your Guide to Finding the Right Medical Professionals

When it comes to our health, we all want the best care possible. Whether it's for a routine check-up or a critical medical emergency, having well-trained and skilled healthcare professionals by our side is crucial. But how can we find the right healthcare professionals near us? That's where healthcare staffing companies come in. In this article, we will explain what healthcare staffing companies are, how they work, and why they are essential for ensuring quality healthcare services. Moreover, we will provide you with a comprehensive list of frequently asked questions to help you make informed decisions.

What are Healthcare Staffing Companies?

Healthcare staffing companies are specialized agencies that connect healthcare facilities, such as hospitals, clinics, and nursing homes, with qualified medical professionals. These professionals may include doctors, nurses, medical assistants, therapists, and other allied healthcare workers. The primary purpose of these agencies is to bridge the gap between healthcare providers in need of staff and skilled medical professionals seeking employment opportunities.

How Do Healthcare Staffing Companies Work?

Healthcare staffing companies maintain a vast database of healthcare professionals with diverse skills and qualifications. When a healthcare facility requires additional staff due to increased patient load, staff vacations, or temporary shortages, they contact a staffing agency. The agency then matches the specific requirements of the facility with suitable professionals from their database.

Advantages of Healthcare Staffing Companies

Quick Access to Qualified Professionals: Healthcare staffing companies can quickly provide healthcare facilities with the right professionals, saving valuable time and ensuring seamless patient care.

Flexible Staffing Solutions: These agencies offer temporary, permanent, part-time, or even contract-based placements, providing healthcare facilities with the flexibility they need.

Expertise in Recruitment: Staffing agencies are skilled at screening candidates, verifying their qualifications, and conducting background checks, ensuring that only the most qualified individuals are sent to healthcare facilities.

Reducing Overhead Costs: Hiring through a healthcare staffing company eliminates the costs associated with the traditional recruitment process, such as advertising, conducting interviews, and onboarding.

Specialized Focus: Healthcare staffing companies understand the unique requirements of healthcare facilities and can supply professionals with specific expertise in various medical fields.

How to Find Healthcare Staffing Companies Near Me?

Finding healthcare staffing companies near you is now easier than ever. Here are some simple steps to help you locate the right one:

Internet Search: Perform a quick online search using keywords like "healthcare staffing companies near me" to generate a list of options in your area.

Ask for Referrals: Seek recommendations from friends, family, or colleagues who may have experience working with healthcare staffing agencies.

Check Online Reviews: Read reviews and testimonials from both healthcare facilities and professionals who have used the services of the staffing company.

Verify Credentials: Ensure that the agency is accredited and licensed, and its healthcare professionals are appropriately certified and licensed.

Frequently Asked Questions (FAQs)

What types of healthcare professionals can I find through staffing companies?

Healthcare staffing companies can provide various professionals, including doctors, nurses, medical assistants, radiologic technologists, physical therapists, and more.

How do staffing companies verify the qualifications of healthcare professionals?

Staffing companies rigorously verify the credentials, licenses, certifications, and work experience of the healthcare professionals in their database.

Can I request temporary staff through a healthcare staffing company?

Yes, you can request temporary staff through these agencies, ideal for managing short-term staffing needs.

Are healthcare staffing agencies only for large hospitals, or can smaller facilities also benefit?

Healthcare staffing companies cater to facilities of all sizes, from large hospitals to small clinics and nursing homes.

Can I hire a healthcare professional for a permanent position through a staffing company?

Absolutely! Healthcare staffing agencies offer permanent placement services for healthcare facilities looking to fill long-term positions.

How quickly can I expect to get a replacement staff member if someone goes on leave unexpectedly?

The timeframe varies depending on the agency and the specific requirements, but staffing companies aim to provide replacements as quickly as possible to avoid disruptions in patient care.

Are healthcare professionals employed by the staffing agency or the healthcare facility?

Healthcare professionals are typically employed by the staffing agency and are sent to work at the healthcare facility as contracted employees.

Do I need to pay anything as a healthcare professional seeking employment through a staffing company?

No, healthcare professionals seeking employment through staffing companies are not required to pay any fees. The agency charges the healthcare facility for their services.

What advantages do healthcare professionals gain by working through staffing companies?

Healthcare professionals benefit from flexible work schedules, exposure to diverse healthcare settings, and the opportunity to explore different specialties.

Are healthcare staffing companies responsible for training their employees?

Staffing companies focus on hiring qualified professionals. While they may provide orientation for the healthcare facility's specific requirements, continuous training and development are typically the responsibility of the facility.

Can healthcare staffing companies place professionals in non-clinical roles?

Yes, staffing agencies can supply professionals for administrative, managerial, and other non-clinical roles within healthcare organizations.

What measures do healthcare staffing companies take to ensure patient safety?

Staffing companies ensure patient safety by thoroughly screening and verifying the qualifications and background of their professionals.

Can I switch to a permanent position from a temporary placement?

Yes, if a healthcare facility and the healthcare professional mutually agree, a temporary placement can evolve into a permanent position.

How does a healthcare facility benefit from outsourcing staffing needs?

Outsourcing staffing needs to a healthcare staffing company saves time, effort, and resources in the recruitment process, allowing the facility to focus on patient care.

Are healthcare staffing companies equipped to handle emergency staffing requirements?

Yes, healthcare staffing companies are adept at handling emergency staffing needs and can quickly provide professionals to manage unexpected situations.

Can I choose a specific professional from the staffing company's roster?

Healthcare facilities can often request specific professionals from the agency's roster, subject to availability.

What should I do if I'm not satisfied with the performance of a temporary staff member?

You can communicate your concerns to the healthcare staffing company, and they will work to address the issue promptly.

Are healthcare staffing companies responsible for handling payroll and benefits for their employees?

Yes, healthcare staffing companies manage payroll, benefits, and other administrative tasks for their employees.

Can international healthcare professionals work through staffing agencies in my country?

Yes, some healthcare staffing companies may also facilitate the placement of international healthcare professionals in certain countries, subject to work visa requirements.

How can healthcare staffing companies ensure patient privacy and confidentiality?

Healthcare staffing companies uphold strict privacy and confidentiality measures to protect patient information in compliance with relevant laws and regulations.

What steps do healthcare staffing agencies take to ensure diversity and inclusion in their services?

Healthcare staffing agencies are committed to promoting diversity and inclusion and strive to offer equal opportunities to all qualified healthcare professionals.

Are healthcare staffing companies also responsible for arranging temporary housing for professionals from out of town?

In some cases, healthcare staffing companies may assist with temporary housing arrangements for professionals working in locations far from their home base.

How do healthcare staffing companies ensure continuity of care in long-term placements?

When placing healthcare professionals in long-term positions, staffing companies consider the compatibility between the professional and the facility to ensure continuity of care.

Can I work with multiple healthcare staffing companies simultaneously?

Yes, healthcare professionals can choose to work with multiple staffing agencies to explore diverse opportunities.

