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Five-figure signing bonuses, free housing, college tuition for employees and their children.Hospitals and other medical facilities are getting so desperate to recruit and retain nurses they're offering all sorts of pricey perks and incentives."These are some of the grandiose examples we've heard from our members," said Seun Ross, director of nursing practice and work environment at the American Nurses Association. "Who knows what employers will come up with next?"America is undergoing a massive nursing shortage. Not only are experienced nurses retiring at a rapid clip, but there aren't enough new nursing graduates to replenish the workforce, said Ross.The nation's aging population is exacerbating the problem. The American Nurses Association estimates the U.S. will need to produce more than one million new registered nurses by 2022 to fulfill the country's health care needs.UCHealth, which operates nine acute-care hospitals and more than 100 clinics across Colorado, Wyoming, and Nebraska, currently has 330 openings for registered nurses. Since the nonprofit health system can't find all the nurses it needs locally, it has been seeking out candidates from other states -- and sometimes other countries.To entice these new recruits, it has offered relocation allowances and signing bonuses of up to ,000, said Kathy Howell, chief nursing executive for UCHealth.UCHealth is trying to sweeten the pot in other ways, as well. It provides nurses with up to ,000 a year to invest in continuing education. And it offers the Traveler RN program, which allows nurses to do a 13-week rotation at different UCHealth facilities.Meanwhile, across the country, Inova Health System is offering candidates who have at least two years of critical care experience and live more than 50 miles from one of its six Washington, D.C.-area hospitals a ,000 sign-on bonus and up to ,000 in reimbursable relocation costs, said chief nursing officer Maureen E. Sintich. Candidates who live within 50 miles of one of Inova's hiring hospitals are offered a ,000 signing bonus.This fall, West Virginia's WVU Medicine, which operates eight hospitals in the state, will start offering tuition reimbursement for employees and their children."It's for nurses and for all of our staff who've been here for five or more years. We're also extending it for their children to fully cover their college tuition if they go to West Virginia University or partially cover tuition if they go elsewhere," said Mary Fanning, director of WVU Medicine Nursing Administration.WVU, which is currently looking to hire 200 nurses, also offers free housing to some of its nurses as part of its commuter program. The perks, it said, are aimed at both attracting new recruits and retaining existing staff.Lacy Russell, 24, applied for a job as an intensive care unit nurse with WVU after she learned about the commuter program from a friend.Under the program, nurses who live 60 to 90 miles away from WVU's hospital in Morgantown, West Virginia, are offered a free place to stay. Russell, who was hired in 2016, lives an hour and 20 minutes away from the hospital. She stays at the hospital-owned lodging during her shifts Friday through Sunday."I save so much on gas by not having to drive back and forth," she said. "I graduated from nursing school with ,000 in student debt. So this really helps."She plans to work at the hospital for at least a few more years and also take advantage of the tuition reimbursement at some point so she can continue to advance her training and skills.Did you recently go to the emergency room and receive a big bill? Tell us about it here.Bonuses and incentives may help, but hospitals have another big force working against them: The booming US economy.Periods of economic upswing aren't necessarily good for the nursing industry, said Susan Salka, CEO of AMN Healthcare, one of nation's largest providers of medical staffing services."During economic downturns, nurses stay put in their jobs and attrition dips," she said. "When the economy is booming, attrition goes up. Nurses feel more comfortable pulling back on their hours or moving ahead with their retirement decision."In two-income households, if their partner is doing well financially, some nurses feel comfortable dropping out of the workforce to take a break from a grueling job, said Salka.The American Nurses Association's Ross worries that rich bonuses and creative perks may not go far enough to retain nurses in the long run."What's to stop nurses from accepting a job because of the perks and then hop to another hospital after two years because of their perks," she said.A better approach would be to invest in improving the work environment for nurses and offering better pay, career development and hours to help make sure they don't burn out, she said."All it takes is for one nurse to tell her friend that where she works is a great place for these reasons and applications will come in," Ross said. 5015

