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msmarco_passage_00_104183612	home care per visit pay - Home Health Nursing - allnurses®	home care per visit pay - Home Health Nursing - allnurses® Search home care per visit pay Specialties Home Health Posted Jun 29, 2011 Bee_home care Specializes in psychiatric home care. Has 10 years experience. I work for a nonprofit home care agency that is considering going from paying an hourly rate for RN Case Managers to per visit pay. I don't exactly know what this means. I make less than $25/hour at this time. I get reimbursed for mileage. The per diem visit rate is $17/visit which I know is AWFUL!!! I am responsible for admissions, recerts, OASIS and all other case management responsibilities. If you can tell me more about this and give me advice on what questions to ask if the agency decides to go this direction, it would be much appreciated. 0 Likes caliotter3 Jun 29, 2011 Generally, people say they are paid better hourly. Set per visit rates are harder to get all of your 'time worked' compensated. 0 Likes RobinlynaRN Specializes in med-surg, ICU, ER, Hospice, Home Health,. Has 24 years experience. Jun 30, 2011 RUN!!! Run as fast as you can!!!! I am paid by the visit, and frankly it seems QUITE unfair! You cannot possibly do everything that case management requires you to do, and see your patients and document on them on a per visit basis! 0 Likes jbudrick, MSN Specializes in Certified Wound, Ostomy & Continence Nurse. Has 18 years experience. Jun 30, 2011 I recently did a pay per visit job. My pay fluctuated based on the agency need for nursing visits. There was no compensation for case management activities that did not involve visits. When I took the job, I thought I would make more money paid per visit. That only works if the agency has the volume of patients. I was also forced to "share" patients with LPNs - every other visit was to be done by an LPN to save the company money. the agency provided as few visits as possible to patients. I will never do the pay per visit again. Good luck. 0 Likes KateRN1 Specializes in COS-C, Risk Management. Has 20 years experience. Jun 30, 2011 I have to agree with all the above. Pay per visit encourages a piecemeal mentality for both the agency and the nurse. And $17 per visit would be okay for a home health aide in most areas, but not a licensed nurse. I would find that rate absolutely insulting to say the least. I will not work for an agency that doesn't treat nurses like the professionals we are and pays a salary. 0 Likes dblpn Specializes in SN, LTC, REHAB, HH. Jul 5, 2011 I inquired about a per diem pay per visit position for an lpn to do med pours. wouldnt tell me what the pay is but i am curious as to how much does an lpn get to do just meds? 0 Likes jbudrick, MSN Specializes in Certified Wound, Ostomy & Continence Nurse. Has 18 years experience. Jul 6, 2011 In connecticut an LPN earns approximately $25 for a med administration visit and $35.00 for a med prepour with assessment. 0 Likes Gommer Specializes in Home care, case management. Has 13 years experience. Jul 12, 2011 My company in Michigan Pays $40 per routine skilled visit for lpn's, dont know about med set ups. 0 Likes Open An Account To Comment
msmarco_passage_00_104650432	New Grad Boston Rn's Making $55/hr??!! - Massachusetts Nursing - allnurses®	New Grad Boston Rn's Making $55/hr??!! - Massachusetts Nursing - allnurses® allnurses® Fall 2020 Magazine Now Available! New Grad Boston Rn's Making $55/hr??!! U.S.A. Massachusetts posted Sep 4, 2005 lisa41rn Prev 1 2 3 Next I'm a new RN in NH and have been told by someone that some of the new grads are making $55.00/hr as RN 's in Boston (I believe it was Beth Israel.) It made her start the application process to get her RN license for MA, but at a later time she said how great it would be to make $45.00/hr!! She seems a bit full of it to be honest. NH new grad RNs are making about $20/hr, thus doubling your pay for the travel might be worth it....regardless how bad the traffic is. Does anyone know what the new grad hourly rate is for RN 's in Boston and what is it with a year or two's experience? I have both my NH and MA license and wonder if Boston is worth looking into. Thanks. 0 Likes st4wb3rr33sh0rtc4k3 Specializes in Tele/ICU/MedSurg/Peds/SubAcute/LTC/Alz. Sep 4, 2005 lisa41rn said: I'm a new RN in NH and have been told by someone that some of the new grads are making $55.00/hr as RN 's in Boston (I believe it was Beth Israel.) It made her start the application process to get her RN license for MA, but at a later time she said how great it would be to make $45.00/hr!! She seems a bit full of it to be honest. NH new grad RNs are making about $20/hr, thus doubling your pay for the travel might be worth it....regardless how bad the traffic is. Does anyone know what the new grad hourly rate is for RN 's in Boston and what is it with a year or two's experience? I have both my NH and MA license and wonder if Boston is worth looking into. Thanks. I never heard of that. One of my friends work there and she makes in the 20s. I am not sure how the rate is for seasoned nurses. But, you could always call there human resource department to find out. She must be full of it, because I new of a classmate who lied and said she was getting a 20,000 sign on bonus through UMASS Corrections, because I was getting a 3,000 sign on bonus. That was totally bogus, I know nurses who work there and that was a bunch of bologne. You know she might just be trying to make her job sound better than yours, because you might have have a great job. :) 0 Likes lisa41rn Sep 4, 2005 Thanks. I think you're right. I couldn't imagine Boston paying double of NH. I would expect higher pay, but double-plus!! Just thought I'd check on it, but going to MA would mean paying income tax, higher travel expenses, etc....probably not worth it. I have three kids and a husband and work close to home now. I'd really need $40/hr to go elsewhere!! Thanks again. 0 Likes st4wb3rr33sh0rtc4k3 Specializes in Tele/ICU/MedSurg/Peds/SubAcute/LTC/Alz. Sep 4, 2005 lisa41rn said: Thanks. I think you're right. I couldn't imagine Boston paying double of NH. I would expect higher pay, but double-plus!! Just thought I'd check on it, but going to MA would mean paying income tax, higher travel expenses, etc....probably not worth it. I have three kids and a husband and work close to home now. I'd really need $40/hr to go elsewhere!! Thanks again. You know I know that private duty, home health nurses, travel nurses, and even some temporary agencies offer salaries close to what you are looking for. I interviewed for Americare at home, they offered me $34.00 an hour. But, their medical/dental benefits are terrible. 0 Likes deedee30 Sep 5, 2005 lisa41rn said: I'm a new RN in NH and have been told by someone that some of the new grads are making $55.00/hr as RN 's in Boston (I believe it was Beth Israel.) It made her start the application process to get her RN license for MA, but at a later time she said how great it would be to make $45.00/hr!! She seems a bit full of it to be honest. NH new grad RNs are making about $20/hr, thus doubling your pay for the travel might be worth it....regardless how bad the traffic is. Does anyone know what the new grad hourly rate is for RN 's in Boston and what is it with a year or two's experience? I have both my NH and MA license and wonder if Boston is worth looking into. Thanks. I agree it sounds high. Many places will pay higher amounts if you work without benefits though. 0 Likes Biker RN Nov 3, 2005 The Boston Area is very nice, the Longwood area is very busy. The traffic is ridiculous, morning and afternoon. The cost of parking is moronic. Aggravation going to and from work will cost you. Lunch will cost you, etc. Double what you make now? Maybe per diem, but not with benefits. Storrow Drive and Memorial Drive are busy mornings and afternoons. Work 11-7 and u should be fine. You would need 55/hour to live nearby. 0 Likes palesarah Nov 3, 2005 I know a nurse who had 10-15 years LDRP experience in Dover, NH; our pay scale topped out at around $29-32/hr and she was near the top. She took a position in Boston on a children's cardiac unit, which paid in the mid-40s hourly. It turns out she didn't like it and I think she's back on the LDRP she had left (I heard she was coming back per-diem just before I left). I'm job searching now, and have often thought of going to Boston- there are SO many more opportunities down there! It's about 1hr 20min drive average, but the drive TO Boston is the easy part- driving IN Boston, parking, road rage & frustration... all keeping me from doing it. Just not worth it. Although, my sister lives only a half-hour or so from Boston, maybe if I worked only 2 days a week and stayed at her house, it could work... or I could take the train there & back if I can get the right kind of work schedule... it's very tempting, but not at all easy. Two more of my former coworkers (they left about a month before I did) are travel nursing in the Boston area, and they're only getting $30/hr but that's I think in Lowell. Hmmm. 0 Likes cb0027 Nov 3, 2005 Brigham's is paying new grads $26/hr. But there is a catch they are a unionized hospital so you have monthly dues. 0 Likes MarySunshine Nov 3, 2005 I used to work as an NA at Beth Israel. I think the starting rate for new grads was $24 (with the benefits). They're a good hospital to work at from my experience. $55/hr is a lie. 0 Likes christvs, DNP, RN, NP Specializes in ACNP-BC. Dec 20, 2005 Hmm, that seems a tad bit high! I'm a new RN & I work at UMASS-Memorial in Worcester & they pay us newbies $24.33/hour to start plus $3/hour more for evenings, $5/hour more for nights, and $2.50/hour for weekends. So on my 3-11 PM shift I get paid $27.33/hour during the week and $29.83/hour on weekends. But I don't know how other area hospitals pay. I imagine the Boston hospitals are more. I did hear a new nurse at Mass General say she makes $50,000/year. Hope this helps. -Christine 0 Likes caroladybelle, BSN, RN Specializes in Oncology/Haemetology/HIV. Dec 20, 2005 I have worked at BID recently and from the gossip of the new grads, I do not foresee them making $55.00. I can't see regular staff making that, either. In Philly, there are several places that offer experienced nurses a per diem rate of $56.00 or more per hour. But that is without benefits. In addition, the cost of parking, headaches of mass transit, cost of Boston makes it a difficult sell. 0 Likes NRSNFL Specializes in Ortho/Neurosurgical. Mar 3, 2006 christvs said: Hmm, that seems a tad bit high! I'm a new RN & I work at UMASS-Memorial in Worcester & they pay us newbies $24.33/hour to start plus $3/hour more for evenings, $5/hour more for nights, and $2.50/hour for weekends. So on my 3-11 PM shift I get paid $27.33/hour during the week and $29.83/hour on weekends. But I don't know how other area hospitals pay. I imagine the Boston hospitals are more. I did hear a new nurse at Mass General say she makes $50,000/year. Hope this helps. -Christine I might add, if you calculate.....even at 24.33/hour...that IS 50k a year. I'd say that is a pretty sweet starting with an associates. I have a friend that has a masters in social work and started at 40k....did I add she has a masters. Everyone says Florida is paid low, but 4.00 hour difference at starting rate makes me thankful. I'll pay the 4.00/hour to stay warm. 0 Likes christvs, DNP, RN, NP Specializes in ACNP-BC. Mar 3, 2006 NRSNFL said: I might add, if you calculate.....even at 24.33/hour...that IS 50k a year. I'd say that is a pretty sweet starting with an associates. I have a friend that has a masters in social work and started at 40k....did I add she has a masters. Everyone says Florida is paid low, but 4.00 hour difference at starting rate makes me thankful. I'll pay the 4.00/hour to stay warm. True, if you work full time but I work part time & also I have my BSN. But where I work, we all get paid the same regardless of which nursing degree we have. We just got a raise too, so we get $27.83/hr on 3-11 during the week & $30.33/hour on weekends. Every little bit more makes me happy. :) I would totally love to move to Florida cuz I love warm weather. Now if I can just convince my husband that we should move.... :) 0 Likes leslie :-D Mar 21, 2006 i heard the brigham & women's was the highest paying hospital, but you do have to take into acct the union dues, parking... if you're driving a car into boston, it's a nightmare and costly- no getting around it. mass general has all sorts of new grad openings with extensive orientations but their hourly wage is in the $20's....and they are rather elitist. and finally, i also heard that new england baptist hospital's per diem rates are phenomenal. much luck to all. leslie 0 Likes sheezy01 Specializes in Emergency. Jan 19, 2009 How do you obtain a license in more than one state? Can you give me the website to look into? 0 Likes Silverdragon102, BSN Specializes in Medical and general practice now LTC. Jan 19, 2009 sheezy01 said: How do you obtain a license in more than one state? Can you give me the website to look into? You need to endorse your license so just look at the state BON website (link at bottom of page) and meet their requirements for endorsing 0 Likes NurseKatie08, MSN Specializes in Geriatrics, Transplant, Education. Jan 20, 2009 OP, I think your friend is full of it. Boston can barely offer JOBS to new grads, let alone that sort of compensation. 0 Likes April, RN, BSN, RN Jan 23, 2009 This thread is 3.5 years old. Anyway, I wonder if someone was told that new grads were making $55K a year and that got misquoted to the OP as $55/hr. 0 Likes wackyj2000 Specializes in Cardiac Tele. Feb 18, 2009 I work at lahey clinic in burlington ma and the nurses start at 26.50 an hour and have full benefits and the hospital is not union. Evening shift its an additional 3 dollars and hours and night shift they just moved up from 5 to an additional 6 dollars an hour. It's a pretty good salary for a new grad, and they have a 10,000 sign on bonus if u stay for 4 yrs. I think it all depends on the hospital. But boston hospitals do pay more but take into consideration the commute into the city, or even the living expenses to live in a city. Its alot cheaper to live in NH. I know a nurse they works in NH and get paid alot less than what she did working at lahey- so she still works with us per-diem. 0 Likes machsspass Feb 22, 2009 I highly doubt it a new grad is making $55/hr right out of school. I could totally believe $30/hr, $35/hr and even as far as $45/hr. I have seen those paychecks with my own eyes, mostly RN BSN, not that it matters most of the time. I worked in HR while in college @ couple Boston hospitals, and never ever seen anything more than a $45/hr for a new grad, and shall I mention that those new grads had multiple degrees and couple of them had MBA's. They had picked nursing as a second career, probably making more in their old jobs. It's a rewarding and wonderful field, what can I say :-) 0 Likes Prev 1 2 3 Next This topic is now closed to further replies.