What should I do if I'm interested in becoming a healthcare professional but lack the necessary qualifications?

If you're interested in pursuing a healthcare career, you can start by researching the educational requirements for your desired profession and enrolling in appropriate training programs or educational institutions.

Conclusion

Healthcare staffing companies play a pivotal role in ensuring that healthcare facilities have access to the right professionals, offering quality patient care and addressing staffing needs efficiently. By following the steps mentioned above and keeping the FAQs in mind, you can find the right healthcare staffing company near you and contribute to a robust and reliable healthcare system. Whether you're a healthcare facility in need of skilled staff or a medical professional seeking employment opportunities, healthcare staffing agencies are your go-to solution!

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Federal federal government web sites usually end in.gov or.mil. Prior to sharing sensitive information, ensure you get on a federal government site.

Composed by Attorney Referral Service on July 12, 2018. Posted in Household Family members attorneys are lawful specialists that focus on matters to do with family members legislation. They take care of lawful problems that are interested in members of the family members. Such lawful concerns include divorce, child protection, and guardianship to name a few. Family members lawyers can function as mediators when household disagreements establish.

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Below are some of things that family attorneys can do. Going through a divorce is possibly one of one of the most draining experiences that a family members can face. Emotions might establish in and also make it impossible for a pair to settle it steadly. In such an instance, a family members law attorney can act as a mediator, as well as aid them to come close to the concern reasonably as well as within the law.

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Consult Austin Legal Representative Referral Solution to refer you to a well-informed family members legal representative. A will certainly is a lawful file whereby people state just how they would wish their home to be managed when they die. Family members legislation lawyers are accountable for assisting individuals in preparing these files. They additionally toeg-law.co.il/ have what it takes to ensure that an estate is carried out as mentioned by a dead using the will.

Couples require to settle on how to take care of the children they have actually had with each other in the new setup. Youngster safekeeping is specified by a contract in which both moms and dads have to deal with the terms therein. A competent family members attorney can aid moms and dads that are parting means to draft such http://query.nytimes.com/search/sitesearch/?action=click&contentCollection&region=TopBar&WT.nav=searchWidget&module=SearchSubmit&pgtype=Homepage#/business, Family and Commercial lawyer a contract.

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A prenuptial agreement is a contract authorized by a couple prior to a marriage or a civil union. Although the content of such an agreement might differ from one situation to another, its major goal is to define the arrangements of spousal assistance and department of the home in the event of a breakup or a separation.

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They assist members of households to logically deal with family members conflicts that would certainly or else be crowded by feelings. These attorneys have expertise as well as experience to help individuals resolve concerns connecting to separation, child protection, prenuptial agreement as well as estate management to name a few legal concerns affecting households. Hence, if you are having a family lawful matter that needs a reasonable technique, call Austin Lawyer Referral Solution for a certified family members regulation lawyer.

For lots of local business owners, using a lawyer belongs to calling a fireman or plumbing professional: one does it just when there's an issue. That technique is reckless when it concerns lawful matters. Specifically for new services, needs such as marketing, sales, staffing as well as simply obtaining business off the ground can conveniently take top priority over legal concerns, specifically ones that don't appear to be of immediate worry.

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While most companies will certainly utilize a lawyer to assist with the process of consolidation, new companies often disregard the on-going lawful requirements to keep their firm standing. Annual investor, supervisor, as well as partner meetings require to be held, and recording of minutes and the political election of officers should adjust with state demands.

Many abstract properties of a company ought to be legitimately shielded. A firm's name, logo design, brand name, and unique goods as well as services are qualified to copyright defense. Proprietary computer system software application, semiconductor chip mask designs, vessel hull styles, as well as numerous other productions might be qualified for trademark enrollment. Patents are frequently believed to cover only devices and other produced products, yet can likewise secure procedures, such as a technique for refining oil, or new structures of issue, such as chemical substances or mixtures.

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Many business, specifically technology firms, count the knowledge of their employees as several of their most important properties. Yet they stop working to safeguard those properties via non-disclosure as well as non-compete arrangements with their staff members. Undoubtedly, some staff members will leave the business, and it is very important to secure your organisation versus their taking their understanding of trade tricks with them over to the competition.

When a partner or significant investor makes a decision to all of a sudden exit, it can potentially intimidate the ability of the service to proceed running. Very closely held firms need to have buy-sell agreements or buy-back agreements to guarantee that companions or significant investors can sell their rate of interest without lawful complexities or positioning an unnecessary monetary concern on the company.

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See FindLaw's Service and Industrial Legal Representative Directory for a certified lawyer near you or discover more concerning state-specific laws on our very closely held service legal answers web page.

Do you locate on your own wondering if you need to be hiring a household regulation lawyer? Possibly your partner has hinted at divorce, or your ex is threatening to keep the kids for summer getaway if you do not do _ the method they desire you to. Perhaps you both recognize a splitting up is coming as well as you simply wish to see to it you take the clever path forward and want to prevent typical risks.

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to ensure you are on the very same web page before obtaining wed? In any type of event, you've now chosen you wish to chat to, otherwise take into consideration working with a family members regulation attorney. Prior to we speak about what you should ask the attorney allowed's discuss just how you can best prepare on your own:, consider what your objective is for this assessment are you looking to get some basic guidance (i.e., pointers moving on), or do you require a particular task done (such as drafting an arrangement, representing you in court, etc.)?, what is your spending plan what can you invest to reach your objectives and also how much do you intend to spend? Or in various other words, exactly how essential is it to you? If you know your spending plan is only $1,000, after that communicating that in advance might conserve you from investing $100 on a consultation just to be told the retainer at that certain, high end firm is $5,000+.

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Each has it's very own advantages and downsides, along with prices. Some firms may also have less-experienced lawyers that can work with the situation at a reduced rate, saving your allocate those even more really complicated scenarios that call for experience., what is your individuality design? Do you want/need constant updates, or is it something that can be "left" as well as "grabbed"? Do you prefer e-mail or phone? Do you favor an even more hostile method, or a more amicable approach? Each law practice will certainly have their own character also, as well as recognizing your very own requirements will certainly assist you obtain the most out of your experience with the company.

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Since you have actually answered those concerns and also have actually determined: Your personality (WHO is the very best kind of representative for your objectives) A concept of your goal (WHAT you want) WHEN you require this done WHERE you need the work executed Your budget plan (HOW a lot can I/will I be able to spend) Allow's consider excellent inquiries to ask: While some scenarios are truly rare, and no two reality patterns are the same, an experienced household law lawyer will certainly have the understanding of just how the various components of the law and also particularly household legislation interact, so also if they have not managed a case "specifically" like your own chances are, they've seen sufficient comparable things to have a strong strategy of exactly how to approach it.

Nevertheless, sometimes a situation particularly equitable distribution, as an example, is driven by regional guidelines as well as relying on the quantity of marital property may take anywhere from 3 months to 2 years. Also, sometimes your personal goal for a situation may be reasonable or not such as safekeeping. Most courts missing serious medication, alcohol, substantial distance between residences, etc.