Fourth of July celebrations may look a little different this year, but the U.S. Department of Agriculture says you should still be able to enjoy your favorite patriotic foods in a safe way.No matter how you’re celebrating, the USDA is encouraging Americans to make food safety and other public health recommendations a part of their festivities.USDA officials offered these tips to ensure a food safe Fourth of July:Don’t cross-contaminateAlways keep raw meat and their juices from touching other foods.While grilling, avoid using the same utensils for cooked and ready-to-eat foods that were previously used with raw meat or poultry products. Wash and sanitize all surfaces and utensils after they touch raw items. (A recent USDA survey showed that 34% of respondents do not follow an important step to use a different utensil to take food off the grill.)Bring enough tools to keep your raw meat and poultry away from any cooked or ready-to-eat foods and have extra cleaning and sanitizing supplies ready for your surfaces, plates and utensils.Use a food thermometerSome grill masters may say they know their food is done just by looking at its color when it comes off the grill, but the USDA says that’s not possible and shouldn’t be relied upon. That’s where a food thermometer comes in.“More than 25% of burgers can turn brown inside before they are fully cooked,” said FSIS Administrator Paul Kiecker. “Although your grilled foods may look done, foodborne illness causing germs are not killed until the safe internal temperature has been reached. Using a food thermometer is the only way to know your food is done and safe to eat.”The USDA recommended safe minimum internal temperatures are:· Beef, pork, lamb and veal (steaks, roasts and chops): 145°F then rest for three-minutes· Fish: 145°F· Ground meats (beef, pork, lamb and veal): 160°F· Whole poultry, poultry breasts and ground poultry: 165°FKeep foods at safe temperaturesPerishable food items should not be left outside for more than two hours, and only one hour if the temperature is at or above 90°F.Keep your food at or below 40°F, in coolers or containers with a cold source, such as ice or frozen gel packs. This includes any leftovers from the grill, cold salads and even cut fruits and vegetables.Leftovers should be refrigerated or placed back in the cooler within 2 hours of being placed outside (1 hour if temperatures are at or above 90°F).If you are not sure how long food has been sitting out, throw it out immediately.Questions?If you have questions about these tips, or any other food safety topics, call the USDA Meat and Poultry Hotline at 1-888-MPHotline (1-888-674-6854) or chat live at ask.usda.gov from 10 a.m. to 6 p.m. Eastern Time, Monday through Friday.“Foodborne illness can increase during summer because of the warmer temperatures and extended time spent outside,” said Dr. Mindy Brashears, the USDA’s Under Secretary for Food Safety. “You may not be grilling at the park this year, but instead you may be grilling at home. As we celebrate this Fourth of July holiday, I encourage consumers to use food safety steps to reduce their risk of illness.” 3150

For the first time since 2003, the American Heart Association is updating the comprehensive guidelines for blood pressure and hypertension.According to a release from the AHA, patients with a blood pressure reading of 130/80 should now be considered to have hypertension, or abnormally high blood pressure. Previously, a blood pressure level of 140/90 was the baseline for being diagnosed with hypertension.The new guidelines from the AHA mean that nearly half of all American adults — 46 percent — suffer from hypertension. By the AHA’s old standards, 32 percent of American adults suffered from high blood pressure. “We want to be straight with people – if you already have a doubling of risk, you need to know about it,” said Dr. Paul K. Whelton, the lead author of the AHA’s new guidelines. “It doesn’t mean you need medication, but it’s a yellow light that you need to be lowering your blood pressure, mainly with non-drug approaches.”Despite an increase in the amount of Americans with high blood pressure, the AHA hopes their new guidelines mean there will be only a small increase in the amount of patients requiring medication. The Association now generally recommends that patients with Stage 1 hypertension only be prescribed medication in the event of a heart attack or stroke, and they’re also recommending that pharmaceutical companies combine multiple blood pressure drugs. The AHA also hopes the new guidelines encourage patients to monitor their blood pressure at home, away from a stressful setting like a doctor’s office that can skew a single blood pressure test.According to the AHA, the new guidelines were developed by 21 science and health experts who reviewed more than 900 published studies.The new AHA guidelines for diagnosing hypertension are listed below. 1803

For millions of Americans, the economic fallout of the coronavirus pandemic could be starting to take shape. Late last week, a 0 per week unemployment supplement expired. Also funding from the Paycheck Protection Program has long been depleted. The program was implemented to help employers make payroll during the pandemic.In addition, data released last week indicated the US GDP declined by one-third in the second quarter of 2020.While Congressional Democrats, Senate Republicans and the White House are largely in agreement on the need for a stimulus, agreeing to a framework remains in question. The two sides are at odds over how much of unemployment should be supplemented by the federal government. There is also a debate on offering businesses liability protection from coronavirus-related lawsuits.“Today we have an emergency,” Pelosi said. “A building is on fire and they're deciding how much water they want to have in the bucket. This is very important. Millions of people could've fallen into poverty without the 600 dollars. They're so fussy about any anecdotal information they might have about somebody not going to work because they make six hundred dollars on this, but so cavalier about big money going to companies that shouldn't really be having it."Treasury Secretary Steven Mnuchin met with Congressional leaders on Saturday."There's clearly a subset of issues where we both agree on very much,” Mnuchin said. “We're very interested in extending un-enhanced unemployment insurance, we're very interested in schools, we're very interested in jobs. I think as you know, as the Leader (Mitch) McConnell has said, liability insurance is very important to us. So there's definitely the PPP, there's a lot of bipartisan support." 1759

FILE - Dean Dillon accepts the Icon Award at the BMI Country Awards in Nashville, Tenn. on Nov. 5, 2013. Dillon, along with Hank Williams, Jr., and Marty Stuart, will be inducted into the Country Music Hall of Fame. (AP Photo/Mark Humphrey) 250