msmarco_passage_00_104697871	buerger-allen exercises - Medical-Surgical Nursing - allnurses®	buerger-allen exercises - Medical-Surgical Nursing - allnurses® What's New COVID Nurses New Nurses Students Specialties Schools Career U.S.A. World Articles Magazine Ebooks Breakroom About Us Jobs Specialties Med-Surg buerger-allen exercises Posted Jun 14, 2004 by kay Does anyone know of a site where I can download how to do buerger-allen exercises - as a patient teaching tool. 0 Likes chris_at_lucas_RN, RN Has 7 years experience. Jun 14, 2004 I found this by googling--here's the URL: http://www.apta.org/education/Continuing_Education/onLine_ceu_List/Neuro_Plantar/intervention_pg9 The physical therapist considers the use of postural exercises, such as Buerger-Allen exercises, to enhance circulation of the feet and help provide a better healing environment for Mr C's foot ulcer. As described by Bottomley,5 Buerger-Allen exercises are begun with the patient in the supine position on a bed. The patient raises the lower extremities to a 45-degree angle for a maximum of 3 minutes or until blanching occurs; pumps and circles the feet and performs isometric contractions of the quadriceps femoris and gluteus muscles for 1 minute or more in the elevated position; and, once blanching occurs again, returns the leg to the horizontal position for 3 minutes, pumping and circling the feet for 1 minute. Then, once the feet become a warm, rosy color, the patient sits up, hangs the legs over the side of the bed, and actively plantar flexes, dorsiflexes, and circles the feet, maintaining that position for 3 minutes or until rubor is observed. The patient then returns to the supine position with the lower extremities "flat" for another 3 minutes and performs an active muscle contraction for 1 minute in this position. Thanks for your post--I never heard of this before! 0 Likes kay Jun 14, 2004 thank you so much. i had tried a search but didn't find this! thanks for your post--i never heard of this before! these exercises are often used in pvd :) 0 Likes countryrose09 Specializes in geriatrics. Has 3 years experience. Mar 7, 2007 I also want to thank you for posting this. I was just assigned to teach the Buerger-Allen exercises to my classmates tomorrow! 0 Likes KJRN79 Specializes in OB/peds (after gen surgery for 3 yrs). Mar 7, 2007 This IS very interesting. My mom sees a vascular surgeon, is diabetic and has PVD, and I'm going to see what he has to say about this! It sounds easy enough to teach her (mid-70s with some memory deficits!) Thanks! 0 Likes anonymurse Mar 19, 2007 I know this is an old thread, but the link provided didn't do it, here's some info I found online: Buerger-Allen Exercises - Life flat - legs up for 2 min. or until blanching - Place legs in dependent position, until cyanotic/red - Lie on horizontal position for 1 min. - Repeat exercise 4x - 3x daily From here (it's in the middle of a PPT): http://www.instruction.greenriver.edu/epalmer/Unit%205.1%202004.ppt#262,50,Buerger-Allen Exercises Oops, didn't see Chris' quote, that's very good. Will ask my PT cousin if he has more. 0 Likes jrpawlik Jul 25, 2008 More than twenty yeras ago I obtained a copy of a pampflet titled Buerger's Exercises for Venous Insufficency or something likke that from the "Ask the Doctor" Section of a local Chicago Newspaper. It had many more exercise moves than those described in the write uo provided with illustrations. These were ment to be performed by the patient alone in bed before arising and retiring. I lost the pampflet many years ago and have lokked for it in vain for more than a decade on the internet. I now have a research librarian working on the problem at our local library. I will most any new links that materialize. 0 Likes sunflowerross, LPN Specializes in Geriatrics/Orthopedics/CDU/LTC/SNF. Jan 6, 2010 i searched buerger-allen exercises studying for the nclex--first thing that popped up was this link--haha! gawd, i love this site!! allnurses.com --rocks!!!!!!!!!!!!!!! and--yes, this site does make you a better nurse--nurses are always learning--a site that you can come to for all different kinds of reasons/information is such a great tool. the day a nurse can't learn anymore, is the day you shouldn't be one! that's what my nursing instructor told me--yup! thanx allnurses!!! 0 Likes This topic is now closed to further replies.
msmarco_passage_00_106651371	power ports - Oncology Nursing - allnurses®	power ports - Oncology Nursing - allnurses® What's New COVID Nurses Specialties Students Schools Career U.S.A. World Articles Magazine Ebooks Breakroom About Us Jobs Specialties Oncology power ports Posted Jan 1, 2009 by schlemj Prev 1 2 Next Hoping for some opinions regarding power mediports (I think bard makes them) as I am all for our patients to have a port that can be used for contrast dye for CT but my collegeus and I are finding they can be very tempermental with giving blood. The majority of our patients (with these power ports) don't give blood. We are having to try all the tricks of the trade, several position changes, having the pt. cough or deep breath, several flushes and eventually cathflo. The patients are frustrated b/c eventually they have to end up getting a peripheral stick for blood test and CT will not use them w/o a blood return anyways-so the whole purpose is defeted. These ports are also difficult to access in some pts. if they are deep. It is impossible at times to find or feel the 3 dots and the area to access is mush smaller, I never miss the port but I have hit the edge many times and I have to reaccess again. I never in all the years of onc nursing have experienced so many problems, I will take the traditional ports any day. 0 Likes mtwife Specializes in oncology. Has 9 years experience. Jan 3, 2009 I have had similar experiences with the power ports. Overall, I like them but we've had several that are quite stingy with blood return, etc. When I spoke to the rep, he stated that most of the problems are related to how the port is placed initially (perhaps they are a bit different than traditional ports on how they are placed-- different technique). Of course, that doesn't help after the fact! I do recall that I had more trouble with a certain surgeon's power port placement than another's. Hopefully the mfr is inservicing those who place the ports! 0 Likes truern Specializes in Telemetry & Obs. Jan 3, 2009 I only recently had my Bard PowerPort removed and what a pain in the *** it was!! NOBODY would use it for blood draws at the hospital..nor would they use it for anesthesia, for CT contrast..heck, I might as well not had it for all the good it did. They would only access it for chemo at the oncologist's office and once did a blood draw there as well. Plus it ached always 0 Likes blondy2061h, MSN, RN Specializes in Oncology. Has 15 years experience. Jan 4, 2009 We don't use them, so I've only seen a power CVC once, on a patient that came with it from another facility. Her's worked well when she had it, but it got pulled with she went septic. We rarely use ports of any kind. 0 Likes NurseyBaby'05, BSN, RN Specializes in Neuro/Med-Surg/Oncology. Jan 4, 2009 They don't seem to anchor as well as the traditional ports. I think this makes the needle more likely to worm out of place enough to be a PITA. Some of our pt's have to have them accessed in fluro. Once they get it, we usually don't have additional problems. Edited Jan 4, 2009 by NurseyBaby'05 0 Likes iluvivt, BSN, RN Specializes in Infusion Nursing, Home Health Infusion. Has 32 years experience. Jan 5, 2009 Any port without a blood return should be treated with TPA. Hopefully Bard will reconfigure the next generation of power ports!!!!! 0 Likes schlemj Jan 10, 2009 Once again this past week with a very busy clinic another patient with a bard power port that would not give blood after several flushes and positon changes cath flo (altaplase) had to be used. Another patient with her power port that was in clinic for treatment had to endure several position changes and finally after several flushes as well a good blood return. Please let me know do you out there have patients with bard power ports? Or are you still seeing the traditional ports ( not compatable with the contrast dye or machines that CT uses)????? Luckily a rep from another co inserviced us on the smart port, another ct comapatable port in which I have used and it was much more user friendly. Please send in any feed back. 0 Likes jazzyday Specializes in Oncology, Infusion, Med/Surg, Long term. Has 10 years experience. Feb 12, 2009 Once again this past week with a very busy clinic another patient with a bard power port that would not give blood after several flushes and positon changes cath flo (altaplase) had to be used. Another patient with her power port that was in clinic for treatment had to endure several position changes and finally after several flushes as well a good blood return. Please let me know do you out there have patients with bard power ports? Or are you still seeing the traditional ports ( not compatable with the contrast dye or machines that CT uses)????? Luckily a rep from another co inserviced us on the smart port, another ct comapatable port in which I have used and it was much more user friendly. Please send in any feed back. Thanks for that tidbit... At our hospital we sometimes have the luxury of requesting what sorta PORT we want that particular patient to have. We have have just started asking for the SMART ports, so far so good. But I must say that approx a year ago this particualr surgeon was placing dual POC... That is a nightmare! Both sides had to be accessed... you never knew which side had be accessed last... It was DUAL trouble (smiles). Some patient fail to have their implant card so you might stick in the middle and hit the septum... I'm cringing just thinking about it. 0 Likes schlemj Feb 14, 2009 Thank you so much for the imput. We are also requesting smart ports now as well, they are much easier to use, more reliable for blood draws, easier to acess. 0 Likes Bob Snow RN May 7, 2009 One question I do have related to the complaint of inability to draw blood from a Bard PowerPort is this? Who placed the port? Was it placed by a Interventional Radiologist or Surgeon? If it was placed by a Surgeon, that may possibly be the problem. It is my experience that my patients have better outcomes all around if the port is placed by Interventional Radiology MD. Port placements by a general surgeon at my facility are few and far inbetween. When accessing a PowerPort, keep in mind that the septum is thicker than a standard port. This is to tolerate the high injection pressure of the contrast. I find that I have needed to apply a bit more pressure to the power loc needle when accessing. Other than that, I have had no issues. 0 Likes schlemj May 11, 2009 Thank you so much for the feedback. I do see what you mean about the thicker septum, I too have needed to use more force when accessing the power ports. We have several oncologists in our practice, so who puts them in depends on what doc's patient it is. One of the docs will only use the vascular surgeons one doc uses the radiologist, and another uses general surgeon. I do agree that certain surgeons that are used seem to be more difficult but again there are just so many that won't give blood, even early on. I think the power ports are more difficult toaccess if they are deep compared to the traditional counterparts. We are having much better success with the smart ports (angiodynamics) wich are CT comapatable as well. 0 Likes iluvivt, BSN, RN Specializes in Infusion Nursing, Home Health Infusion. Has 32 years experience. May 17, 2009 Also use at least a 20 gauge power loc needle...rarely will use a 22 gauge..even on a regular port....b/c they do not draw as well.....I can not tell you how many x I got NO blood return or a sluggish one and de-accessed and re-accessed with a larger gauge and magically got a blood return...also a pre flush may help 0 Likes SamyRN Jun 1, 2009 About 1 year ago my facility switched from regular conventional port-a-caths to the power port. We have n-e-v-e-r had problems with any ports like we do with these! On average, we loose blood return on the power ports in the first two uses. We have used cathflo after fluro proves fibrin sheath. We may get the blood return back for a use or two, but then start all over again with the one way valve effect of fibrin sheaths. We flush by all the rules, using pulsatile technique, clamping during last 0.5ml of hep., etc. We have even left cathflo set in the port overnight, with little success. We have had more cracks and fractures in the last 6-8 months than we have had in the last 10 years! I feel fairly certain it is not due to change on technique or carelessness on the nurses part... why would we only have begun experiencing problems after initiating use of powerport?!? Our surgeon refuses to place powerports now. We have gone back to the good old fashioned ports. 0 Likes RN813 Specializes in Med/Surg. Oncology. GYN.. Has 3 years experience. Jun 21, 2009 I don't see many power ports but I find the double ports quite useful for the patient needing chemo, IVF, ABX, transfusion. Or for the patient needing pain meds every 2-3 hours during an infusion! 0 Likes wrongwaydianne Specializes in PACU, Critical Care, Hemodialysis, IR. Has 35 years experience. Jun 26, 2011 I've been a PACU/critical care/trauma/GI and now IR on the weekends nurse. I don't do IR much so I don't experience too many placements. My sister moved from AZ to NJ recently and has a power port for her scleroderma, which was put in mostly because her venous access in nearly impossible and she needs IV iron and frequent blood draws, so she's between medical insurance's and asked me to look into flushing these catheters. I did a IVC permcath placement and asked to radiologist what he thought, and he recommened she go to an ER and have placement checked and so forth. I know nothing about flushing these ports and will not harm my own sister. The label she gave me that Bard gave her gives the recommended flushing times if not used as q 4 weeks with heparinized saline, but what concentration? After reading the posts here, I'm just going to recommend that she go to the ED and explain her situation. I cannot believe the problems these things have, but I hope they can iron out the kinks for the patient's sakes. Thank you for listening. Thank God there's a place for nurses to talk to other nurses. Dianne:nurse: 0 Likes ChristineN, BSN, RN Specializes in Pediatric/Adolescent, Med-Surg. Jun 26, 2011 The facilities I currently work at don't use Power ports, but I used to work somewhere that did. I don't recall any of us having major issues frequently except for one pt. That particular pt had her power port place "pre-puberty" and once she started to get breasts it was near impossible to get a blood return. TPA did nothing to her line, and even positioning was often ineffective. 0 Likes it's hot in phoenix Specializes in oncology, med surg & corrections. Jun 27, 2011 We use only power ports and love them, no heparin though and I use to use the 3/4 inch needle and would have an issue sometimes with blood retrn, but when I changed to the 1 inch needle, problem has been solved. 0 Likes wrongwaydianne Specializes in PACU, Critical Care, Hemodialysis, IR. Has 35 years experience. Jun 27, 2011 I appreciate any replies to this, and I saw my sister yesterday. Her port is planted in the right subclavian and you can actually see the 3 dots. She is hoping to get into this nilotinib study at HSS in NY this year, and her port will be accessed use during the study. I just read all the side efffects of this drug and am leary about those, but at this point, she doesn't have much choice and she may not even be a candidate for the study because of her preexisting anemia and severe GI involvement. Time will tell. I hope to God this drug will help her and not harm her if she gets into the program. The drug has very nasty and numerous side effects. So I pray. Thanks all, Dianne 0 Likes Prev 1 2 Next This topic is now closed to further replies.
