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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

For the first time in history, a beluga whale, which normally lives in arctic waters, was spotted off the coast of Southern California. Now there's an investigation under way to find out where it's going and why.Drone video taken by Gone Whale Watching owner and Captain Domenic Biagini, or "Captain Dom" in San Diego shows the Beluga happily swimming thousands of miles from home.Something like this has never been recorded before. Never has this animal been seen off the coast of San Diego, and never this far south in the Pacific Ocean.Biagini charters sight seers and also takes drone images. He's still in disbelief about the beluga footage he captured.“Imagine I’m outside at my house in Southern California and I walk out and there’s a polar bear walking down the street. It’s that unusual, it does not make any sense that this whale would be here,” Biagini said.He said it all started when a friend of his called about the rare sighting. “She called me on the radio and said, ‘Dom we just saw a 15 foot pearly white animal with no dorsal fin.’ I said, ‘Lisa, are you trying to tell me you have a beluga whale in San Diego waters?’”She wanted his drone expertise because she couldn't quite believe it either. So, he went and they all sat quietly. Watching and waiting for the whale to resurface. After some time it came back up and looked right at the drone.Captain Dom said the moment was emotional. “I started to get the shakes a little bit because I realized I was going to film this, it was going to happen, I was going to get there in time and I realized how historic this moment was - not just for San Diego but for whale watching as a whole, worldwide.”And then he got worried. What was it doing here and so far from home? The beluga whale looked healthy enough and while incredible, now what?Dr. Alissa Deming is the Director of Clinical Medicine at the Pacific Marine Mammal Center in Laguna Beach, California. “One of the questions as a veterinarian that we have, is why did he decide to leave his habitat? That could be an indication of something wrong, his ability to navigate his environment.”Normally, she said, belugas live in the Cook Inlet of Alaska. They're an endangered species and they're social. They usually travel together.From the looks of the images, Dr. Deming said the whale is older and it is abnormal that he's alone. His skin looks good and he's not thin, so hopefully he's still getting the food he needs.But, the whale is still too far away from home and researchers are concerned, and are now looking for it.“It's definitely searching for a needle in a haystack, a little white needle I guess. A lot of time public reporting and whale watching companies can call things in which is how this was opportunistically sighted. NOAA can put planes up or have the US Coast Guard help on a search but there’s so much water we don’t know which direction this animal went,” Dr. Deming said.The worry is that it's headed south towards Mexico. Waters are warmer there and the Beluga will be harder to track in international waters.“We would like them to stay up in the Alaska region. As much as I love beluga whales, I don’t want to see them off our coast because that means there’s something really wrong with their normal habitat up there in Alaska,” Dr. Deming added.For Captain Dom, who's had an incredible run of luck, spotting the beluga and recently five species of whale and four species of dolphin, it's a dream come true.“It's so beautiful, belugas as white as they are in waters as blue as ours. That’s not something we see here; we don’t have animals that color in water as bright and sunny as ours.”An incredible sight, one that's now recorded as historical, and one that everyone hopes to never see again. At least when it comes to belugas hanging out in sunny, Southern California. 3833

First lady Melania Trump underwent kidney surgery Monday at Walter Reed National Military Medical Center near Washington, DC, according to a statement from her office.Trump had been experiencing an issue with her kidney that her office described as benign, but requiring medical attention.Trump, who turned 48 last month, entered Walter Reed in nearby Bethesda, Maryland, on Monday morning and is expected to remain hospitalized for several days following the operation, according to the statement from her communications director, Stephanie Grisham.She is the first US first lady to undergo such a serious medical procedure while in the White House since Nancy Reagan had a mastectomy in October 1987. Rosalynn Carter underwent surgery to remove a benign lump from her breast in April 1977. Weeks after Betty Ford became first lady, she was diagnosed with breast cancer and underwent a mastectomy in September 1974.President Donald Trump remained in the White House during Melania Trump's surgery.On May 7, Trump, a relatively private first lady by comparison to her most recent predecessors, was once again front and center, this time to unveil her formal platform, Be Best. She kicked off the initiative with a Rose Garden speech lasting 11 minutes, the longest public speaking engagement during her 16-month tenure as first lady.Be Best is a three-pronged platform with a focus on opioid addiction and families, general physical and emotional well-being of children, and kindness and safety for kids using social media. The latter caused a firestorm of controversy because it encompasses cyberbullying, a tactic that Melania Trump's husband, the President, has often been accused of fueling.In March, the first lady addressed the criticism she has faced by taking up the issue during opening remarks to a meeting she convened at the White House for tech industry leaders from Google, Snap, Twitter, Facebook, Amazon and others."I am well-aware that people are skeptical of me discussing this topic," she said. "I have been criticized for my commitment to tackling this issue, and I know that will continue. But it will not stop me from doing what I know is right."Melania Trump has also appeared with her husband several times in recent weeks. He was seated in the front row during her Be Best speech, after which he made remarks praising her commitment to helping children, and he was again second to speak, after his wife, during the Military Mothers and Spouses Ceremony on Friday in the White House East Room."She's become a very, very popular first lady. I'm reading that ... They love Melania," the President said. A new CNN poll released May 7 had the first lady's favorable rating up 10 points since January to 57 percent. 2757

Four days after a massive earthquake?killed at least 347 people on the Indonesian island of Lombok, a 5.9 magnitude tremor hit the island, sending frightened residents onto the streets.Thursday's seismic event follows a 6.9 magnitude quake Sunday that flattened homes and stranded thousands of people on Lombok's northern coast and the nearby Gili Islands.The northern part of Lombok is more residential and less developed than the resort-filled south. Thursday's quake could be felt on Bali, another popular resort island in Indonesia.Endri Susanto, who runs a nongovernmental organization assisting with relief efforts, said the earthquake felt very strong in Mataram, a city on Lombok's west coast. 714

Former Michigan Governor Jennifer Granholm has been picked by President-elect Joe Biden to run the Energy Department, the Associated Press confirmed and was first reported by Politico.The department plays a key role in helping develop the technologies needed to fulfill Biden's pledge to move the country off fossil fuels.Granholm served two terms as Michigan's Governor and is experienced in dealing with the auto industry, which could be an advantage as the president-elect seeks to speed up the roll out of electric vehicles and the network of charging stations used to power them.If confirmed, Granholm would be the second woman to lead the department since its creation in 1977."She really worked very hard in 2016 to place herself as Energy secretary with the Clinton team," said Skip Pruss, the director of the Michigan Department of Energy, Labor, and Economic Growth under Granholm. "She’s really a student of the [energy] transition. If you were to ask me what was a limitation in Michigan, I would say that she was slightly ahead of her time."This article was written by Kellen Voss for WXMI. 1111

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