Archive for November, 2008

Things I Have Learned From the Mistakes of Others

Tuesday, November 25th, 2008

  Many of the most useful things I have learned in life have been learned at the expense - some fatal - of others.  For thirteen years I worked at a municipal fire department as a firefighter and paramedic in the state of Florida.  The training I received to perform my job pales in comparison to some of the things I learned while on the job.  I would like to share some of these things with our blog readers.

  • 1) Never follow behind any vehicle with items hanging off it no matter how secure the load looks. I have discovered these items tend to look for (and penetrate) windshields when they fall off.
  • 2) When you are driving, never turn your wheels until you are ready to accelerate into the turn. If you are rear ended and your wheels are turned you will go the direction your tires are headed. Often this means into you will be thrown into oncoming traffic.
  • 3) Never ever hang glide or fly an ultra light airplane. While I am quite sure they are fun in the air, some landings can be ruthless.
  • 4) Wear your seatbelt! I can’t think of anything worse than finishing out an accident only to wind up out of the vehicle and lying in the middle of a busy highway.
  • 5) If you like Christmas trees please stick with the fake ones. While a real tree might smell nice, a dry one can become fully engulfed in flames in less than a minute. Spending the holidays homeless is not worth a smell.
  • 6) Never believe if you are careful enough on a motorcycle you are safe. I have seen accidents that absolutely no motorcyclist could have avoided. Do not ever ride motorcycles unless you are ok with losing a limb - or worse - in exchange for the thrill.
  • 7) If you own a pool please make sure it is fenced and has an alarm. http://www.poolguard.com/ These alarms will audibly alert you if anything greater than 15 pounds falls in. A pool alarm costs less than $200 and could have prevented child drowning incidents I have seen where death or brain damage was the final outcome.
  • 8) Make sure you have functioning battery operated fire alarms in you home on all floor levels. Test them at least twice a year. I have seen too many fatalities as a result of this cheap and simple prevention.
  • 9) Have actual home fire drills with your family. If you have kids can they open a window, remove a screen and get out? Is your family aware that in smoky conditions the best visibility will be obtained by crawling on the ground? Set up a meeting place outside the home so you can quickly determine if someone failed to get out.

Each and every point item listed above may seem like common sense to some.  Yet I can say that I have seen those who failed to follow common sense pay for it with their life, and in some cases the lives of others.  Hopefully the information I have outlined will in some small way keep both you and yours safe.

 

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Reasons to take a travel nursing assignment - Improving your resume.

Wednesday, November 19th, 2008

 

With all of the vacant nursing jobs around the country, you may have considered travel nursing yourself.  Travel nursing may not be your full time aspiration however.  There are many reasons to take an occasional travel assignment.  Perhaps you’d like to visit a close friend or relative in a certain city.  Perhaps you’d like to see a part of the country you’re considering relocating to.  There are all great reasons to take a travel assignment.

 

One benefit you may not have considered is the improvement of your professional qualifications and resume.  In a travel assignment, you will encounter personalities, processes, and procedures that invariably will be different than your accustomed routines.  This exposure will both challenge and reward you.  Successfully completing a travel assignment demonstrates that you have the core competencies and flexibility to adapt to dynamic environments.

 

You will of course need to be prudent in selecting travel assignments.  For instance, if your experience has been purely with small community or rural hospitals, you’ll want to gradually work up to the larger high acuity hospitals.  If you’re already accustomed to a large urban hospital environment, you might want to consider a university teaching facility.  Assignments at teaching facilities definitely serve to increase your exposure and knowledge of cutting edge patient care.

 

Enjoy meeting new friends and seeing a different part of the country on your next travel nursing assignment.  Enhancing your professional skills will be “icing on the cake”.

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Winning The Job By Interview

Monday, November 10th, 2008

  Travel Nursing - Winning The Job By Interview

You have been submitted to a few travel nursing jobs. Your recruiter tells you to expect a call from the hospitals to conduct an interview.  How can you best prepare to win the assignment?  The following 6 tips can help you raise your game and present the best you!

 

  • 1. Begin With The End In Mind. It is important to understand first what the hospital is looking for in a candidate. This understanding can help you tailor your responses to reflect your strengths and satisfy the hospital’s needs. While all hospitals are not alike, most are looking for 3 things: (1) Competence. Hospitals want a nurse that can “hit the floor running” with minimal orientation. (2) Personality. Hospitals want nurses with a good attitude, a team player mentality, and a strong work ethic. (3) Dependability. Hospitals want a nurse that is reliable. If a nurse isn’t there to apply her skills, then her skills hold no value.
  • 2. Rehearse! Like an actress on Broadway, your interview is your play. Practice your responses. This will help eliminate the “Um’s”, the “You know what I means”, and will give you the ability to choose meaningful words that best describe you and your strengths. Ask your recruiter to role play with you. Ask your spouse or significant other also. Record yourself and listen to how you sound. Research the hospital that you are interviewing with. Write down the questions you plan on asking.
  • 3. Set The Stage. Inform your family that you are expecting an interview call and to please keep noises to a minimum and to not interrupt you while you are on the call. When the interview call comes in, be sure to turn off your stereo, TV and anything else that might cause a distraction. Keep bottled water close by to stay off a dry mouth. Have a notepad and pen available for notes. Go into a secluded room of your house and shut the door. Be certain to ask the interview his or her name. Write it down. Clear your head and turn the focus to your career. Have your resume ready so you can refer to it. Keep your hospital research material in plain view. Have your questions ready.
  • 4. What To Do And Not Do During The Interview. Be a good listener. Avoid interrupting the interviewer and let her complete her sentence or thought before you respond or seek clarification. Smile. Smiling changes the tone and inflections in your voice. Let the interviewer hear your smile. Speak slowly and enunciate clearly. If you can stand while you are on the phone, even better. This too helps project a positive upbeat voice. Do not smoke, chew gum or eat during the interview. Don’t doodle on your notes, surf the net, or glance through something to read. Keep your attention directed fully on the interviewer. Be comfortable with silence. Don’t feel compelled to fill gaps in conversation. If the silence is too uncomfortable, then ask a question you might have to break the silence. Most importantly throughout the interview, focus on what you can offer, what you can do, what skills you possess, and what type of equipment you have worked with. Sound positive and be self confident with a willingness to learn.
  • 5. What Questions To Ask. In addition to personal questions you may have, here are some more to consider:
  • a. What is the nurse to patient ratio?
  • b. What types of patients are typically on the unit?
  • c. What is the floating policy?
  • d. Is support staff available (CNA’s, Patient Techs)?
  • e. Is a unit secretary available?
  • f. Is respiratory therapy available?
  • g. Is OT/PT/ST available?
  • h. Are lab techs available or do the nurses draw their own labs?
  • i. Are there house physicians available?
  • j. Does the hospital have an IV Team?
  • k. Does the hospital have a Code Team?
  • l. What is the charting method?
  • m. Does the hospital use a medications system?
  • n. What is the dress code for the unit?
  • o. What is the orientation length?
  • 6. What Happens Next? If you want the position, ask for it at the end of the interview. If you are unsure, don’t immediately turn it down. Think about it first. If after 24 hours you still don’t think it’s right for you, then turn it down. Keep your recruiter in the loop by discussing how you think the interview went and what direction you want to take.