msmarco_passage_00_107517029	How I Passed the TEAS Exam - TEAS Exam Help - allnurses®	How I Passed the TEAS Exam - TEAS Exam Help - allnurses® What's New COVID Nurses New Nurses Students Specialties Schools Career U.S.A. World Articles Magazine Ebooks Breakroom About Us Jobs Students TEAS Article How I Passed the TEAS Exam Updated Feb 4, 2020 \| Published Dec 25, 2012 I recently took the TEAS V exam and I thought I would share test prep ideas, covered material, as well as test taking hints. Note: To respect forum rules and academic integrity (mine and yours) I will not post specific exam questions or examples, nor will I answer questions in regard to them. Nevertheless, I am hoping that by sharing my experience, I might help you in preparing for and taking the exam. by rainbowvahmet What resources and tools should I be aware of to pass the TEAS test? #Teas Exam #Teas #Hesi My Exam Results Adjusted Individual Score: 94.3% ATI Academic Preparedness Level: Exemplary Mean - National: 64.3% Mean - Program: 65.7% Percentile Rank - National: 99 Percentile Rank - Program: 99 Individual Reading Score: 95.2% Individual Mathematics Score: 96.7% Individual Science Score: 89.6% Individual English Score: 96.7% This post is not intended to replace any post like this that may have come before it. It is very likely that you will see things in this post that have already been stated (more eloquently) by others. I simply wanted to relay my experience. It may help some of you to see patterns in the testing process, and thereby help you focus your efforts. That is my goal, as I am very aware of how taxing this can be. Let me start by saying that, in my experience, the TEAS V is not necessarily a difficult exam, it simply requires critical thinking. I can not stress how important that concept is. As you study, it is critical to understand why your answer was correct/incorrect. If you understand that, you have already won half the battle. Study Resources I used a number of resources to prepare for the TEAS V. However, the content of this thread will deal largely with one source: The ATI Study Manual. All of the sources I am listing were helpful, but in my opinion, if you are going to spend money on one source it should be the ATI Study Manual. While it is not the easiest book to work with, it does do a better job of introducing you to the subjects and style of questions you will see on the actual exam. After all, it is written by the same company that administers the exam. I purchased the manual/online practice exam combo for $50 from the ATI website. It is well worth the money and you are allowed to take each of the two online practice exams twice. This allows you to take both form A and form B the first time, then use the results to know which subjects you should concentrate the bulk of your study time. What that means for you is that you get to study smarter, not harder! Though I have noticed that some felt the ATI manual a waste of money, I found that every question (without exception) on my TEAS exam was covered in the manual. It may not have been covered directly. However, the subject was covered, leaving no surprises in content. My suggestion would be to take the subjects covered in the manual and go into each of them a bit more in depth. Make your own notes and research topics that you find difficult, adding the fundamentals to your base knowledge. This is especially true in the sciences. Other Sources McGraw Hill's 5 TEAS Practice Tests (excellent practice) khanacademy.org chem4kids.com biology4kids.com youtube.com Comparing the Exam to the Manual/Online Practice Exams The best money I spent in my prep was on the online practice exams. As I stated, I got them as part of a bundle. Let me tell you, they are worth their weight in gold. These tests are invaluable in helping you understand what to expect on the actual exam, in both form and content. I found neither form A or B superior to the other, yet both are an excellent litmus test for the real deal. Additionally, the online practice exams will also give you an idea of the timing of the test...allowing you to judge whether you are taking too long in a given subject. Many people run out of time on the actual exam. Let these online tests assess how you are doing in that area. It's better to over run your time in practice, than on the actual exam. After all, blank answers are scored as wrong answers. Learn what you need to do faster, then practice, practice, practice. My first attempt on online practice forms A and B produced a 78% and 82% respectively. I found the results very helpful because a breakdown of areas I needed to concentrate on was included. I simply focused my studies on those subjects. When I retook them, I scored higher...an 82% and 86%. I found the online practice exams to be more difficult than the study manual questions. Surprisingly, in opposition to what I have read on this site, I found the questions on the actual exam to be more difficult than the practice exams. However, as has been stated by many, I scored significantly higher on the actual exam. The point of all of this: buy the online exams. There is not a better way to get a feel for the actual exam. By the time you take each of them twice, you will be well versed in the form of the exam; and you will have a better idea of how you need to rationalize your way through each type of question. Trust me...these are your best prep resource. Reading: Expect the stories on the actual exam to be longer then either the online practice exam or the manual. However, content is very similar, as are questions. Math: This section was the most similar to both the online practice exams and the manual. After all, there aren't many ways to shake up an algebra problem. It is entirely possible to make a 100% in this section. You just need to practice. Science: As many have stated, this section is the most random. All of the topics you need to study ARE covered in the manual. Make sure you know them cold. I would further suggest becoming familiar with each subject on a deeper level...keeping it in the fundamentals. You don't need to know graduate level concepts. But, the manual does not necessarily cover every fundamental on each subject. More on this later... English: I found this section to be very similar to both the online tests and the study manual. If you are comfortable in both, you will do well on this section in the actual exam. As far as the manual goes, read everything. It reads much like directions to programming a VCR, but force your way through it if necessary. I often found some of the most useful information in the middle of a lengthy, seemingly unimportant paragraph. I won't lie to you and tell you it's fun. But, I can honestly say that it is worth the time. Moving on...here is a breakdown of the subjects covered on the version of the TEAS V I took. Again, I am listing subjects/concepts that relate specifically to the ATI Manual: Reading - The First Section Know which primary sources make sense for a given type of story Be able to distinguish fact from opinion Make sure you can discern the difference between the styles of stories given an example. (Ex: is the story Narrative/Persuasive/Technical/Expository) Summarizing sentences...be able to choose which is the best fit for a given story. Understand what you can logically conclude from a story Inference and what can be concluded from a given example Identifying the author's intent and purpose Identify whether the writing is persuasive, informative, entertaining, or expressive Be able to identify text structure as problem/solution, sequencing, cause/effect, or description. Follow a set of directions to get to a specific end point. This can be on a map or drawing/turning shapes. (Read these very carefully) Identify information based on a label, recipe, or set of directions Decipher the meaning of a word based on its context in the sentence (mine were not as easy as the examples, so really think about this style of question.) Finding information is a table of contents, ad, index....etc. (familiarize yourself/think about where you would look for information in each of these) Deciphering which product is more economical given a set of options. (These take time...and require both reading and basic math skills.) Gleaning information out of a telephone book. (sounds easy, but let me caution you to really look at the info. there are often similar answers and headings are very important.) Reading a thermometer Directions/map reading (Be very cautious of assuming cardinal directions...consult the map legend to acclimate which way is N/S/E/W) Choosing an appropriate title for a given paragraph (again, sounds easy, but I had to really think about this one because the answers are similar) Be able to identify what the author means to convey with italicized/bold letters. Math - The Second Section Order of operations (If you are unsure, google it...know it...forward and backward) Addition/Subtraction/Multiplication/Division of whole numbers, fractions, and decimals. Word problems with whole number, fractions, and decimals. Know how to figure perimeter. Calculation of percentages You will only need to memorize two formulas for any section of the TEAS V. If there is a formula to be computed, they will give it to you. The two exceptions to this rule and the two formulas you will need to memorize are for the following: (1) calculating percent increase/decrease (2) Work rate problem formula. Google these if you don't know them. Seriously memorize them. You WILL have a question regarding each of these on your exam. Be able to list four numbers in the order requested. These numbers may include whole numbers, fractions, and decimals in any combination. Be VERY careful to order them as requested. (ex: greatest to least, least to greatest) Calculating take home pay based on salary, bonuses, and taxes. (These consist of adding and subtracting specific values based on their respective debit/credit values.) Calculate the cost of an even given specific values times a number of guests. Estimation to the nearest given value. Understand if you are supposed to estimate to tens, hundreds...etc. Roman numerals. Know how to change a roman numeral into a number and how to change a number into a roman numeral. Google the values of M,C,D,V,X,L, and I if you are unsure of them. You will have a question like this on your exam. Conversion problems (miles to km...etc.) The formula will be given. Do not bother memorizing these. Recognizing which variable are dependent/independent in a given scenario. These are easy. Just construct a sentence stating, "Subject A depends on Subject B to be relevant." This gives you the answer every time. Familiarize yourself with interpreting information based on charts. (seems easy, but be sure you read headings and info on the charts, as there may be very important information) Know when you would use a bar chart/circle graph/histogram/scatter plot/line plot. Ex: if you want to show a change in something over time, you would use a line plot. Know the FOIL method Solving for 'x' ...these were very basic algebraic equations. Be very, very, very familiar with absolute value and how to solve equations that include absolute value. Science - The Third Section Scientific reasoning The scientific method (know the steps, in order, and know examples of each step) Understand why an experiment is repeated Know the fundamentals of electronegativity Understand the various physical states of matter (gas, liquid, solid) and how a change in state might change pressure/volume/etc. Get a feel for the chemical properties of water, along with the specific values for it (such as specific heat/temp at which it freezes/boils/etc.) Understand what happens during serial dilution and what values result from it (these are very easy) Know the general concepts of natural selection and adaptation. Make sure you are able to distinguish between the two given an example. Know all of the factors that influence birth/fertility rates. Be able to decipher if the population will increase or decrease given an example. understand population growth/decline based on rates of emigration immigration/birth/death. Know your biological classifications from general to specific: Domain, Kingdom, Phylum...etc. Watch these questions, paying attention to whether they are asking for more specific or more general in the order. Know as much as you can possibly learn about Nucleic Acids/DNA/RNA. Know their make up, how they bond, the nitrogenous bases and how they pair, which are unique to DNA or RNA, and which are shared by both DNA/RNA, know which are purines and which are pyrimidines. Know what it happening in all of different stages of translation and transcription. Know where it happens. Know the parts of a cells in both eukaryotes and prokaryotes, and what those parts do. Know if they produce anything or if they are involved in an immune response...etc. Understand the makeup of the cell wall in both plant and animal cells. Always, always, always equate protein with amino acids (the building block of proteins) Understand what chloroplasts do and how they do it. Chromosomes, genes, and alleles...know what they are, how they relate to each other, and how they affect organisms. Cell differentiation - know what the meso/endo/ectoderm become. Mitosis/Meiosis - understand all phases (ex: G1, S, G2...)of each and what is happening in each. (I found videos useful in this...especially those from Khan Academy) Know what types of cells these happen to. Be sure you understand what a heterotroph and autotroph is and how they relate to each other in the life cycle. Review photosynthesis - review it again - then review it again. (the entire process) Know what it produces and how that product is used. Be very familiar with cellular respiration, why it happens and what is happening. Be able to read a codon chart and decipher the outcome from a given example (this question was more difficult than the basic charts I studies. make sure you study both basic and more advanced examples) Mutation vs. adaption Phenotype/Genotype - what are they and how are they related? Punnet squares and calculating probability given an example. You will need to make sure you can set these up properly, which includes knowing the difference between heterozygous/homozygous/recessive/dominant and how they fit into the equation) Kinetic and potential energy. Make sure you can recognize an example of each. I suggest googling several examples so you can solidify the difference in your mind. My question was more difficult than the basic, but easy to understand because I had the concept down pat. The dreaded earth science question - is there one? Yes. And as covered in the manual, mine was about the sun. It was a concept not covered in the manual, but was easy nonetheless. There were no other earth science questions on my test. No rocks, clouds, water cycle...etc. Understand the purpose of a catalyst Know everything there is to know about the periodic table and the information you can get from it. Atomic number, atomic mass, how many protons/electrons/neutrons are in a given element. Know how the numbers relate to each other and how to decipher how many of each is in an element if given a specific number. (again, Khan Academy was a great resource on this). Also know the physical and chemical patters withing the table (what the rows mean, what the columns mean, which elements are more likely to have ionic/covalent bonds). Lastly, make sure you understand electron configuration. Be very familiar with valence electrons and why they are important Enzymes and vitamins - what do they do, where do they come from, why are they important. Understand pH balance/acid/base. Know what a given pH means (acidic or basic?) and understand what adding something to it may to to the pH (think about things that may raise or lower the pH of blood, for example) Understand bonds - ionic/covalent Understand hydrocarbons - saturated/unsaturated Make sure you remember how to balance a basic chemical equation (Khan Academy has an excellent video on this. Anatomy/Physiology as follows: Know the path of blood through the heart, including valves and whether the blood is oxygenated) Know the make