You will most likely have some variant of shared custodianship not necessarily 50/50, mind you simply not 100% to 0%. Nonetheless, your facts will be court and also case particular, so understanding possible results can assist you make a decision if this law company gets on the exact same web page as you both financially and objective smart! PRO TIP: Be wary of any type of lawyer that guarantees you will obtain WHATEVER you request for! Unless you have actually currently settled on everything in advancement, the truth of family members regulation is that everyone has to jeopardize some (and if you go in front of a judge, the judge will make those concessions for you).

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Simply beware if it seems too excellent to be true, it probably is. Remember you are paying for SUGGESTIONS not for "particular responses". One attorney can not regulate what the other party/attorney/judges do. They TIN however lead you down a path that aids you ideal reach goals you are trying to accomplish.

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Litigation Lawyer - Questions

Table of ContentsLittle Known Facts About Commercial Lawyer.8 Simple Techniques For Real Estate LawyerFacts About Business Lawyer Revealed

If your prospective lawyer can not share the problem with you concerning your situation in the initial conference (such as telling you there are no worry in your instance), be concerned. Currently not all issues are significant, and nearly all issues can be conquered, some easier than others. For instance uncontested absolute divorce has to do with as easy as it gets.

[mbergen]

Tammy came home over the weekend.  She had signed up for another week, but it wasn’t meant to be.  I won’t deny she had me worried, but she is fine.  On her 20th day, she scheduled It off.  She hoped that she would be rest and recoup for the next week.  When I talked with her that morning, I knew she was exhausted and so tired.  I had noticed in the last week she was getting more quite.  I was already uneasy.  Late that afternoon, she text and said she was leaving.  She had a car scheduled in an hour and she was driving home.  I wanted her to fly, but it wasn’t going to happen.  She want to get out now……She needed to drive, and have alone time….I was getting more worried.  I really didn’t want her to leave that late from New York City, a city she had never driven in.  But everyone who knows Tammy knows she loves to drive.  I think that is where she gets her peace and alone time.  She can drive straight through from Illinois to Harlingen Texas, (near Mexico Border) in 22 hours…..Crazy Driver…..I decided to text Katherine, her best friend at home.  She is a Nurse at IVCH in Peru.  If she would contact anyone else, it would be her.  Yes, they had already been talking.  As she left New York City, she called and I could tell she was already feeling better.  The weight was lifting.….Katherine sent me texts all evening and night.  Then I was up at 5 to make sure she got home…..What a Saturday it was….Yes, she pulled in Sunday by noon…..So here is her story in her words….

Tammy Bergen 22 hrs ·

I am gonna start this off by saying today is day 22! And the 1st day in 21 days that I have woke up in my own bed! I have missed my family and my friends so much! I might even say that i have missed Illinois! New York was a beast! I have seen thing and did things that i have never dreamed of. And I met so many so many great nurses, APN’s and Drs! They were from all across the United States! The staff was very welcoming as well. They would have lunch donated at times. My last day they had breakfast donated and brought in to us! And REAL coffee! 😍 lol while I was there I worked on 9 different units. I worked a couple of units more than once but for the most part everyday was like starting a brand new job. Everything was always new. The staff, the nurses I worked with, what supplies were available, what type of patients there were. Every unit was like opening a door to the twilight zone. You never know what is gonna be there. And the attitude was strong and everywhere! That is the best way I can describe it. It was not easy for me to go on every day with 5-6 hours of sleep mixed with the constant change. I was never able to develop “a work rhythm”? I’m not sure if that’s the word I am looking for but… And As many of you know, I have struggled with depression my whole life. And I ended up finding myself in a very very low spot. Around day 15 I started to cry everyday and I think day 19 I almost cried all day! (Fyi it’s very hard to tell if someone is crying when they are wearing all this head gear!) It was sooo hard. Even though we were there to help and shine some light into the darkness that is going on in New York right now, I lost control of myself and the darkness crept inside me... On the 20th I had the day off. They allowed us to have 2 pto days in this 21 day contract. My plan was to destress as much as possible and trudge through work one more time… and then cancel my 1 week extension and go home! But by the end of day 20 all I could think about was getting out of this cold dark place that I had found myself in. So rented a car and got the hell outta there at 7pm! It was truly one of the best things that I have ever done for myself. As I began driving away from NYC I could truly feel the heaviness of it all leave my body… and I could smile! A real smile! I talked to my mom and my best friend Katherine almost all the way home. I even had Cassidy on the phone for an hour and an half! And we had a great conversation! I was excited to surprise Cameron at the house so I never told him I was coming! Lol And I thank god my family and my friends are here for me everyday! A part of me is very ashamed or dissatisfied in myself for leaving a day early. But not any more. I am so proud that I was able to help in such a terrible situation! I have learned many things about myself through this experience. I will never regret it! But I don’t think I want to go back to NYC... ever! Lol thank you to everyone that sent us stuff! You guys really really really helped me personally!! And we shared with many others as well! I will never forget this experience! Aunt Connie told me that I would not be able to come back from this the same person. At the time I didn’t think to much about it. But…. she is so very right... not always! But this time! Lol I am just so happy to be home!❤❤❤ ps. Britt Novak is still rockin it in NYC! You got this girl!

Tammy is now home and doing well.  Now she has 2 weeks of quarantine before she can return to work.  I know she has missed the kids tremendously.  She has come back a changed person in so many ways…..She  has learned a lot about herself and will be stronger for it.  She will never forget the patients, nurses, doctors, and all the experiences of New York….She has accomplished something not many of us could or would ever undertake.  But she is a Nurse…..She took that Oath….She Believes in what she does….

WE ARE ALL SO PROUD

….She is an Amazing Nurse….

Now it is time for all the …..THANK YOU’S…. Her days were so busy.  14 hours of the day were work and transportation.  That didn’t leave much time for eating, sleeping, waiting for your mail for 45 min.  and of course a through shower and disinfecting.  She became more physically and mentally exhausted every day.  So she didn’t have a lot of time to show her appreciation.  The one Company that needs a HUGE THANK YOU is Vactor Manufacturing from Streator Illinois…..

Tammy mentioned to us she could use some Safety Glasses.  Aunt Connies’, Son in Law, Matt Rinaldo works for Vactor in Streator Illinois.  He went to HR to ask about Safety Glasses for the girls.  By noon, he had been given around 50 Safety Glasses.  HR also game him many FACE SHIELDS.  Their parent Company Federal Signal had sent them to their employees.  The employees had decided to give them to the Front Line people in the Medical Field that needed them.  They had already given a number of them to Morris Hospital.  Matt brought them to Connie who boxed them up and sent them to the girls.

They were so needed.  As soon as she received them they were gone.  So not many pictures were taken.  I had been reading posts on the FB site of the Staffing Agency from the other nurses.  Those who had connections, were ordering them in quantity’s for their friends.  The hospitals didn’t have any.  They were pretty desperate to get them.  These Shields were so Appreciated.  So …..THANK YOU VACTOR…. also Matt and Connie for sending them to New York…..