Best wishes on landing your dream assignment,

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Home Foreclosure - Avoiding Bigger Mistakes

Thursday, November 6th, 2008

     By now, we’re all acutely aware that the housing bubble burst a few years ago. Home values had appreciated at rates which could not be sustained forever. If you add sub prime and adjustable rate lending to declining home values you have the “perfect storm” for foreclosure rates at an all time high.

     Even with high paying nursing jobs, nurses are not exempt from the prospects of loan default and foreclosure in these trying economic times. It is now estimated that 3% of all mortgages in the USA are at or near the point of foreclosure.

     The average home loan default goes something like this:

     Homebuyer Nancy Nurse bought a house in 2002 when home prices were peaking - let’s say she paid $300,000.00 for the home. She borrowed 80% of the value or $240,000.00. She got an adjustable mortgage which adjusted last year (2007). It adjusted upward and her payment went up $500/month. She tried to refinance her mortgage, but her home was only worth $220,000 and she owed $225,000.00. Even if the bank would refinance, she is under the 80% loan to value and she would be stuck paying primary mortgage insurance (PMI) - so any money she saved in the refinance would be eaten up with PMI.

     The price of gas for her SUV has been killing her. Her kid’s college tuition went up 8% last year and she took that money from her savings. Any money she had in her 401K is worth 40% less than it was last year. And her husband just got laid off. Sound familiar?

Now What?

     Nancy is in trouble. She started making late payments on her home and she got hit with big late fees until she eventually fell a few payments behind. There is blood in the water and the sharks are circling. Nancy needs to take action - quickly.

     Nancy’s bank is the place for her to start. Banks and Mortgage Companies have all recently expanded their “loss mitigation” departments. The guidelines that banks use to possibly “re-work” her loan are evolving daily. The basic theories behind what they’re trying to do are simple. They know that if they have to foreclose on Nancy, then they will be stuck trying to sell her house. There are 25 other homes in Nancy’s subdivision which are being listed at “distressed” prices. Most likely, they will have to sell Nancy’s house at an auction. Someone will buy it “on the cheap” and the bank will have to write off the difference - sometimes as much as $100,000. Nancy will have no choice but to file bankruptcy and the bank will lose.

     The banks are becoming more and more motivated to work with Nancy. If they can get her into a refinance situation with a reasonable fixed interest rate at say $190,000.00 and if they can waive PMI, suddenly Nancy doesn’t think bankruptcy is her best option. The bank loses maybe $35,000 in the process, but they stand to lose 3 times that amount if the property goes to auction and Nancy files bankruptcy. Nancy survives and the bank loses less.

     That type of loss has been discussed as a partial use of some of the TARP bailout. Banks have broad discretion in using those funds. The question has been posed “why did the government help out banks and not people in mortgage trouble?”. The answer is that by helping banks - they are helping people in mortgage trouble. No government agency could design a mortgage assistance package that would be “one size fits all”. Hence, they gave money to the banks and gave them broad discretion for its use.

     Also, banks are trying to implement rules where they get their loss write-off back if Nancy ever sells her house. For example, if Nancy stays in her house another 10 years and sells it for $300,000, the bank would be in line to get their $35,000 off the top. You might recall that part of the $700 Billion TARP package was that if banks profited or got the money back - that money goes back to the government.

Beware of Predators

     Because of this sudden spike in foreclosures, you’re starting to see a new industry develop. There are large numbers of companies out there who are claiming to be able to get you out from under a foreclosure situation. Many of them are legitimate and will work for your benefit. Some are not.

     Anytime there is a crisis of this scope, there are going to be opportunists looking to make a profit from your misery. There are a large number of “foreclosure scams” out there, so make sure you do your homework.

     I found this site to be an excellent resource for information and referrals to legitimate help.

Don’t Lose The Lesson

      There are now hundreds of thousands of people across the USA who have been faced with foreclosure in these past few years. A wise person once said, “when you lose, don’t lose the lesson”. The lesson here is simple. Adjustable Rate Mortgages have a huge potential downside. Don’t expose yourself to huge risk to wedge yourself into a house that you really can’t afford.

    If you can’t live with the worst possible outcome, don’t do the deal.

     

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