up of the lungs and where oxygen exchange occurs Know the sections of the brain and what each is responsible for Tissue types, where you would find them, and what they do. Know several examples of each type of tissue. Digestive: follow bollus through the digestive system in its entirety. Know about peristalsis. Know about the digestive enzymes. Know where protein/carbs/fats are broken down. Know where the bulk of nutrients are absorbed. Know which division of the nervous system controls it. Know the functions of the liver, spleen and pancreas. Know which systems they belong to (and they may belong to more than one....hint) Know what the lymph system does and how it accomplishes it. Be mindful, also, of what it doesn't do. Just a suggestion. Be very familiar with the nervous system and its divisions. Know what each controls and the branches that make them up. Make sure you understand the structure/function of the kidney...well. Anatomical directions (super/inferior, proximal/distal...etc.) apply to an example. Know how the thyroid and parathyroid work together and what they do separately. Immune system - natural vs. artificial/active vs. passive. Recognize examples of each type. Also know the different cells involved and what they do. English - The Final Section Understand subject/verb agreement (watch for nouns that seem plural, but aren't, such as everyone, anyone, none...etc.) These may seem easy, but I suggest practice. Recognize common possessive nouns. Pronoun/Antecedent agreement. Dialogue - correct punctuation and usage First/second/third person voice and recognizing which from a sentence or short story. Grammar usage for style/clarity (this will make more sense when studied in the ATI manual) Using sentence context to decipher the meaning of a word. Recognizing a simple vs. complex sentence (more difficult than you're imagining) Be able to identify a top and supporting sentence. Know the difference. Know the meaning of common prefixes/suffixes/roots (ex: uni, ous, endo...etc.) There is an excellent table in the ATI book. Rules of capitalization. (again, sounds easy...but, these rules really need to be reviewed.) Correct usage of commas, ellipses, semicolons, colons, hyphens, and parentheses. Correct usage of quotation marks and apostrophes. Do not forget the word 'whose' and its correct usage. Do not forget the difference between it's and its. Go over a list of commonly misspelled words. You will have one on your test. if you get confused, look away from the word and write it down. If that doesn't help, write it in a sentence. General Tips Read the directions carefully. Make sure you understand exactly what is expected of you. Read each question carefully. I cannot stress this enough. I came close to making several dumb mistakes because I made assumptions as to what I was being asked. It is easier to do than you think. Make sure you know if you are being asked for least/greatest/first...etc. Take your time and really read the question. Do not spend any length of time on any one question. There will be questions you won't know. Don't sweat it. Make an educated guess and move on. If you have time, go back to the question. But, it is more important to answer all questions. Unanswered questions count as incorrect questions. Do not keep a mental score of incorrect questions. This will only serve to frustrate you. Consider only the question in front of you, forgetting all others. This is vitally important. Many people feel like they are bombing the test as they are taking it. I felt that way. Don't allow that feeling to affect your test. Just keep working and be mindful of your time. Make an outline of the subjects covered in this post, as well as those in others posts like this one. Use it as a study guide. It may seem daunting, but just start. No excuses. If you do buy the ATI manual, pay attention to words in bold. Research them if necessary. They are bold for a reason. Watch for labels on charts and directions on maps. They may not be what you expect them to be. In the reading section, consider this: If the story doesn't reference something in one of the answers, that answer is probably incorrect. Check to see what is/isn't references and choose the best answer from there. Be very mindful in the math section what they are asking. The order/value they are expecting may be different that you are anticipating. Eat a good breakfast, but avoid over hydrating. You don't want that distraction during the exam. Be prepared - bring pencils. Despite the directions from the test maker, my testing center did not supply them. There are going to be questions you do not know the answer to. Don't worry. There are a small portion of questions that are ungraded. Keep in mind, this test is as much about your critical thinking skills as your knowledge base. I suggest using the online exams for exactly that reason...to learn how the test maker wants you to 'think.' Get to your testing center early. The last thing you need is the stress of showing up late and wondering if you will even be allowed to test. Be confident in your own abilities. The TEAS V is not an easy test; neither is it an impossible one. It does require some effort and some dedication. But, if I can score a 94, you can too! I spent a month studying for this exam, going over the material for an hour or two a day. But, I am an older student who hadn't had chemistry in 18 years. Remember to focus on the subjects you are least familiar with and simply go over the subjects you are more familiar with. And about all else, practice, practice, practice. And, last, but not least...Best of luck to you all!!! 2 Likes About rainbowvahmet (Member) 1 Article 16 Posts Share this post Link to post Share on other sites i♥words Dec 26, 2012 Thank you for posting this! I'm taking the TEAS V the second week of January. Great advice. 1 Likes sjtrk Dec 26, 2012 Thank you so much for posting these tips! I'm taking my test on Jan 18th and I really appreciate this advice! And CONGRATS on doing so well and bless you for sharing your experience! 1 Likes chorkle Dec 27, 2012 Rainbowv-- CONGRATULATIONS upon outstanding!! results of your preparation & efforts. (Or, exemplary, if you prefer.) And thank you, from (or for) all of us, for your mind-blowing super-analysis of the depth & breadth of the exam. If only all who query here would take thorough note of all you said, and apply it to their own preparations. Concur with all that you said, from my experience. English, & Math--96.7%! REALLY outstanding. (I assume you have had, or soon will have, many requests to set up a tutoring school for TEAS prep in your area.) 1 Likes jagged777 Dec 27, 2012 congrats @ rainbow 1 Likes rainbowvahmet Dec 27, 2012 Thank you all! Two things that came to mind that I did not include in the science portion: -the lungs, surfactant, and surface tension (get a feel for how these things work together) -mitochondrial DNA (who do you get it from and what is it) I'll post again if anything else comes to mind. Best of luck @wordsofmymouth and @sjtrk! 1 Likes krystaldickinson Dec 27, 2012 Thank you for posting this. I plan on taking my TEAS-V over the summer and I think I'm already starting to freak out about it. You're post helped me greatly! Congrats on your scores! I hope to be posting in here soon saying that I passed! 1 Likes rainbowvahmet Dec 29, 2012 Quote Thank you for posting this. I plan on taking my TEAS-V over the summer and I think I'm already starting to freak out about it. You're post helped me greatly! Congrats on your scores! I hope to be posting in here soon saying that I passed! Very best of luck to you! Let us know how you did and what you can add to the study suggestions! 1 Likes RNtobe15 Jan 6, 2013 Congratulations on your amazing score! Thank you so much for breaking everything down so thoroughly, I know that must have been very time consuming. I will be following all your advice! 1 Likes Kayla_224 Jan 25, 2013 I'm taking the teas 5 in a week an 4 days I'm gonna use this as mine personal study guide! Lol thanks for all the info I'm glad I no what to expect now an prepare for it!! 1 Likes friendlyjane Jan 26, 2013 Thank you for your post. It is very helpful. 1 Likes tgcid00 Feb 28, 2013 Thanks for your post I take my TEAS V on Mar 1 so I will keep your pointers in mind. I will also post an update as to what tips can help the next person once I take my test. 1 Likes snb1028 Mar 2, 2013 Congratulations on your high score! Thank you for posting such an in depth breakdown of the test. Your experience and knowledge will surely help many people (myself included.) Best of luck to you in your career! 1 Likes overthecliff Mar 5, 2013 Wow, thank you! 1 Likes HeatherMax Mar 28, 2013 I am taking it in 12 days, I am printing this off. Thank you! 1 Likes determined_30 Apr 9, 2013 thank you so much you rock 1 Likes goal001 May 8, 2013 Thank you so much for posting this tips. They are extremely useful. 1 Likes goal001 May 8, 2013 rainbowvahmet said: My first attempt on online practice forms A and B produced a 78% and 82% respectively. I found the results very helpful because a breakdown of areas I needed to concentrate on was included. I simply focused my studies on those subjects. When I retook them, I scored higher...an 82% and 86%. I found the online practice exams to be more difficult than the study manual questions. Surprisingly, in opposition to what I have read on this site, I found the questions on the actual exam to be more difficult than the practice exams. However, as has been stated by many, I scored significantly higher on the actual exam. The point of all of this: buy the online exams. There is not a better way to get a feel for the actual exam. By the time you take each of them twice, you will be well versed in the form of the exam; and you will have a better idea of how you need to rationalize your way through each type of question. Trust me...these are your best prep resource. Hi, Dear Rainbow, You mentioned the online test which you used for practising, do you mean the McGraw Hill's 5 TEAS Practice Tests (excellent practice) Thank you! 1 Likes Prev 1 2 3 Next Open An Account To Comment
msmarco_passage_00_11123884	Everything You Wanted To Know About AWS VPG - 40Cloud	Everything You Wanted To Know About AWS VPG - 40Cloud Blog Everything You Wanted To Know About AWS VPG By 40Cloud Team In AWS, Cloud Security Posted November 5, 2014 0 Tweet The Virtual Private Gateway (VPG) is an important and useful solution of the AWS service suite. Using the VPG, however, is somewhat tricky and may require some specific expertise. This short post is aimed at providing a quick overview of the AWS Virtual Private Gateway (VPG) solution. We will review the VPG concept, capabilities and limitations. In addition, you can download a step by step VPG configuration walkthrough with some verification on IPSec configuration. Free – Download Checkout Added to cart We hope that this post will help AWS users to understand when they should use the VPG solution and how to make it work. Additional information regarding AWS VPG can be found here Introduction to VPG AWS Virtual Private Gateway (VPG) is a solution offered as part of AWS VPC (Virtual Private Cloud) solution, The VPG provides AWS users with the capability to interconnect a VPC environment with an external remote non-VPC environment using IPSec tunneling. The most common use case for AWS VPG is connecting a private (and/or on-prem) datacenter with an AWS VPC. An example for a simple VPG use-case is depicted in the following diagram An organization wants to extend its private datacenter to an AWS VPC. The private datacenter’s network has CIDR block of 192.168.0.0/16 and the VPC was allocated with a 10.0.0.0/16 CIDR block. VPG can be used to build and allocate two redundant IPSec tunnels connecting the VPC with an IPSec enabled device located on the private data-center. In the above example, the remote IPSec device has a public IP address, 50.40.30.20 VPG’s IPSec tunnels have the following characteristics: Protocol –IKEv1, IPSec (both ESP, IPsec/UDP are supported) Authentication method– only PSK (Pre Shared key) – the secret is automatically generated by AWS (can’t be provisioned into the VPG by the customer or changed). Refreshing the shared secret requires recreation of the VPG IPSec tunnels. Encryption and signing algorithms – only aes128-sha1 for both IKE and IPSec), PSK and DH group 2. No ability to change algorithms. Per connection AWS offers an option for an Active/Active setup based on two separated tunnels that also act as a redundant pair IKE lifetime – fixed and set to 24h IPSec lifetime – fixed and set to 1h Dead Pear Detection is enabled with timeout of 30 seconds Routing Protocols – Static or BGP VPG limitations Although the VPG is a very useful tool, it has some significant limitations. This section is aimed to help you decide whether or not the AWS VPG is the right solution for you. Here are a few limitations of the current VPG solution: VPG cannot be used for interconnecting two VPCs – Technically, this is impossible since the PSK is dictated by AWS for each IPSec connection and can’t be provisioned. Multiple VPCs in the same region cannot be connected with the same remote IPSec device – Most of the VPG connections that are created within the same region will share the same VPG Public IP address (I believe that there are 2-3 pairs of public IP Addresses per region). Due to the way the connection is structured, AWS doesn’t allow two connections within the same region to be connected to the same “Customer Gateway” (even when using multiple accounts). Peering will not work here since peering is not transitive and doesn’t allow packets to be forwarded beyond the peered local network. EIP (Elastic IP) cannot be used with VPG connections – EIP is not part of the VPG implementation. There are few fixed IP addresses per region Per connection the number of SA (Security Association) is limited to 2 (this item is a bit technical) VPG implementation can only use one SA for IPSec. When using static routing, the IPSec connection offers the following subnets 0.0.0.0/0 çè0.0.0/0 as the local and remote subnets. This basically means IPSec will send/receive all traffic that is forward to/from the VPG. Many IPSec implementations are able to negotiate multiple subnets and use multiple SAs for each subnet permutation – this can’t be used with VPG. VPG becomes unstable if the peer device performs such negotiation with more than 1 subnet pair (the VPG will basically deploy only the last negotiated SA). Troubleshooting in the VPG environment is a bit challenging since an AWS user can’t access the AWS VPG and pull logs and must rely on AWS support to do so. You can try to deduct what’s wrong using your own logs from your remote IPSec device. The latter requires a certain level of expertise. How can 40Cloud help? One of the main goals we had when designing the 40Cloud solution was to provides a general-purpose IPSec connectivity solution for the Cloud, that will be flexible enough to cope with all foreseen connectivity scenarios as well as simple enough to install, configure and debug. Using the 40Cloud software gateways (available for AWS as well as other clouds) can provide you with the following benefits: Flexible IPSec connectivity scenarios Interconnect multiple VPCs on single or multiple regions Connect any standard IPSec device, on-premise or in private cloud, to an AWS VPC Connect individual users via dynamic IPSec VPN to an AWS VPC. Use EIP for IPSec Control IPSec parameters like encryption algorithms and shared secret, and without limitations on the number of SAs. Deploy multiple 40Cloud Security Gateways in a single VPC for redundancy and/or load sharing Easily Troubleshoot the solution by yourself Associate Firewall policies with your IPSec tunnels, including both site to site and user based VPNs, and associate those policies with AWS Security Groups. Hope this helps. Please feel free to send us any comments or questions regarding this post, or VPG and IPSec in general. Of course, if you like to experiment with the 40Cloud solution feel free to do so. For quick and easy installation, use the 40Cloud AMIs available on the AWS Marketplace. Tags: AWS AWS VPG elastic IP IPSEC IPSec VPN Public IP VPC VPG VPN Back to Top