Face Shields and Safety Glasses from Vactor….Overlooking the Times Square… NYC

So many other items were sent.  So here in Tammy’s words again are all her Thank You’s

Tammy Bergen 15 hrs ·

There are so many people I need to thank besides my family that have donated their time to make sure that we have what we needed! I want to make as many as I can but please dont be upset if I forget to mention anyone because you all made this so much easier! 1. Vactor Manufacturing in Streator Il donated a box full of safety glasses and face shield! ❤❤❤!! They are in very high demand in New York! And as soon as people seen them… they were gone! The hospitals no longer supply face shield because they are just not available anymore. I wish I could have got more pictures but there just wasn’t time. But I assure you that they were amazing! Thank you Connie Malavolti, Ashley Malavolti and Mat Rinaldo for the hook up! It was definitely needed! The shields protect us from much more than the glasses alone cuz there is a lot of coughing and spraying going on! 2. Amanda Davis for the goodies and the wonderful prayer that came with! It was very special! 3. Chauntelle Biagi-Bruer for the goodies and kind words! 4. Aunt Connie and Jeanie Lutz for getting several hand made masks for me to take at the very last minute!❤ and thank you Connie for the bag of super healing rocks! I wore them everyday! 5. Tammy Schlesinger Gunter for all the goodies and kind words! 6. Baily Jane and Betty Parks for the awesome lotions and cookies! ❤ 7. Jeny Orozco for the amazing words of encouragement and all the awesome gifts! 8. Tiffany Gebhardt for the awesome gifts and kinds words! 9. Mary Jaegle Milashoski for the awesome gift of dry shampoo! (it seriously made Britt Novak’s day!)and the other goodies as well!❤❤ 10. Jessica Torres for all the amazing goodies and encouragement! 11. Frances Ilnicky Van Ameyden thank you for the goodies and the great conversation that definitely brought a smile to my face! 12. Tina M Wenzel for the gifts and (over the top!) Encouragement! I am so very thankful! 13. Brenda Bickerman thank you for delivering the lysol wipes to my house before I left! I could not find any anywhere! 14. Gale Reno for the bag of snacks, gloves, mask crochet ties and other things that you sent at the last moment. 15. Nicole Bouxsien and family made several masks for us to take with. 16. The Eastgate Quilter ladies for making all the masks and redoing the design to include the laces to save our ears!❤ 17. Theresa Fisher for the crocheted ear savers! 18. Bobbi Van Schaick for the box of goodies! That came along with a great story! Definitely something that I would have done! Lol 19. Sharon VanLanduit for the amazing shoe inserts! They helped soooo much! And lastly, Katherine Twardowski for taking care of my 2 older babies while I was gone! (I really hope you will recover quickly! Lol). Tina Bergen Dolder and Ed Dolder for being everything for Carly while I cant! And for all the school teaching! And Margaret Bergen for the daily encouragement and text messages! Scottieonepaw ScottBergen and Brandy Lockett for all the love and support! And there has been so many others who have said some of the best things! I will never forget! Cameron Bergen and Cassy Cruz I am home! And I love you both so much! We WILL be spending some quality time together real soon! Like it or not! Lol I truly can not say how thankful I am to have you all in my life! I have the best family and friends that anyone could ever ask for!❤❤❤ I am feel very blessed to have been a part of NYC at this time of need. But this Is definitely my home! ❤❤❤

Comments…..

Jeny Orozco Love you Tammy!!! ❤️❤️❤️

Betty Parks Thank you for giving your ALL.

Tiffany Gebhardt Np Tammy Bergen…just my way of saying thanks for what U guys went and did! U went above and beyond what u had too! Hope to see u back around soon until then take care of urself and know u got friends who care! ❤️

Tina Bergen Dolder A shout out to Brenda Holloway Bickerman, Jerimey Bouxsein Nicole and family, Gale Reno ( Erin Marie Megan Holly let your mom know!!

Megan Dose Glad your back!!! 😘❤️❤️❤️

Bobbi Van Schaick The least I can do

Mary Jaegle Milashoski So happy that what we could do for you .. made a difference and brightened your day ..!💜💜

Amanda Davis 💜💜💜💜💜

Frances Ilnicky Van Ameyden Your selflessness in this horrible time of Covid19 has shown us what Love of Neighbor is all about. God bless you!

Jeanette Brewer Stay safe and you r a hero Stay safe

.

Thank You to All who has supported and followed Tammy. I as MOM want to give a SPECIAL THANK YOU, to Tina, for being the BEST SISTER Tammy could ever have.  She has done so much that you all will never know.  She was their from the minute Tammy made this descion to go, by getting supplies ready and MANY MANY other things concerning Carly’s care.  My Kids are all so AWESOME….Brittney is still their finishing her extended week.  She is doing ok.  Everyone has been so supportive of the girls and of all the Medical Personnel.  These people are helping and reporting the truths of what is happening in New York City.  They have answered the call not knowing where they were going to work, where they were going to stay.  They all knew they were putting their life on the line…..But they all went anyway…..They worked 12 hours straight covered in PPE.  So many had shortages of PPE, and much hospital supplies.  Some of the story’s I read were mindboggling to think nurses had to operate in such a manner and do things that were so unethical in the hospital setting.  And then the stories of the patients.  So heart wrenching……So many that passed alone….With only the nurse present….The last words from the family’s on the cell phones of the Nurses….

���..Memories these Medical Personnel Will Never Forget….

Tammy’s Home From New York ….. Coronavirus…..Thanks To All Tammy came home over the weekend.  She had signed up for another week, but it wasn't meant to be. 

[yessadirichards]

New York call for volunteers brings 82,000 health care workers      NEW YORK

The work is exhausting and dangerous, the situation bleak. But an army of health care workers heeded New York’s call for help reinforcing hospitals overwhelmed by the coronavirus pandemic.

So far, at least 82,000 people have volunteered for the state’s reserve force of medical workers — a group that includes recent retirees returning to work, health care professionals who can take a break from their regular jobs and people between gigs, according to health officials.

Few have made it into the field yet as hospitals and state regulators vet enlistees and decide how to deploy them. But Gov. Andrew Cuomo said Tuesday that’s about to change. By Thursday, hospitals expect to hire about 1,500 volunteers to rescue a medical workforce that needs relief, particularly in New York City.

Health care workers who have hit the ground already, many brought in by staffing agencies, discovered a hospital system in danger of being overwhelmed.

“I have never seen so many human beings in an ER at one time in my entire life,” said Liz Schaffer, a nurse from St. Paul, Minnesota, who had her first shift Tuesday at Mount Sinai Hospital in Manhattan. “Shoulder to shoulder. It is a sight I never thought I would see. Patients are dying every day. Every single day.”

Similar recruiting efforts are underway in other states preparing for waves of patients, including California, Washington, Pennsylvania, Illinois, Louisiana, Massachusetts, Oregon, Virginia, New Jersey, North Dakota and Washington D.C. And recruitment is happening at the federal level too, where the Army and the Department of Veterans Affairs have reached out.