msmarco_passage_00_112592101	Roast Potatoes Recipe \| Allrecipes	Roast Potatoes Recipe \| Allrecipes Home Chevron Right Recipes Chevron Right Side Dish Chevron Right Potato Side Dish Recipes Chevron Right Roasted Potato Recipes Chevron Right Roast Potatoes Roast Potatoes Rating: 4.56 stars 1 – Couldn't eat it 2 – Didn't like it 3 – It was OK 4 – Liked it 5 – Loved it 707 Ratings 5 star values: 449 4 star values: 217 3 star values: 32 2 star values: 4 1 star values: 5 Read Reviews Add Reviews 707 Ratings 458 Reviews 100 Photos Simple and delicious recipe for rosemary-kissed roasted red potatoes. By KIY Gallery Roast Potatoes Watch Roast Potatoes Kendra Roast Potatoes James Roast Potatoes hjfusmc Roast Potatoes Alina + 96 96 more images Recipe Summary prep: 10 mins cook: 20 mins total: 30 mins Servings: 4 Yield: 4 servings Nutrition Info Advertisement Ingredients Decrease Serving 4 Increase Serving Original recipe yields 4 servings The ingredient list now reflects the servings specified Ingredient Checklist 2 pounds red potatoes, cut into quarters 2 tablespoons vegetable oil 1 teaspoon salt ½ teaspoon freshly ground black pepper ½ teaspoon dried rosemary, crushed Add all ingredients to shopping list View your list Directions Instructions Checklist Step 1 Preheat oven to 450 degrees F (250 degrees C). Advertisement Step 2 Place potatoes in a large roasting pan and toss with oil, salt, pepper, and rosemary until evenly coated. Spread out potatoes in a single layer. Step 3 Bake in preheated oven for 20 minutes, stirring occasionally. Serve immediately. Nutrition Facts Per Serving: 227 calories; protein 4.3g; carbohydrates 36.4g; fat 7.3g; sodium 596.3mg. Full Nutrition Reviews: Most Helpful Most Helpful Most Positive Least Positive Newest monsieur sax Rating: 5 stars 12/09/2006 I've been doing something very similar to these for several years now. If you like your potatoes crispy, after chopping them, dry them thoroughly on paper towel before adding the oil. I put the potatoes in a gallon ziploc bag, then add about 1.5 T of extra virgin olive oil. Generally speaking, the less oil you can use, the better the result. after tossing the potatoes in the bag with the oil to coat, add the herbs. I use dried Herbs de Provence, but almost any herb or blend will work, and kosher salt. Those on reduced sodium diets can omit the salt and add a bit more herbs. Toss to coat again. I also I use a dark cookie sheet lined with Aluminum foil. When opening the bag, dump the potatoes on the foil lined sheet, but DON'T dump the excess oil in the bag onto the sheet. The dark sheet absorbs heat and transfers it to the aluminum foil, and the aluminum foil itself provides easy cleanup. Bake for 20 minutes initially on 450° on the middle rack Then take the pan out of the oven, and gently turn the potatoes. This will keep them from sticking to the foil later. Reduce the heat to 400° and cook for another 15 minutes. A convection oven will yield a bit crispier results, but with only a small reduction in cooking time. Don't open the oven except to turn the potatoes. Read More Thumb Up Helpful (1684) PrincessJenna Rating: 3 stars 11/12/2005 This recipe is a good place to start from. However, after some trial and error, I would suggest some tweaks. I added garlic powder, italian seasoning and a little parmesan cheese to the mix. I also used olive oil (they needed more then 2 T). I doubled the cooking time (I like mine crispy on the outside) and gave them a stir about half way through cooking. I had fresh rosemary on hand so I used that instead of dried. Also, I've found I have better luck with keeping them from sticking and getting them crispy if I use a metal baking pan (rather than glass). Read More Thumb Up Helpful (778) JDVMD Rating: 5 stars 01/09/2004 I used olive oil and fresh rosemary for this recipe. Place all the ingredients in a ziplock bag to coat thoroughly and then place on the cooking sheet. Also baked for closer to 35 minutes instead of 20 minutes. Delicious recipe and goes so perfectly with steaks or roasted chicken. Read More Thumb Up Helpful (400) Advertisement Navy_Mommy Rating: 5 stars 11/10/2003 These are so good and couldn't be easier to make. This recipe also works well with regular potatoes. I don't tend to measure what I am using. To cut fat I make sure I use just enough oil to coat the potatoes and spray the baking sheet with spray. Read More Thumb Up Helpful (125) posh Rating: 5 stars 01/24/2008 This is almost exactly how I cook my husband's favorite - sea salt rosemary potatoes. Mine is even simpler - just add generous amount of good extra virgin olive oil,red potatoes, sea salt and fresh rosemary to a big baking dish, mix well and bake on 450F,then reduce to 400F. Healthy, simple and absolutely delicious! Read More Thumb Up Helpful (98) kerrip Rating: 5 stars 10/22/2005 Thought I had the best recipe for roasted potatoes already...I was wrong. This is great. I thought a whole tsp. of salt seemed like a lot, but used it all anyways, and it was perfect. A lot of the comments said that these potatoes looked really bland so they added a bunch of spices. However, my old recipe was similar to the ones they made up, and I think the extra spices take away from the simple rosemary flavour. Read More Thumb Up Helpful (81) Advertisement Rebslo Rating: 4 stars 09/06/2002 I like to use fresh herbs for this recipe and olive oil and some lemon juice. It is easy and has a nice flavor. Some other additions are garlic powder and parsley too! Read More Thumb Up Helpful (71) LEE_101 Rating: 5 stars 01/09/2004 Very yummy and crunchy on the outside, soft on the inside. It does take longer than 20 minutes though. I think I usually keep them in for about 40-45 minutes. variation - sometimes I add dried onions, garlic salt, and all kinds of herbs from my herb garden to spice it up a little. Sprinkle the dried onions on tope before placing in the oven. Read More Thumb Up Helpful (57) almondjoy2807 Rating: 4 stars 04/23/2008 These are really good! I usually sub Herbs de Provence for the rosemary but otherwise stick to the recipe and they turn out flavorful. They do stick to the foil though. After making these 4 or 5 times I went in search of a different recipe because I wanted something that didn't dry out as badly or stick to the foil. They are good but tasted basically the same as my home fries I make on the stove-top and not so much like the roasted potatoes I get in restaurants and love. I have now taken some techniques from another recipe and use them with this one. Here's what I suggest: Use baby potatoes and cut each in half. Simmer halved potatoes for 6-7 mins to soften and infuse with moisture so they don't dry up during baking. Line the baking sheet with foil and drizzle olive oil over the foil to lightly coat then place each potato half on the foil cut-side down. Brush potatoes with excess olive oil from the pan then season and bake. Now my potatoes turn out PERFECT every time -- nicely carmelized crispy skin soft on the inside not at all dry and they don't stick to the foil! Read More Thumb Up Helpful (50) More Reviews
msmarco_passage_00_113251617	Baked Tortilla Chips Recipe \| Allrecipes	Baked Tortilla Chips Recipe \| Allrecipes Home Chevron Right Recipes Chevron Right Appetizers and Snacks Chevron Right Snacks Chevron Right Kids Chevron Right Quick and Easy Chevron Right Baked Tortilla Chips Baked Tortilla Chips Rating: 4.34 stars 1 – Couldn't eat it 2 – Didn't like it 3 – It was OK 4 – Liked it 5 – Loved it 535 Ratings 5 star values: 307 4 star values: 153 3 star values: 46 2 star values: 9 1 star values: 20 Read Reviews Add Reviews 535 Ratings 394 Reviews 60 Photos Tasty baked tortilla chips you make at home that are much better than store bought chips. Serve with your choice of salsas and garnishes. By Michele O'Sullivan Gallery Baked Tortilla Chips Watch Baked Tortilla Chips larkspur Baked Tortilla Chips katie Baked Tortilla Chips Megan Jaye Highfill Baked Tortilla Chips Jackie Hackethal Becherer + 56 56 more images Recipe Summary prep: 10 mins cook: 15 mins total: 25 mins Servings: 6 Yield: 6 servings Nutrition Info Advertisement Ingredients Decrease Serving 6 Increase Serving Original recipe yields 6 servings The ingredient list now reflects the servings specified Ingredient Checklist 1 (12 ounce) package corn tortillas 1 tablespoon vegetable oil 3 tablespoons lime juice 1 teaspoon ground cumin 1 teaspoon chili powder 1 teaspoon salt Add all ingredients to shopping list View your list Directions Instructions Checklist Step 1 Preheat oven to 350 degrees F (175 degrees C). Advertisement Step 2 Cut each tortilla into 8 chip sized wedges and arrange the wedges in a single layer on a cookie sheet. Step 3 In a mister, combine the oil and lime juice. Mix well and spray each tortilla wedge until slightly moist. Step 4 Combine the cumin, chili powder and salt in a small bowl and sprinkle on the chips. Step 5 Bake for about 7 minutes. Rotate the pan and bake for another 8 minutes or until the chips are crisp, but not too brown. Serve with salsas, garnishes or guacamole. Nutrition Facts Per Serving: 147 calories; protein 3.3g; carbohydrates 26g; fat 4.1g; sodium 418mg. Full Nutrition
msmarco_passage_00_119899511	Italian Sausage, Peppers, and Onions \| Allrecipes	Italian Sausage, Peppers, and Onions \| Allrecipes Home Chevron Right Recipes Chevron Right World Cuisine Recipes Chevron Right European Chevron Right Italian Chevron Right Italian Sausage, Peppers, and Onions Italian Sausage, Peppers, and Onions Rating: 4.71 stars 1 – Couldn't eat it 2 – Didn't like it 3 – It was OK 4 – Liked it 5 – Loved it 1787 Ratings 5 star values: 1358 4 star values: 358 3 star values: 56 2 star values: 10 1 star values: 5 Read Reviews Add Reviews 1,787 Ratings 1,228 Reviews 309 Photos My family has been using this very simple and delicious recipe for sausage, peppers, and onions for years and years now. For an extra kick, try using half sweet sausage and half hot sausage! By GIGI9801 Gallery Italian Sausage, Peppers, and Onions Watch Italian Sausage, Peppers, and Onions Lopezz Italian Sausage, Peppers, and Onions Jenn Misiano Italian Sausage, Peppers, and Onions Amanda Italian Sausage, Peppers, and Onions gapch1026 + 305 305 more images Recipe Summary prep: 15 mins cook: 25 mins total: 40 mins Servings: 6 Yield: 6 servings Nutrition Info Advertisement Ingredients Decrease Serving 6 Increase Serving Original recipe yields 6 servings The ingredient list now reflects the servings specified Ingredient Checklist 6 (4 ounce) links sweet Italian sausage 2 tablespoons butter 1 yellow onion, sliced ½ red onion, sliced 4 cloves garlic, minced 1 large red bell pepper, sliced 1 green bell pepper, sliced 1 teaspoon dried basil 1 teaspoon dried oregano ¼ cup white wine Add all ingredients to shopping list View your list Directions Instructions Checklist Step 1 Place the sausage in a large skillet over medium heat, and brown on all sides. Remove from skillet, and slice. Advertisement Step 2 Melt butter in the skillet. Stir in the yellow onion, red onion, and garlic, and cook 2 to 3 minutes. Mix in red bell pepper and green bell pepper. Season with basil, and oregano. Stir in white wine. Continue to cook and stir until peppers and onions are tender. Step 3 Return sausage slices to skillet with the vegetables. Reduce heat to low, cover, and simmer 15 minutes, or until sausage is heated through. Cook's Note: Add a little more white wine while simmering if needed. Nutrition Facts Per Serving: 461 calories; protein 17.1g; carbohydrates 7g; fat 39.4g; cholesterol 96.1mg; sodium 857mg. Full Nutrition
msmarco_passage_00_122602367		HOTEL POLICY/HOUSE RULES - All Seasons Inn & Suites (406) 547-8888 All Seasons Inn & Suites (406) 547-8888 HOME ACCOMMODATIONS SMOKE-FREE HOTEL WINTER SMITH RIVER ATTRACTIONS RESERVATIONS CALENDAR HOT TUB FISHING HUNTING MOTORCYCLE PACKAGES AIRPORT MEETING ROOM PET POLICY CONTACT US HOTEL POLICY/HOUSE RULES INTERNET PRIVACY STATEMENT CAREERS HOTEL POLICY/HOUSE RULES We strive to provide our guests with an exceptionally clean, safe, and friendly hotel experience. The following Hotel Policy/House Rules have been established based on industry standards, management and operational procedures, and our personal experience of owning and operating the All Seasons Inn & Suites since 2007. These Hotel Policy/House Rules are considered a part of our reservation agreement with you. As our hotel guest, by reading and signing your hotel registration you are agreeing to abide by all of our Hotel Policy/House Rules, terms and conditions, and procedures. These Hotel Policy/House Rules are presented here to help promote our guests’ safety and enjoyment and to ensure that each guest is aware of the understandings between the All Seasons Inn & Suites and the guest. Our Hotel Policy/House Rules may change from time to time, so please check back often. 100% SMOKE-FREE All Seasons Inn & Suites has been 100% Smoke-Free since 2008. For safety and to assure that our facility is not exposed to items or actions that create an odor which is unhealthy and objectionable to our guests and staff, and that is difficult to remove from the air, carpet, walls, and furniture we do not permit smoking tobacco, marijuana, illegal drugs, e-cigarettes, vape pens, vaping, cartridges containing the liquid of nicotine, hookahs, incense, cooking, cigars, candle burning, the use or diffusing of patchouli oil or other strong-smelling plant-based essential oils or synthetic products in our facility. Guests are encouraged to notify Front Desk staff immediately if they smell cigarette, marijuana, or other objectionable odors. This policy is not intended to stop people from smoking, but to regulate where they smoke and how it affects others. A Designated Smoking Area is provided outside and away from the building. Marijuana is prohibited at all times. CANDLE, INCENSE, ESSENTIAL OILS: Candle, incense, essential oils (diffusing, vaporizing, etc.) are prohibited. These items and activities will be treated as smoking, a fine accessed, and the guest may be evicted with no refunds. NO-COOKING, COOKING APPLIANCES, COMBUSTIBLES, OR FIREWORKS: The safety of our guests, staff, and this facility is extremely important to us. Except for the microwave and refrigerator units that the hotel provides, preparation of food in guest rooms by any type of cooking appliances is prohibited. A minimum fee of $300.00 will be charged for cooking in a room, including, but not limited to coffee makers, hot plates, toaster ovens, water heaters, rice cookers, combustible, open flame, barbecue grill, burners, heating appliance, or any other item intended for cooking. Open fires, flames or cooking grills, either charcoal or gas, and fireworks are not allowed anywhere on hotel property. A microwave is available 24 hours for all registered guests to use in our breakfast area. Coffee is also available twenty-four (24) hours in the breakfast area. GUARANTEED RESERVATIONS: All reservations must be guaranteed with a valid major credit card. Guests must be 18 years and older. We accept Visa, Master Card, American Express, and Discover Card. We do not charge your credit card at the time you make your reservations. Your credit card guarantees your reservations. Please make sure to receive a reservation confirmation number when you make a reservation. Reservations must be cancelled Forty-eight (48 hours), hotel time, prior to your arrival date, in order to avoid a one (1) room night, plus tax cancellation fee. Reservations will be held until 11:00 a.m. the morning following your scheduled arrival date. If you have not checked in by that time, a NO-SHOW charge of one room night, plus tax will be charged to your credit card and the balance of your reservations will be cancelled. All Seasons Inn & Suites is not responsible for weather conditions, personal emergencies, or schedule changes. CHECK-IN TIME: 4:00 p.m. EARLY CHECK-IN/PRE-REGISTRATION: Early check-in is offered based on availability. If you require a guaranteed check-in for arrival prior to 4 p.m. then Pre-Registration and payment may be required. Please contact Front Desk staff directly to make reservations and complete a credit card authorization form prior to your arrival (406) 547-8888. CHECK-IN REQUIREMENTS: Guests must be at least 18 years of age to check in at All Seasons Inn & Suites. In the interests of security and to prevent fraud, guests are required to confirm their identity by providing their valid government issued photo identification (State driver’s license, passport, etc.)at check-in. A valid, signed, and pre-approved credit card in the name of the guest registration is also required. It is your responsibility to fully understand the manner in which your bank processes pre-authorizations and charges to your credit/debit card. Some banks hold pending authorizations for up to 30 business days. PRE-AUTHORIZATION AT CHECK-IN: We have required pre-authorized of credit cards/debit cards at check-in since 2007. A pre-authorization is a temporary hold of a specific amount of your available credit limit balance placed on your credit/debit card for the full amount of your intended stay, plus tax. All credit/debit cards are pre-authorized at check-in. Pre-authorization is not a charge to your account, it is a hold on those funds. Once your actual charge is posted at check-out it can take anywhere from 24 hours to 30 days for the original pre-authorization to be removed by your bank. Generally, most banks release the hold within 3-5 days. It is your responsibility to be aware of how your bank handles all of your transactions, including pre-authorizations. We are unable to remove pre-authorizations directly through our hotel. GUEST REGISTRATION: We require valid contact information from the guest making the reservations including first and last name, address, phone number, and signature. The names of all guests occupying the room must be registered (ARM 37.111.130). Information regarding your license plate/car description is also gathered at check-in for security. CHECK-OUT TIME: Room rental period expires at 11:00 a.m. Additional day charge, plus tax may apply for late checkout. CHECK-OUT PROCEDURE: Check-out time is 11 a.m. Please check-out with Front Desk so that housekeeping may begin cleaning your room as soon as possible. If you require a later check-out, please contact Front Desk prior to the day of your departure and we will do our best to accommodate your request. A charge may apply for late check-out. EARLY DEPARTURE: Guests who check out of the hotel after 11:00 a.m. and prior to their scheduled departure date are subject to an early departure fee of one night, plus tax. SPECIAL REQUESTS: We will make every effort to honor special requests such as a specific floor or room number, adjoining rooms, roll-away beds, refrigerator/microwaves, etc. upon your arrival. All special requests are noted on reservations and we will do our best to accommodate. However, the availability of these items cannot be guaranteed in advance. MICROWAVE/REFRIGERATOR: Except for the microwave and refrigerator units that the hotel provides, preparation of food in guest rooms by any type of cooking appliances is prohibited. Not all rooms have a microwave and refrigerator unit. These units are provided on a first-come, first-served basis. Use of the breakfast area microwave is provided to all registered guests 24 hours a day. A limited number of Styrofoam ice-chests are available for your use free of charge. We ask that you refrain from microwaving any pungent food as the odor is difficult to remove from fabric, a cleaning fee may be assessed. Most commercially prepared food intended for the microwave has not previously caused a problem, so we suggest that option. Microwaving your fresh caught trout will be an issue. ADA/HANDICAPPED ROOMS Two ADA compliant guest rooms are available and should be reserved in advanced; please contact the hotel directly (406) 547-8888. PAYMENT: All reservations and registration must be guaranteed with a valid major credit card. We accept Visa, Master Card, American Express, and Discover Card. Pursuant to credit card agreements, credit cards are not valid unless signed by the cardholder. Credit cards must be signed. Cash (USD) payment is welcomed with a signed and pre-authorized credit card. All guests are required to present a valid major credit card and government issued photo identification even if guests are planning on paying in cash upon check-out. Checks and foreign currency not accepted. CHECKS AND CHECK CASHING: We do not accept checks. We do not provide check cashing services. DEBIT CARD/CREDIT CARD HOLDERS Your credit card is not valid unless signed. We will refuse an unsigned card. Your Debit or Credit Card will be pre-authorized at check-in for the full amount of your stay. The pre-authorization will HOLD the funds until check-out, at which time the amount actually incurred during your stay will be charged. If you change your method of payment at check-out or change the length of your stay, your bank may not post the changes to your account immediately. All Seasons Inn & Suites has no control over the policies of your bank and will not be held liable for any “insufficient funds” penalties or any other resulting fees or charges. It is your responsibility to fully understand the manner in which your bank processes pre-authorizations and charges to your debit or credit card. Some banks hold pending authorizations for up to 30 days. DEPOSITS AND GUARANTEES: There is no deposit required to make an individual room reservation. However, a major credit card is required at the time of booking to guarantee the room and secure the reservation period. RESERVATION AND PAYMENT FOR GUESTS BY PRIVATE THIRD PARTIES: Generally, third party payment is not permitted. In the case of paying for a family member if you will not be physically present at the hotel, we require prior completion and approval of a Credit Card Authorization form including a copy of your driver’s license and the front and back of your signed credit card. You will be responsible for any and all damages and loss. We reserve the right to refuse reservation at any time for any reason. CREDIT CARD AUTHORIZATION BY CORPORATE THIRD-PARTIES: Please contact All Seasons Inn and Suites reservations department at least 24 hours prior to guest’s arrival to request a Credit Card Authorization form. We are open 24 hours, (406) 547-8888. We must receive the information by fax (406) 547-2573 and process the approval for your reservations prior to the guest’s arrival. GIFT CERTIFICATES & PREPAID BOOKINGS: Please contact the hotel directly to purchase or redeem gift certificates (406) 547-8888. Unless the transaction takes place directly at the hotel, Pre-Paid Bookings require a Credit Card Authorization form to be completed and faxed to the hotel (406) 547-2573. This form is available by calling the hotel directly (406) 547-8888. TAX EXEMPT GUESTS: Guests with GSA payment cards will be taxed or exempt in accordance to their individual card status. If tax exempt status cannot be verified at check-in you will be charged a lodging tax until verification is made. RATES: All rates are quoted in United States currency, plus tax. Rates may increase without notice. Rates as advertised on the All Seasons Inn & Suites website or any other website or promotional material are subject to change at any time and may increase or decrease at the hotel’s discretion. Rates are based on standard room (1-4 occupancy), king (1-2 occupancy), king handicapped (1-2) occupancy, small suite (1-6 occupancy), large suite (1-6 occupancy) and extra-large suite (1-8 occupancy) and are subject to availability. RIGHT TO REFUSE SERVICE: All Seasons Inn & Suites is privately owned and operated. We reserve the right to refuse service to anyone for any reason(s) that does not violate Federal or State laws. All Seasons Inn & Suites has a zero tolerance policy in which we will refuse to admit or refuse service or accommodation in our hotel or may remove a person, without refund, who refuses to abide by the reasonable standards and policies established by the State of Montana and the owners for the operation and management of the hotel. All Seasons Inn & Suites will refuse service or evict a guest: for refusal or failure to pay for accommodations, is under the influence of alcohol, drugs, or any other intoxicating substance and acts in a disorderly fashion as to disturb the peace of other guests or is not in compliance with state liquor laws; acts in a disorderly fashion as to disturb the peace of other guests; is unable to properly supervise their children at all times, seeks to use the hotel for an unlawful purpose; seeks to bring into the hotel: an unlawfully possessed firearm; or something, including an explosive or hazardous or toxic substance, that is unlawful to possess and that may be dangerous to other persons; destroys, damages, defaces, or threatens harm to hotel property or guests; causes or permits persons to exceed the maximum allowable occupancy of room, refuses to abide by the reasonable standards or policies established by All Seasons Inn & Suites for the operation and management of our hotel. MCA 70-6-511, 70-5-512,70-6-513, 70-6-514 QUIET HOURS: 10:00 p.m. to 9 a.m. If you become aware of a disruptive guest, please contact Front Desk staff immediately by room phone or in person. Televisions, voices, or other devices must be kept at a respectful low level at all times. Doors should be opened and closed quietly. No congregating or running in halls. VISITORS: No visitors after 10:00 p.m. Visitors must notify Front Desk upon their arrival. Visitors must be accompanied by the registered guest at all times. Visitors are not allowed to use guest amenities including the hot tub, continental breakfast, or Wi-Fi. As a registered guest, you are responsible for your visitor at all times. CONTINENTAL BREAKFAST: Our Continental Breakfast is free to registered guests only. Visitors may not join a registered guest for a free breakfast. Visitors may pay $6.00 per person at the Front Desk. If you desire a full hot breakfast, Front Desk staff is happy to provide you with a discount coupon to a local restaurant. CONNECTING ROOM POLICY: Connecting rooms are subject to availability and can only be booked directly through the hotel. Please call the hotel directly to discuss available configurations. Guests with a pet requesting a connecting room will be assessed a pet fee for both rooms. The following connecting combinations are available. Upstairs- Connecting standard rooms (two queen beds in each room). Downstairs-King Handicapped room to a standard room (two queen beds). DISCOUNTS: We do not offer discounted room rates for participation or employment in organizations such as AAA, AARP, government employees, etc. CANCELLATION: All Seasons Inn & Suites is not responsible for weather conditions, personal emergencies, or schedule changes. Reservations must be cancelled forty-eight (48 hours) hotel time, prior to your arrival date, in order to avoid a one (1) night full room cancellation fee. If reservations are cancelled less than 48 hours before the arrival date, your credit card may be charged the full room charge plus taxes. If you are staying more than one (1) night, only the first night and taxes will be charged. If you cancel any reservation, you must obtain and save the cancellation number for your records. NOSHOW CHARGES: Failure to check in on the scheduled arrival date for a reservation guaranteed with a credit card will result in a No-Show fee being charged to your credit card. You will only be charged the first night, one (1) night’s full room rate plus taxes and the balance of the reservation will be cancelled. GROUP RESERVATIONS: Large group/Block reservations must be cancelled eight (8) weeks prior to arrival date. Reservations cancelled after that date may be charged one (1) full room charge plus tax for each room reserved and the balance of their reservations cancelled. HOUSE RULES: Groups, School groups, sports/ski teams, weddings, special events, etc. Please contact hotel directly for current House Rules (406) 547-8888. Schools, sport/ski teams are directed to also review their specific school or sport organization Code of Conduct. DO-NOT DISTURB AND ACCESS TO ROOMS: To provide all of our guests with an exceptionally clean and safe hotel experience, we provide daily housekeeping. Our Housekeeping Staff will honor the “IN”door hanger once during a twelve hour period indicating that the room is occupied. The Housekeeping Staff is required to enter the room at subsequent times to clean the room, check for safety, and verify the condition of the room. Management reserves the right to enter a room with a known status of “IN” for reasonable purposes, such as an emergency, housekeeping, maintenance, verify that the room, its furnishings, and mechanical equipment are intact, or to address or prevent a violation of our Hotel Policy/House Rules. In the event of suspected illegal activity, management reserves the right to summon law enforcement to aid in eviction. The right to privacy ends when a Hotel Policy/House Rule is broken. Law enforcement will be granted immediate access to hotel property and rooms of evicted guests. CHILDREN: Well behaved children of all ages are welcomed. Children aged 12 and under stay for free when sharing a room with one or more paying adult(s), using existing bedding. As the parents, guardians, or chaperones of children you are personally and legally responsible for and must supervise them at all times MCA 70.6.514. For safety reasons, please do not leave children unattended in guest rooms or allow them to roam the hotel property unsupervised. Children under the age of 13 are not allowed in the hot tub area without being accompanied and supervised by their parent/guardian/chaperone. ADDITIONAL BEDDING: A limited number of rollaway beds and baby cribs are available upon request. Availability is on a first-come, first-served basis for a King room or Suite only. The charge is $5.00 each, plus tax per night. Maximum capacity of baby crib or rollaway is one (1) per room. Rollaway beds are not allowed in a Standard Queen room. For safety, pillows are not provided for cribs. MAXIMUM OCCUPANCY: Room occupancy requirements are based on fire code/fire safety restrictions. Standard Room maximum occupancy is 4, King or King Handicapped maximum occupancy is 2, Small Suite maximum occupancy is 6, Large Suite maximum occupancy is 6, and Extra-Large Suite maximum occupancy is 8. If you exceed the maximum number of guests allowed, you will be asked to rent another guestroom for proper accommodations or vacate the hotel. ROOM KEYS: Room keys are issued to the registered guest(s). No room keys will be issued to youth under 18 at any time. I.D. is required if you have lost your key and require a duplicate. Please return room keys to Front Desk at Check-out. HOUSEKEEPING/ROOM INSPECTION: Housekeeping is provided daily between the hours of 9 a.m.