The death toll from the virus climbed to nearly 2,000 Wednesday across New York state, with most of the fatalities coming in New York City in just the past week.

Several of the dead have been health care workers, including Kious Kelly, an assistant nurse manager in the emergency room at Mount Sinai West Hospital, who died March 24 after becoming infected with the virus.

Many other medical workers have become seriously ill. Protective masks, gowns and gloves remain rationed at some hospitals due to anticipated shortages.

Despite those risks, many have volunteered to join the fight.

"Whatever it is that they need, I’m willing to do,” said Jerry Kops, a licensed nurse on Long Island who was on tour as a musician in the Blue Man Group before its North American tour was interrupted by the coronavirus shutdown a few weeks ago.

“I keep thinking about my old co-workers and friends that are still in nursing. And to me, it’s like if they have to be there, I should be there too,” he said. “If it means being at a testing site, cool. If it means being relief staff for RNs that are overworked right now in hospitals, cool."

Hospital volunteers in New York will be paid. But that is not always the case in other parts of the country that are seeking medical volunteers. In Washington state, for instance, volunteer retirees who staff free clinics are not routinely paid for their work. But those who volunteer at hospitals will be paid.

Adding to the corps of state recruits are more workers being brought in by staffing agencies.

Nurses are being offered up to $100 per hour plus food and lodging to fill over 5,000 openings in hospital intensive care units and emergency rooms, said Michael Fazio, whose company, Prime Staffing, has recruited over 250 workers to New York hospitals in recent weeks.

“It shocks me more and more the calls I’m getting. West Coast nurses are calling me, wanting to help,” Fazio said. “They're leaving their families, wanting to help. They don’t have the fear of COVID-19. Their driving force is saying: ‘I’m coming to help fight this, help New York City.’”

One of those nurses, Katherine Ramos, of Cape Coral, Florida, described her work at New York Presbyterian Hospital as exhausting.

“It’s hard when you lose patients. It’s hard when you have to tell the family members: ‘I’m sorry, but we did everything that we could,’” she said. “It’s even harder when we really don’t have the time to mourn, the time to talk about this.”

She has been staying in an apartment with her husband and two children — carefully removing her shoes and clothing outside on a deck after each shift to reduce the likelihood of bringing the virus home. But she plans on moving soon to a hotel so if she catches the virus, she won’t infect her family.

“I want to be able to protect my family more,” she said.

New York officials say the state will need tens of thousands of additional medical workers to deploy quickly ahead of an expected surge in patients in the next three weeks.

Temporary hospitals are hastily being constructed in convention centers, athletic complexes, college campuses and other locations, but workers will be needed to make them functional.

In Pennsylvania, Dr. John Gallagher volunteered to work at hospitals near his home at the Ohio border a few months after retiring at age 65. He said the danger of contracting the coronavirus himself and spreading it to loved ones left him “terrified.”

“But,” he added, “it’s one of those things. If it’s needed, than we’ve got to play our part. We can’t leave people hanging out there.”

Laura Benson, 60, a semi-retired nurse in Westchester County north of New York City, said she's also ready for front-line hospital work, and was itching to get in action sooner.

“I found it a little frustrating that I wasn’t hearing back,” she said.

Westchester County summoned her last week to screen people at a childcare center for healthcare workers in nearby White Plains, but she's ready for more.

“There’s no reason I couldn’t put in a full shift somewhere. And it may come to that. I would absolutely be willing to do that. But this is the need that they have right now,” she said.

[ibilenews]

Late last month, as officials in Cambridge, Massachusetts, scrambled to defend the city against the coronavirus, Patrol Officer Bob Reardon got an assignment that signaled how suddenly his job had changed.

Someone complained about a football game.

There was no violence, no loud noise, no threats — just a group of men playing pickup in violation of a recently enacted prohibition against large gatherings.

Reardon pulled up in his cruiser and without getting too close told the men to scatter. They were respectful, and left without a fuss, he said. But the confrontation left an impression on the 30-year-old officer.

“I never thought that on a beautiful Sunday afternoon, I’d be sent to a public park to tell people to stop playing a sport,” Reardon recalled thinking. “It’s a new world.”

Enforcing social distancing is one of the many ways the coronavirus pandemic has unexpectedly transformed American policing over the past few weeks, compelling officers to drop their routines and find new ways to protect the public and themselves.

They’re relaxing traffic enforcement and leaving medical calls to fire and ambulance services. They’re taking nonemergency reports by phone and substituting arrests for tickets and summonses. They’re avoiding going into homes and buildings. They’re staggering shifts and holding outdoor roll calls. They’re breaking up otherwise ordinary gatherings and ordering people out after curfew to go home.

“In certain ways, there’s been a 180-degree change from the way we were operating,” William Brooks, the police chief in Norwood, Massachusetts, said. “Where we used to be proactive, we’ve had to completely change that and go in the other direction and hold back.”

That doesn’t mean officers aren’t responding to serious crimes and emergency calls; authorities say that will never change. But the other adjustments are necessary, they say, to prevent outbreaks among their ranks, which could quickly overwhelm an agency and lead to dangerous staffing shortages.

In the New York City Police Department, more than 1,400 members have tested positive for COVID-19, the disease caused by the coronavirus; four civilian employees and one detective have died and 6,100 officers have called out sick. In Detroit, 91 police department employees, including Chief James Craig, have tested positive; a captain and two civilian workers have died and another 525 officers have been quarantined.

“That would wipe me out,” said Mike Chitwood, the sheriff in Volusia County, Florida, where he has suspended staff meetings and training, and discouraged “nonessential contact” with the public. “I have almost 500 sworn members. So if there were that number of people in quarantine here, there would be no sheriff's office.”

Outside of New York and Detroit, hundreds of officers have tested positive and thousands more have been exposed to the virus and are unable to work, according to the National Police Foundation.

Many law enforcement officials have complained that it is too difficult to get officers tested for the coronavirus, and that it takes too long to get results.

Dozens of departments also say they are unable to obtain enough personal protective equipment, or PPE, for their officers, the foundation has found.

That is one of law enforcement’s biggest worries, even in agencies that don’t have shortages, because the coronavirus is still spreading, and the need among police — not to mention doctors, nurses and paramedics — is rising.

“I’m personally concerned that any minute now we’ll get a CDC recommendation that everyone should be wearing masks,” said Art Acevedo, Houston’s police chief and president of the Major Cities Chiefs Association, referring to the Centers for Disease Control and Prevention. “Where are they going to come from?”

“I’m personally concerned that any minute now we’ll get a CDC recommendation that everyone should be wearing masks,” said Art Acevedo, Houston’s police chief and president of the Major Cities Chiefs Association, referring to the Centers for Disease Control and Prevention. “Where are they going to come from?”

The CDC is reportedly close to issuing recommendations for Americans to cover their faces in public. On Thursday, President Donald Trump invoked the Defense Production Act to impel American manufacturers to speed up production of masks and other equipment needed to fight the coronavirus.