-2 p.m. Housekeeping may start as early as 6 a.m. during hunting season. This is a 100 % NON-SMOKING hotel, including medical marijuana. Rooms are cleaned and inspected daily and a detailed log is maintained on each room and linen. Rooms are rented to guests in appropriate condition without any prohibited odor. Housekeeping and Front Desk staff are trained and skilled in identifying the odors from prohibited items. If our investigation concludes that you have smoked in your room, cooked, or brought a prohibited item into our facility, you will be fined, and evicted without any refund. LINEN CHANGING: Your comfort is very important to us. For guests staying multiples nights, bed linen is changed on a rotation schedule. Used towels are exchanged for fresh towels daily. If Housekeeping is unable to change a bed due to personal items left on a bed, a note will be left. Housekeeping will be happy to change your bed linens and make your beds each day if all personal items are removed. Please contact our Front Desk staff if you have any additional questions or concerns. LOST & FOUND POLICY: All Seasons Inn & Suites assumes no liability for lost, misplaced, stolen, or damaged valuables or belongings. If you discover that you have left behind something of value to you, please call us immediately (406) 547-8888 and we will try to assist you in locating your lost item. FOUND ITEMS: All Seasons Inn & Suites is not responsible for any item left behind by a guest. However, any item, with the exception of perishable items, left behind by our guests and found after departure by Housekeeping will be collected, logged in, and kept in a secure location for collection by the owner for up to fourteen (14) days. Records of Lost & Found items are retained for five years. Reasonable effort will be made to notify the guest that an item has found. Perishable items, underwear, and miscellaneous toiletries are discarded. RETURN: We would be happy to return your lost item(s) to you by United States Postal Service. Sorry, no UPS or FED EX deliveries. Your credit card will be charged packaging and postage, plus a $10.00 handling fee. A separate receipt will be mailed to you. All Seasons Inn & Suites is not responsible for any item lost or misdirected during shipment by the United States Postal Service. Please contact the USPS Customer Service Department at 1-800-275-8777. UNCLAIMED ITEMS/NO CONTACT: Lost & Found items are held for fourteen (14) days while we attempt to contact the guest. If guest contact information is incorrect or cell phone mailbox is full and we are unable to contact the guest during the fourteen (14) day holding period, the unclaimed item(s) are thrown away, given to local organizations, or disposed of accordingly by All Seasons Inn & Suites. HOT TUB: For safety, our Hot Tub area has a camera. Our large hot tub is available for registered guest only. Visitors are not permitted in the hot tub or hot tub area. The hot tub is located on the ground floor and is open from 10:00 a.m. to 10:00 p.m. The hot tub temperature is 104 degrees. For the safety of our guests and staff the hot tub is closed if the outside temperature drops below 32 degrees. Adult supervision is required for all children under the age of 13. No children under the age of five or pregnant women permitted. No life guard on duty. No dogs, food, drinks, or smoking is allowed in the Hot Tub area. Please refer to the posted rules at the Hot Tub for more use guidelines and rules-those guidelines and rules are considered a part of our Hotel Policy/House Rules ALCOHOL POLICY: Registered guests of legal age who choose to bring their own alcoholic beverages must consume those in their room. Alcohol is not allowed in public areas such as the lobby, hot tub, halls, etc. Alcohol consumed during special events served by a licensed caterer with permit to serve/sale alcohol is restricted to those 21 years old or older (valid photo identification required) and can only be consumed at that event venue. MCA 70-6-513, MCA 27-1-710, MCA 16-3-105, MCA 16-4-204. FIREARMS AND WEAPONS: The safety and security of our guests and staff is extremely important to us. Our Firearms and Weapons Policy is designed for the protection of our guests, vendors, staff, and owners, and pertains to the presence of firearms and weapons on hotel premises. All Seasons Inn & Suites recognize that guests and vendors may legally possess firearms or weapons for a variety of legitimate purposes. This policy has been developed to create a safe environment by providing appropriate guidance over the custody of firearms and weapons on our premises. All Seasons Inn & Suites is private property. Guests, who are lawfully permitted to possess a firearm or weapon, may bring such onto our hotel premises for storage purposes only, with the understanding that they are personally responsible for following: Guests must abide by all Federal, State, and local laws. Firearm and weapons must be appropriately registered. Firearms must be unloaded No cleaning of firearms is permitted on hotel premises. Firearms and weapons must be safeguarded and secured in either a locked, hard sided firearm container or a soft gun case provided by the guest at all times and clearly labeled with their name and contact information. No firearms or weapons in the breakfast area. Damages caused by arrowheads will be charged accordingly, please be careful. Guests and vendors who fail to abide by our policy may be asked to leave the hotel premises, are subject to trespass and may be subject to further legal action. Exempted from this policy are law enforcement officers and designated military personnel who are on-duty and required to carry firearms in the performance of their duties. No exemption to this policy is allowed for private persons, even those licensed and permitted to carry a firearm openly or concealed under local, state, or federal law, are exempt from this policy. It is our policy to promptly turn over any firearms left on the property to the Meagher County Sheriff's Office if we are unable to contact the owner. Questions concerning these policies or its implementation may be addressed to the hotel owners directly (406) 547-8888. MCA 70-24-110 BICYCLES/HOVER BOARDS/ROLLER BLADES: Bicycles, Hover boards, and roller blades are not permitted in guest rooms. Depending on available space, Front Desk staff will be happy to secure these items in our mechanical room. We assume no liability for theft, loss, and/or damage, and you waive any and all such liability. IN CASE OF EMERGENCY OR FIRE: Please notify Front Desk in the event of a fire or other emergency. A map that shows emergency exits can be found on the back of your room door and in the Guest Information Notebook located in each guest room. FIRE SAFETY POLICY: The hotel is fully equipped with smoke detectors, fire safety information in Guest Room Notebook, and emergency evacuation plans on the door of each guest room. Please review this important information. NO IN-ROOM PARTY: All Seasons Inn & Suites enforces a No In-Room Party Policy to ensure we can protect the hotel and our guests at all times. No parties, loud disturbances and/or noise-nuisance are allowed or tolerated on these premises. In the event of a disturbance, one polite request (warning) will be given to reduce the noise. If our request is not followed, the guest will be asked to leave the hotel without refund. Registered guest(s) is responsible for all persons visiting. Non-Registered visitors are only permitted until 10:00 P.M. If found with more “people” not listed on the Guest Registration Form after 10:00 P.M. your stay will be considered a party. You will be ordered to vacate the premises without refund and may be access Guest Compensation Disturbance Fee. FREE WiFi ACCESS: Access to our WiFi is free for our registered guests. The hotel WiFi access code is subject to change without notice. WiFi signals are subject to change without notice depending on the room’s location, the status of our WiFi-equipment, and interference from other local wireless signals. All Seasons Inn & Suites assumes no liability for guest use. ENFORCEMENT: All staff is trained and required to respond to potential violations of our Hotel Policy/House Rules. Guests who refuse to abide by the reasonable standards and policies established by All Seasons Inn & Suites for safety of all guests, staff, owners, property, and the operation and management of the hotel will be evicted, with no refund (MCA 70-6-511). In addition to the room charge, a minimum $300.00 cleaning fee per room will be charged for infraction(s) of our Hotel Policy/House Rules. TERMS & CONDITIONS: All Seasons Inn & Suites makes its best efforts to ensure that all the information that appears on its website is accurate. However, no warranty, expressed or implied, is given that the information provided on this website is error free. All Seasons Inn & Suites does not accept liability for any errors and/or omissions, and reserves the right to change the information published at any time and without notice. LINKS: The links provided on the All Seasons Inn & Suites website are for the convenience of site visitors and are provided in good faith. All Seasons Inn & Suites does not accept liability for the contents or links provided on such websites, nor does it accept liability for any indirect or consequential loss arising out of the use or connected with its website. ILLNESS AND EPIDEMICS: All Seasons Inn & Suites reserves the right to refuse accommodations to a guest arriving with a contagious disease. In cases where sickness occurs during the stay, please notify the Front Desk staff. In the case of serious sickness, you may be requested to receive appropriate health care from a nearby healthcare facility. During epidemics we are entitled to employ precautionary measures within our judgment or as required by local authorities. We may charge you a room cleaning fee as we deem appropriate under the circumstances. INFESTATION: The cleanliness of our rooms is extremely important to our guests. If you bring any infestation into your room or onto our hotel premises, we may charge you for any and all costs and expenses, including immediate or urgent response requirements and loss of room revenue, that we deem necessary to address the infestation. PARKING AT OWN RISK: All vehicle(s) must be listed on the registration at check-in. Parking for registered guest(s) is free. All vehicles are parked at the risk of the owner. All Seasons Inn and Suites shall not assume liability or responsibility for any vehicle, occupants, or contents while operated or parked on the hotel property. If a vehicle is left in the hotel parking lot after the guest has departed without the written consent of the hotel, the hotel reserves the right to have the vehicle towed at the owner’s expense. No vehicle repairs on hotel premises. DAMAGE AND/OR THEFT OF HOTEL PROPERTY You are liable for any damage howsoever caused (whether by the deliberate, negligent, or reckless act) to the room (s), hotel’s premises or property caused by you or any person in your party whether or not staying at the hotel during your stay. All Seasons Inn & Suites reserves the right to retain your credit card and/or debit card details as presented at registration and charge or debit the credit /debit card such amounts as it shall in its sole discretion deem necessary to compensate or make good the cost or expenses incurred or suffered by All Seasons Inn & Suites as a result of the aforesaid. Should this damage come to light after the guest has departed, we reserve the right and you hereby authorize us to charge your credit or debit card for any damage incurred to your room or the Hotel property during your stay, including and without limitation for all property damage, missing or damaged items, smoking fee, cleaning fee, guest compensation, etc. We will make every effort to rectify any damage internally prior to contracting specialist to make the repairs, and therefore will make every effort to keep any costs that the guest would incur to a minimum. DAMAGE DISCOVERED AFTER CHECK-OUT: Guest Rooms found with waste strewn around, in complete disorder, and/or “trashed” will be subject to maintenance deep cleaning fee, administration fee and/or third party fees. DAMAGE TO ROOM: Damage to rooms, fixtures, furnishing and equipment including the removal of electronic equipment, towels, art work, etc. will be charge at 120% of full and new replacement value plus any shipping and handling charges. Any damage to hotel property, whether accidental or willful, is the responsibility of the registered guest for each particular room. Any costs associated with repairs and/or replacement will be charged to the credit card of the registered guest. In extreme cases, criminal charges will be pursued. DAMAGE TO MATTRESSES AND BEDDING: Damage to mattresses and linen including; towels, mattress pads, sheets, bedspreads, blankets resulting from the use of body oils, make-up, shoe-polish, etc. will result in a charge for the special cleaning, repair or replacement of the damaged article. DAMAGE OR TAMPERING WITH FIRE DETECTION SYSTEMS/FIRE-FIGHTING EQUIPMENT: All Seasons Inn & Suites reserve the right to take action against any guest or visitor found to have tampered or interfered with any detection equipment throughout the hotel, including detector heads in public areas, guest rooms, break glass points and fire extinguishers. Guests or visitors found to have tampered with any fire detection or fire-fighting equipment will be charged with any costs incurred by the hotel due to their actions and will be evicted from the hotel. Depending on the severity of the guest actions, law enforcement may become involved at the hotel’s discretion. Should the fact that fire-fighting or detection equipment had been tampered with come to light after the guest has departed, we reserve the right and you hereby authorize us to charge your credit or debit card for any damage incurred to your room or the Hotel property during your stay, including and without limitation for all property damage, missing or damaged items, smoking fee, cleaning fee, guest compensation, etc. CHANGES OR MODIFICATION TO THE HOTEL POLICY/HOUSE RULES: All Seasons Inn & Suites reserves the right to amend, modify, change, cancel, vary or add to these Hotel Policies/House Rules or the arrangements and content featured on our Hotel website at any time without prior notice. Please check our website regularly for updates to Hotel Policy/House Rules. Any modification to these Hotel Policy/House Rules that occurs before your departure is considered a part of your reservations agreement with us. A copy of these Hotel Policy/House Rules is located on our website, in the Guest Room Notebook, and available from Front Desk staff upon request. BUSINESS CENTER: Photocopies and faxes are provided for a fee. The Business Center computer is provided for the registered guest(s) to check their email, print airline tickets, etc. like activities. Children are not allowed on the computer, nor is it intended for gaming, movies, etc. TELEPHONE CHARGES: Phones charges are computed and assigned to your room folio at the end of each telephone transaction. Local Calls- 1.5 mile radius from hotel/White Sulphur Springs area and 800 numbers – are free. Do not dial a 1 or area code to place a local call. If you dial (1+406) the accounting system records your call as long distance. Call Within Area Code- .30 first minute, .30 for each additional minute. Calls Outside of Area Code- $3.00 first minute, $3.00 for each additional minute. International Calls-$10.00 first minute, $10.00 for each additional minute. Local Directory Assistance-$4.00 first minute, $4.00 each additional minute. Long Distance Directory Assistance-$4.00 first minute, $4.00 each additional minute Operator Assisted Calls-$10.00 first minute All Seasons Inn & Suites 808 3rd Avenue SW White Sulphur Springs, MT 59645 (406) 547-8888 RESERVATIONS ONLY: (877) 314-0241 info@allseasonsinnandsuites.net HOME ACCOMMODATIONS SMOKE-FREE HOTEL WINTER SMITH RIVER ATTRACTIONS RESERVATIONS CALENDAR HOT TUB FISHING HUNTING MOTORCYCLE PACKAGES AIRPORT MEETING ROOM PET POLICY CONTACT US HOTEL POLICY/HOUSE RULES INTERNET PRIVACY STATEMENT CAREERS