The PPE shortage has exposed a painful lack of planning by local and federal agencies, law enforcement officials say. Police agencies, largely unprepared for such a long-lasting and volatile public health disaster, have been forced to improvise, officials say.

“We didn’t wrap our minds around the potential impact on our workforce, the potentially devastating impact,” said NYPD Sgt. Paul Grattan, a fellow at the National Police Foundation — stressing that he was speaking about police generally and not on behalf of his department. “I’m certain there are agencies with no plan of any kind for this kind of thing, and among those that did it was on the back of the bookshelf. And it was difficult to have a plan for something that is so unique and unpredictable like this pandemic.”

Jennifer Tejada, the police chief in Emeryville, California, near Oakland, said that when it became apparent a few weeks ago that the pandemic was coming, she realized she would have to come up with a plan on her own.

She split her 41-officer force in two, putting half on 12-hour shifts for 14 days while the other half stayed home, ensuring they would not be exposed to the coronavirus before beginning their own 14-day stint. She closed police buildings to the public and had the buildings and all police cars sanitized by a cleaning service. She told her officers not to come into contact with people unnecessarily, as in routine traffic stops, not to go into people’s homes if it wasn’t an emergency. She prohibited them from responding to medical calls unless someone’s life was in danger.

So far, all her officers are healthy. But Tejada said she has struggled to protect them. As part of a regular screening procedure, she sought out no-touch thermometers, but they were out of stock at stores and on backorder with local manufacturers. She ended up putting her request on Facebook. A distant relative saw the message and gave her two.

And she has been unable to get tests for any officers who may have been exposed to the coronavirus.

“As first responders, we practice how to respond to emergency disaster situations. But in this situation, nobody has practiced what to do,” Tejada said. “There is nothing to fall back on. There’s no strategy. So it’s every department for itself to figure out how to make this work.”

In Little Rock, Arkansas, Police Chief Keith Humphrey said even the most resilient officers can’t help but feel anxiety over contracting the coronavirus.

“The officers have not lost their passion for the job. The officers care. But they are concerned,” Humphrey said. “They may not be concerned for themselves but if they expose their families — if they’re walking around with the virus inside of them without knowing.“

Emeryville police Officer Nicolas Drexler, who just finished a 14-day stint and is now staying home for two weeks, said that while he tried to maintain social distance while conducting patrols, it was not always possible.

“There’s a little bit more risk but that’s part of the job, and we accept that,” he said.

Reardon, the Cambridge officer, sees it the same way.

“You’re seeing so many people get sick and hearing so many stories, NYPD members passing away, and it’s something we know is real and could happen to you,” he said. “You just don’t know. But you have to do the job the best you can.”

[stephenmccull]

Hospitals Scramble to Prioritize Which Workers Are First for COVID Shots

This story also ran on NBC News. It can be republished for free.

If there’s such a thing as a date with destiny, it’s marked on Dr. Taison Bell’s calendar.

At noon Tuesday, Bell, a critical care physician, is scheduled to be one of the first health care workers at the University of Virginia Health System to roll up his sleeve for a shot to ward off the coronavirus.

“This is a long time coming,” said Bell, 37, who signed up via hospital email last week. “The story of this crisis is that each week feels like a year. This is really the first time that there’s genuine hope that we can turn the corner on this.”

For now, that hope is limited to a chosen few. Bell provides direct care to some of the sickest COVID-19 patients at the UVA Health hospital in Charlottesville, Virginia. But he is among some 12,000 “patient-facing” workers at his hospital who could be eligible for about 3,000 early doses of vaccine, said Dr. Costi Sifri, director of hospital epidemiology.

“We’re trying to come up with the highest-risk categories, those who really spend a significant amount of time taking care of patients,” Sifri said. “It doesn’t account for everybody.”

Even as the federal Food and Drug Administration engaged in intense deliberations ahead of Friday’s authorization of the Pfizer and BioNTech COVID vaccine, and days before the initial 6.4 million doses were to be released, hospitals across the country have been grappling with how to distribute the first scarce shots.

An advisory committee of the Centers for Disease Control and Prevention has recommended that top priority go to long-term care facilities and front-line health care workers, but the early allocation was always expected to fall far short of the need and require selective screening even among critical hospital workers.

Hospitals in general are advised to target the members of their workforce at highest risk, but the institutions are left on their own to decide exactly who that will be, Colin Milligan, a spokesperson for the American Hospital Association, said in an email.

“It is clear that the hospitals will not receive enough in the first weeks to vaccinate everyone on their staff, so decisions had to be made,” Milligan wrote.

At Intermountain Healthcare in Salt Lake City, the first shots will go to staff members “with the highest risk of contact with COVID-positive patients or their waste,” said Dr. Kristin Dascomb, medical director of infection prevention and employee health. Within that group, managers will determine which caregivers are first in line.

At UW Medicine in Seattle, which includes Harborview Medical Center, one early plan called for high-risk staff to be selected randomly to receive first doses, said Dr. Shireesha Dhanireddy, medical director of the infectious disease clinic. But the University of Washington hospital system expects to receive enough doses to vaccinate everyone in that high-risk tier within two weeks, so randomization isn’t necessary — for now.

“We are allowing people to schedule themselves,” Dhanireddy said, and encouraging staffers to be vaccinated near the end of their workweeks in case they have reactions to the new vaccine.

Trial results have shown the shots frequently produce side effects that, while not debilitating, could cause symptoms such as fever, muscle aches or fatigue that might keep someone home for a day or two.

“We want to make sure that not everybody has the vaccine on the same day so that if there are some side effects, we don’t end up being short-staffed,” said Sifri, of UVA Health, noting that guidelines call for no more than 25% of any unit to be vaccinated at once.

At UVA Health, once the initial 3,000 doses are distributed, the hospital plans to rely on what Sifri described as “a very strong honor code” to allow staff members to decide where they should be in line. They’ve been asked to consider professional factors, like the type of work they do, as well as personal risks, such as age or underlying conditions like diabetes.

“We’re going to ask team members, using the honor code, to determine what their risk is for COVID and to determine whether they need to have an early vaccine sign-up time or a later vaccine sign-up time,” he said.

That plan was chosen after health care staff members soundly rejected other options. For instance, few favored a proposal to allocate dosages via a lottery, like the chaotic birthday-based system depicted in the 2011 pandemic horror film “Contagion.” “That was the biggest loser,” he said.

Hospital officials also stressed they are trying to devise distribution plans that ensure vaccines are allocated equitably among health care workers, including the social, racial and ethnic groups that have been disproportionately harmed by COVID-19 infections. That requires thinking beyond front-line doctors and nurses.

At UVA Health, for example, one of the first groups invited to get shots will be 17 workers whose job is to clean rooms in the special pathogens unit where severe COVID cases are treated.

“We acknowledge that everybody is at risk for COVID, everybody is deserving of a vaccine,” Sifri said.

In many cases, it will be clear who should go first. For instance, although Dhanireddy is an infectious disease doctor who consults on COVID cases, she is happy to wait to be vaccinated. “I wouldn’t put myself in the first group at all,” she said. “I think that we need to protect our staff that are really right there with them most of the day — and that’s not me.”

But hospitals must remain vigilant about relying on workers to prioritize their own access, Dhanireddy cautioned. “Sometimes, self-selection works more for self-advocacy,” she said. “It’s great that some individuals say they would defer to others, but sometimes that’s not actually the case.”

For some health care workers, not being first in line for vaccination is fine. Because the vaccine initially has been authorized only for emergency use, hospitals won’t require employees to be inoculated as part of this first round. Between 70% and 75% of health care staff at UVA Health and Intermountain Health would accept a COVID vaccine, internal surveys showed. The rest are unsure — or unwilling.

“There are some that will be immediate acceptors and some who will want to watch and wait,” Dascomb said.

Still, hospital officials say they’re confident that those who want the vaccine won’t have to wait long. Enough doses for roughly 21 million health care personnel should be available by early January, according to CDC officials.

Bell, the critical care doctor, said he’s grateful to be among the first to receive the vaccine, especially after his parents, who live in Boston, both contracted COVID-19. He has posted about his upcoming appointment on Twitter and said he and other health care workers who are among the first in line should be public about the process.

“We’ll serve as an example that this is a safe and effective vaccine,” he said. “We’re letting it go into our bodies. You should let it go into yours, too.”

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

USE OUR CONTENT

This story can be republished for free (details).

Hospitals Scramble to Prioritize Which Workers Are First for COVID Shots published first on https://smartdrinkingweb.weebly.com/

[gordonwilliamsweb]

Hospitals Scramble to Prioritize Which Workers Are First for COVID Shots

This story also ran on NBC News. It can be republished for free.

If there’s such a thing as a date with destiny, it’s marked on Dr. Taison Bell’s calendar.

At noon Tuesday, Bell, a critical care physician, is scheduled to be one of the first health care workers at the University of Virginia Health System to roll up his sleeve for a shot to ward off the coronavirus.

“This is a long time coming,” said Bell, 37, who signed up via hospital email last week. “The story of this crisis is that each week feels like a year. This is really the first time that there’s genuine hope that we can turn the corner on this.”

For now, that hope is limited to a chosen few. Bell provides direct care to some of the sickest COVID-19 patients at the UVA Health hospital in Charlottesville, Virginia. But he is among some 12,000 “patient-facing” workers at his hospital who could be eligible for about 3,000 early doses of vaccine, said Dr. Costi Sifri, director of hospital epidemiology.

“We’re trying to come up with the highest-risk categories, those who really spend a significant amount of time taking care of patients,” Sifri said. “It doesn’t account for everybody.”

Even as the federal Food and Drug Administration engaged in intense deliberations ahead of Friday’s authorization of the Pfizer and BioNTech COVID vaccine, and days before the initial 6.4 million doses were to be released, hospitals across the country have been grappling with how to distribute the first scarce shots.

An advisory committee of the Centers for Disease Control and Prevention has recommended that top priority go to long-term care facilities and front-line health care workers, but the early allocation was always expected to fall far short of the need and require selective screening even among critical hospital workers.

Hospitals in general are advised to target the members of their workforce at highest risk, but the institutions are left on their own to decide exactly who that will be, Colin Milligan, a spokesperson for the American Hospital Association, said in an email.

“It is clear that the hospitals will not receive enough in the first weeks to vaccinate everyone on their staff, so decisions had to be made,” Milligan wrote.

At Intermountain Healthcare in Salt Lake City, the first shots will go to staff members “with the highest risk of contact with COVID-positive patients or their waste,” said Dr. Kristin Dascomb, medical director of infection prevention and employee health. Within that group, managers will determine which caregivers are first in line.

At UW Medicine in Seattle, which includes Harborview Medical Center, one early plan called for high-risk staff to be selected randomly to receive first doses, said Dr. Shireesha Dhanireddy, medical director of the infectious disease clinic. But the University of Washington hospital system expects to receive enough doses to vaccinate everyone in that high-risk tier within two weeks, so randomization isn’t necessary — for now.

“We are allowing people to schedule themselves,” Dhanireddy said, and encouraging staffers to be vaccinated near the end of their workweeks in case they have reactions to the new vaccine.

Trial results have shown the shots frequently produce side effects that, while not debilitating, could cause symptoms such as fever, muscle aches or fatigue that might keep someone home for a day or two.

“We want to make sure that not everybody has the vaccine on the same day so that if there are some side effects, we don’t end up being short-staffed,” said Sifri, of UVA Health, noting that guidelines call for no more than 25% of any unit to be vaccinated at once.

At UVA Health, once the initial 3,000 doses are distributed, the hospital plans to rely on what Sifri described as “a very strong honor code” to allow staff members to decide where they should be in line. They’ve been asked to consider professional factors, like the type of work they do, as well as personal risks, such as age or underlying conditions like diabetes.

“We’re going to ask team members, using the honor code, to determine what their risk is for COVID and to determine whether they need to have an early vaccine sign-up time or a later vaccine sign-up time,” he said.

That plan was chosen after health care staff members soundly rejected other options. For instance, few favored a proposal to allocate dosages via a lottery, like the chaotic birthday-based system depicted in the 2011 pandemic horror film “Contagion.” “That was the biggest loser,” he said.

Hospital officials also stressed they are trying to devise distribution plans that ensure vaccines are allocated equitably among health care workers, including the social, racial and ethnic groups that have been disproportionately harmed by COVID-19 infections. That requires thinking beyond front-line doctors and nurses.

At UVA Health, for example, one of the first groups invited to get shots will be 17 workers whose job is to clean rooms in the special pathogens unit where severe COVID cases are treated.

“We acknowledge that everybody is at risk for COVID, everybody is deserving of a vaccine,” Sifri said.

In many cases, it will be clear who should go first. For instance, although Dhanireddy is an infectious disease doctor who consults on COVID cases, she is happy to wait to be vaccinated. “I wouldn’t put myself in the first group at all,” she said. “I think that we need to protect our staff that are really right there with them most of the day — and that’s not me.”

But hospitals must remain vigilant about relying on workers to prioritize their own access, Dhanireddy cautioned. “Sometimes, self-selection works more for self-advocacy,” she said. “It’s great that some individuals say they would defer to others, but sometimes that’s not actually the case.”

For some health care workers, not being first in line for vaccination is fine. Because the vaccine initially has been authorized only for emergency use, hospitals won’t require employees to be inoculated as part of this first round. Between 70% and 75% of health care staff at UVA Health and Intermountain Health would accept a COVID vaccine, internal surveys showed. The rest are unsure — or unwilling.

“There are some that will be immediate acceptors and some who will want to watch and wait,” Dascomb said.

Still, hospital officials say they’re confident that those who want the vaccine won’t have to wait long. Enough doses for roughly 21 million health care personnel should be available by early January, according to CDC officials.

Bell, the critical care doctor, said he’s grateful to be among the first to receive the vaccine, especially after his parents, who live in Boston, both contracted COVID-19. He has posted about his upcoming appointment on Twitter and said he and other health care workers who are among the first in line should be public about the process.

“We’ll serve as an example that this is a safe and effective vaccine,” he said. “We’re letting it go into our bodies. You should let it go into yours, too.”

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

USE OUR CONTENT

This story can be republished for free (details).

Hospitals Scramble to Prioritize Which Workers Are First for COVID Shots published first on https://nootropicspowdersupplier.tumblr.com/

[custodylawyersrqkc687-blog]

The Single Strategy To Use For Legal Separation

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Federal federal government internet sites typically finish in.gov or.mil. Prior to sharing delicate details, make certain you're on a federal government website.

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Below are some of the important things that household lawyers can do. Undertaking a divorce is probably one of one of the most draining pipes experiences that a household can face. Feelings may embed in and make it impossible for a couple to settle it comfortably. In such a situation, a family regulation attorney can serve as an arbitrator, as well as assist them to approach the problem logically and within the legislation.

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Pairs require to settle on how to deal with the youngsters they have actually had together in the new arrangement. Child safekeeping is specified by an agreement in which both parents have to cope with the terms therein. A competent family attorney can help parents that are parting ways to prepare such an arrangement.

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A prenuptial contract is a contract authorized by a couple before a marriage or a civil union. Although the web content of such a contract may vary from one case to one more, its primary goal is to lead to out the stipulations of spousal support and also department of the home in the occasion of a separation or a separation.

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For numerous tiny organisation owners, using an attorney belongs to calling a fire fighter or plumbing professional: one does it only when there's an issue. That strategy is foolhardy when it involves lawful matters. Specifically for brand-new companies, requires such as advertising, sales, staffing as well as simply getting business off the ground can conveniently take priority over lawful issues, specifically ones that do not seem to be of instant worry.

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While a lot of corporations will certainly use an attorney to assist with the process of unification, brand-new services in some cases overlook the on-going legal requirements to preserve their corporation status. Yearly shareholder, director, and also companion conferences require to be held, and recording of minutes as well as the election of officers must adhere with state needs.

Numerous abstract assets of a business should be legitimately protected. A firm's name, logo design, trademark name, and also distinctive goods and also solutions are qualified to copyright defense. Proprietary computer system software, semiconductor chip mask designs, vessel hull styles, and also numerous various other creations may be qualified for hallmark registration. Patents are typically assumed to cover just equipments as well as other manufactured products, however can likewise secure procedures, such as a method for refining petroleum, or brand-new structures of issue, such as chemical compounds or blends.

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Several firms, particularly innovation firms, count the understanding of their staff members as some of their crucial assets. Yet they fall short to protect those properties via non-disclosure as well as non-compete contracts with their workers. Unavoidably, some employees will leave the firm, and it is very important to safeguard your service versus their taking their knowledge of trade keys with them over to the competitors.

When a partner or significant investor makes a decision https://www.toeg-law.co.il/ to all of a sudden exit, it can potentially threaten the capability of business to continue running. Carefully held corporations need to have buy-sell arrangements or buy-back contracts to ensure that partners or significant shareholders can offer their interest without lawful complexities or placing an unnecessary financial concern on the firm.

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Browse through FindLaw's Organisation and Commercial Legal Representative Directory for a qualified lawyer near you or discover more concerning state-specific legislations on our carefully held company lawful responses web page.

Do you discover yourself wondering if you need to be working with a family members law attorney? Maybe your partner has hinted at divorce, or your ex is endangering to withhold the kids for summer holiday if you do not do _ the means they want you to. Potentially you both know a splitting up is coming as well as you simply wish to see to it you take the clever path onward as well as wish to prevent usual mistakes.

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to guarantee you are on the same web page prior to obtaining married? Anyway, you've currently determined you wish to talk with, if not consider employing a family members legislation lawyer. Prior to we chat regarding what you should ask the attorney allowed's discuss how you can best prepare yourself:, consider what your goal is for this examination are you looking to obtain some basic recommendations (i.e., pointers progressing), or do you need a specific job done (such as composing an agreement, representing you in court, etc.)?, what is your spending plan what can you invest to reach your goals as well as just how much do you want to spend? Or to put it simply, how crucial is it to you? If you recognize your budget is just $1,000, after that communicating that in advance might conserve you from spending $100 on an examination just to be told the retainer at that specific, high end company is $5,000+.

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Each has it's own advantages and downsides, as well as prices. Some firms may likewise have less-experienced lawyers that can function on the instance at a reduced price, saving your allocate those more really complicated circumstances that need experience., what is your individuality design? Do you want/need frequent updates, or is it something that can be "handed over" and also "got"? Do you like e-mail or phone? Do you like an even more hostile method, or a much more friendly strategy? Each law firm will certainly have their own character too, and comprehending your own needs will assist you obtain one of the most out of your experience with the company.

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Currently that you have actually answered those questions as well as have actually identified: Your character (THAT is the most effective sort of representative for your goals) A concept of your goal (WHAT you want) WHEN you require this done WHERE you require the work executed Your spending plan (Just How Much can I/will I have the ability to invest) Allow's check out great inquiries to ask: While some situations are really uncommon, as well as no 2 truth patterns coincide, an experienced household law attorney will have the expertise of just how the various parts of the regulation and also specifically household regulation interact, so even if they have not taken care of an instance "specifically" like your own odds are, they have actually seen adequate comparable things to have a solid strategy of just how to approach it.

Nonetheless, sometimes a situation specifically equitable distribution, as an example, is driven by regional policies as well as depending upon the quantity of marriage residential property might take anywhere from 3 months to 2 years. Also, often your personal goal for a case might be realistic or not such as safekeeping. Many judges absent major medication, alcohol, considerable distance between homes, etc.

You will most likely have some variant of common custodianship not always 50/50, mind you just not 100% to 0%. Nevertheless, your facts will be court as well as case specific, so knowing possible outcomes can aid you choose if this legislation company is on the exact same page as you both monetarily and also goal smart! PRO TIP: Be wary of any lawyer that promises you will certainly get EVERY LITTLE THING you ask for! Unless you've currently settled on whatever in advance, http://www.bbc.co.uk/search?q=business, Family and Commercial lawyer the fact of family members law is that everybody has to endanger some (and also if you go in front of a judge, the judge will make those compromises for you).

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Just beware if it sounds also great to be true, it most likely is. Remember you are paying for GUIDANCE not for "specific answers". One lawyer can not regulate what the other party/attorney/judges do. They CAN however guide you down a course that aids you best reach goals you are attempting to achieve.

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Family Law Attorney - An Overview

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If your potential lawyer can not share the problem with you about your instance in the very first conference (such as informing you there are no worry in your instance), be concerned. Now not all problems are major, and almost all troubles can be overcome, some easier than others. For instance uncontested outright divorce has to do with as simple as it gets.