msmarco_passage_00_129992098	What is Electricity? (page 2)	What is Electricity? (page 2) PAGE TWO OF: What Is "Electricity"? (c)1996 William J. Beaty Electrical Engineer Back to PAGE ONE What is electric charge? Electric charge, also called "the Quantity of Electricity," is a funamental component of everyday matter. Objects are made of molecules and atoms, atoms are made of protons, neutrons, and electrons, and the protons and electrons are made in part out of electric charge. Electric charge is substance-like. If you have a quantity of charge, you cannot destroy it, you can only move it from place to place. A flow of electric charge is called "electric current." Here's an interesting problem. Electric charge once had a different name. It was called "electricity" by nearly all scientists throughout history. They said things like "charge of negative electricity" or "charge of positive electricity." They called electric currents by the name "flows of electricity." Eventually they changed the name and stopped using the word "electricity." They called it "electric charge" or simply "charge." Yet the old Quantity of Electricity definition is still used by Britannica, and the CRC Handbook, and the SI units definitions of NIST. See also: What is electric charge ? Scientists' definition of the word "electricity." ? Misconceptions about charge What is electricity, REALLY? ("charge" versus energy) What is electrical energy? Each of these is a kind of electrical energy: X-rays Light Microwaves Radio signals Telephone signals These five things really are exactly the same, only their frequency is different. We can add two more items to the list above. Power lines carry the same "stuff" as above, but the frequency is even lower, it is 60 cycles per second (50Hz in Europe.) And batteries produce the same "stuff", but the frequency in that case is near zero. Lets add them to the list: X-rays Light Microwaves Radio signals Telephone signals 60Hz energy from Electric company generators DC energy from batteries Electrical energy is also called "electromagnetic energy" or "EM energy" or "electromagnetic vibrations." Electrical energy is a type of wave energy, and these energy-waves always move very quickly (they usually move at the speed of light.) When you turn on a wall switch, the light bulbs light up instantly because the electrical energy moves so fast. Electrical energy is a combination of two things: magnetic fields and electrostatic fields. Electrical energy can be guided by wires, but also it can travel through space without any wires. For example, if we wave a bar magnet near a coil of wire, electrical energy produced by the moving magnet will leap into the coil even though the magnet did not touch the coil. Another example: if we build an antenna that's about 5000 miles long, we can plug it into an AC wall outlet, and the electrical energy will be broadcast into space and lost. There is no basic difference between "radio signals" and "AC Power", only their frequency is different. Also see: What is electrical energy? What is electricity, REALLY? Electricity is not a form of energy What are electrons? Everyday matter is composed of atoms, right? But atoms are composed of protons, neutrons, and electrons. This tells us that atoms are patterns, and that that everyday matter is just a big bunch of protons, neutrons, and electrons. Electrons are a natural part of everyday matter. MATTER IS FULL OF ELECTRONS. This is important, because whenever an electric current appears in a copper wire, the electrons already present within the copper are forced to flow. As far as wires are concerned, "electric current" means "copper's electrons start flowing." Here's the most important part: batteries and generators don't put those electrons into the wires. The electrons were already there, because wires are made partly of electrons. When you plug a lamp into an AC outlet, the electrons already inside the copper wires are forced to vibrate back and forth. An analogy: if sound is like electrical energy, then air molecules are like electrons. How do sound waves travel? They are travelling vibrations in the air. How does electrical energy travel? It is a vibration that travels in the "cloud of electrons" inside of metals. What is electric current? Whenever electric charge moves or flows, that is an electric current. The words "electric current" are the same as the words "charge flow." An Analogy: If charge is like air, then electric current is like wind. Or if charge is like water, then Electric Current is like "gallons per second" of water flow. See also: HOW CAN WE MAKE ELECTRIC CURRENTS? What is an imbalance of charge? Objects are matter, and among other things, matter is made from a combination of positive and negative electric charge. When the quantities of positive and negative charge aren't perfectly equal, there is an imbalance of charge. An imbalance of charge is commonly called "static electricity", but this can be misleading because there is nothing really "static" about it. If a charge imbalance should flow along... it's still an imbalance; it's still "static electricity." See also: Red and Green Electricity "static electric" misconceptions What is an electric field? When positive charges attract negative charges, there is an electric field joining the charges together. Electric fields are a lot like magnetism. Both are invisible, both contain "lines of force," and both can reach across empty space and cause things to attract or repel. However, electric fields are NOT MAGNETIC. They are a whole different thing than magnetism. The poles of a magnet are surrounded by a magnetic field, but how do we create an electric field? Just rub a balloon on your hair! Charged objects create electric fields in much the same way that magnet poles create magnetic fields. So what is an electric field? One answer: north and south magnetic poles create magnetic fields, while positive and negative ELECTRIC POLES create electric fields. See also: WHAT IS VOLTAGE? What is voltage? "Voltage" or "electric potential" is one way that we can measure an electric field . To produce a very high voltage, rub a balloon on your head, or scuff your shoes upon the floor when the humidity is very low. Electric fields can push or pull upon electric charges, so electric forces are caused by voltage (or instead we could say that voltage and electric forces are caused by electric fields.) In a battery circuit, the voltage from the battery causes the charges of the wire to flow. VOLTAGE CAUSES CURRENT. Some people like to say that voltage is a sort of "electric pressure." That's almost correct (it's correct as far as grade school is concerned, but in physics classes we will learn that voltage is not pressure, not exactly.) Another answer here . What is electric power? "Electric power" means "flow rate of electrical energy." If electrical energy was like water, then electric power would be the gallons-per-second. Energy is measured in Joules, and when energy flows, the flow is measured in Joules per second. What is a watt? The word "Watt" is just another way of saying "Joule per Second." Energy comes in Joules, while power comes in Joules per second. The important part: while energy is very much like a stuff, power is not. Power is a FLOW RATE of energy, or a RATE OF USE of energy. We can store electrical energy, but electric power is not something that is ever stored. (Think in this way: we can store gallons of water, but it's impossible to store any "gallons per second" of water.) Also see: How are Watts and Amps different? How are Watts, Amperes, and Volts related? What is a spark? An electric spark is a volume of air which has been electrically converted from a gas into a plasma, the fourth state of matter. While plasma can be created by high temperatures, it can also be created electrically when a high voltage pulls loose the outer electrons of air molecules. Sparks are made of glowing air, and the color of the spark depends on the type of gases involved. Sparks in nitrogen/oxygen are bluish-violet, while sparks in Neon are red/orange. (Yes, the glow inside a neon sign is a kind of fuzzy low-pressure spark.) Also, sparks are conductive. Once formed, they can contain an electric current in much the same way that a wire can. In many ways a spark is like a bit of air which has been turned into an electrical wire. When you watch a thunderstorm, imagine that the clouds are throwing out highly charged wires which will explode if they touch the ground. Or when watching a Tesla Coil, don't forget that the glowing fractal streamers are conductors with alternating current inside. Sparks can leap in either direction regardless of polarity, and can leap from both a DC electrode or an AC electrode. They can start on a DC negative electrode and jump towards positive. Or they can start on the positive and go towards the neg. They can even start in the air between two electrodes and spread outwards in both directions. Sparks in air involve avalanches of electrons from the air molecules, but they also involve photons of Ultraviolet light. The strong electrostatic field at the tip of a spark causes nearby air molecules to break apart into separate electrons and ion as a free electron strikes molecules and releases more electrons in an avalanche. Air turns into plasma. But also the electrons captured by atoms can give off ultraviolet photons, and if this light is absorbed by nearby air molecules, it can knock electrons off and spread the plasma that way. (And if gamma rays or Beta particles from background radioactivity should strike a growing spark, they can grow it much faster as a gamma/Beta spark rather than a UV/electron spark, by the process of Runaway Breakdown.) Another answer here . What is electromagnetism? "Electromagnetism" usually means "electrical energy" or "electromagnetic fields." Another answer here. What is electrical science? Electrical science is the study of electrical effects... and electrical effects are caused by electric charges and by the electric and magnetic fields associated with charges. Electrical science is divided into sections called Electrodynamics, Electrostatics, Magnetism, and EM wave mechanics. Electrical science is often called "electricity," which can be confusing. For example, the study of lightning is the study of electrical science, so the study of lightning is the study of "electricity." But this doesn't mean that lightning is "made" of electricity. When we study lightning, we are studying a science topic, and we're not studying a substance called "electricity." It might be better if electrical science had some other name than "electricity." After all, the study of light is not called light. It's called optics. Nobody thinks that lenses and light bulbs are made out of light, since whenever we study lenses and light bulbs, we study "optics." Optics is obviously a science topic. But plenty of people think that lightning is made out of electricity, since whenever we study lightning, we study a science topic named Electricity, and most people imagine that we're studying a SUBSTANCE named "electricity." which looks like blue-white fire that reaches across the sky. "Electricity" or Electrical Science is confusing in another way. This science topic is divided into two sections called Electrostatics (the study of charge and voltage), and Electrodynamics (the study of current and changing fields.) Many people have convinced themselves that there are two kinds of electrical energy: static and current. Wrong. In truth, there are two kinds of ELECTRICAL SCIENCE: Electrostatics and electrodynam ics. Since "electrical science" is called "electricity," we can say that the two types of electricity are static and current. What we MEAN is that the two types of electrical science are the study of charge and the study of charge-flow. See what's happening here? A field of science has been mistaken for a type of energy! And the two fields of science, Statics and Dynamics, have been mistaken for two separate KINDS of energy. How many K-6 textbooks insist that "static electricity" and "current electricity" are the two main forms of energy? This is a weird distortion which probably arose over many years of misunderstanding. What they MEAN is that there are two types of electrical science, one dealing with charge and voltage, and the other dealing with currents and circuits. Two kinds of "electricity," where the word "electricity" means Electrical Science. What is electrodynamics? Electrodynamics is a field of science and a class of phenomena which involves electric current, magnetic fields, and attractive/repulsive magnetic forces. The study of generators, motors, circuitry, electric currents, etc., falls under the heading of "electrodynamics." What is electrostatics? Electrostatics is a field of science and a class of phenomena which involves charged subatomic particles, net electrical charge, electric voltage, electric fields, and attractive/repulsive electric forces. What are electrical phenomena? "Electrical phenomenon" means "electrical happening." When you turn on a flashlight, that is an electrical phenomenon. During a thunderstorm, the thunder is an electrical phenomenon and the flashes of light are electrical phenomena. Unfortunately the term "electricity" means "electrical phenomenon." This causes confusion, because sparks, wires, batteries, currents, and voltage are all electrical phenomena, so they are forms of electricity. See what I just said? Batteries ARE ELECTRICITY. Sparks ARE ELECTRICITY. Electron flows ARE ELECTRICITY. But these are not such odd statements. After all, transistors and radios and computers are electronics. When we hear about "electronics", we don't end up thinking that "electronics" is some kind of weird invisible energy that's hidden inside our computer. The word "electronics" fortunately has a clear meaning. Not so with "electrical phenomena" or "electricity." If someone tells you that motors are electricity, you'll probably get the right idea (motors are electricity just as transistors are electronics.) But if someone tells you that lightning is electricity, or that electric currents are electricity, you probably WON'T decide that lightning and currents fall under the heading of electrical phenomena. Instead, you'll probably decide that currents and lighting are MADE OUT OF "electricity," and that "electricity" is a very strange substance indeed. http://amasci.com/miscon/whatis2.html Created and maintained by Bill Beaty. Mail me at: . View My Stats
msmarco_passage_00_131460191	Elizabeth Blackwell, M.D., America’s first female doctor \| Amazing Women In History	Elizabeth Blackwell, M.D., America’s first female doctor \| Amazing Women In History Skip to primary navigation Skip to main content Skip to primary sidebar Amazing Women In History all the women the history books left out Menu About Women In History Submenu Activists Artists Inventors Leaders & Rulers Scientists Teachers Warriors & Soldiers Writers Women’s Achievements Women Firsts Women’s Rights Women’s Suffrage Books Show Search Search this website Hide Search Elizabeth Blackwell, M.D., America’s first female doctor Elizabeth Blackwell, M.D. (1821-1910), was the first woman to graduate from medical school in the United States and is often thought of as America’s first woman doctor. A dedicated public health advocate, social reformer, and prolific writer, Blackwell changed the course of modern medicine, founding hospitals and medical colleges for women in the United States and England, pioneering in preventive medicine and infection control, and breaking prejudicial barriers against women in medicine on two continents. Elizabeth Blackwell was born in England, near Bristol on February 3, 1821, the third of nine children, at a time when women had no access to higher education or the professions, and married women had no legal identities separate from their husbands. Elizabeth’s early home life was rich and satisfying for her and her siblings. Both boys and girls were tutored at home. Meals provided spirited discussions for the children as well as their parents’ frequent dinner guests, anti-slavery crusaders, missionaries, and political and religious leaders. Nine years later everything changed. Life in Bristol became unstable. Cholera swept through the city. Riots began to break out and factories were burned. When Elizabeth’s father Samuel’s sugarcane business floundered, he decided to move his family to America. They settled in New York City in 1832. Eleven year old Elizabeth continued her studies, reading everything, learning French and German, and studying music and art. Despite his best efforts, Samuel never regained the financial prosperity they had known in England. The family dismissed their servants and economized but found it necessary to start over once again and moved to Cincinnati, Ohio six years later. Three weeks after their move to Ohio however, Samuel died unexpectedly from biliary fever caused by a tick bite, leaving his family alone and impoverished. Hand bill from the New York City Board of Health, 1832 To support the family, Elizabeth, then 18, her mother Hannah, and two older sisters opened a private school: The Cincinnati English and French Academy for Young Ladies. It became the primary source of income until the boys were old enough to go into business two years later in 1842. At that point Hannah closed the school and Elizabeth tutored students privately. When she received an invitation to teach in Henderson, Kentucky, she left home for the first time. Though she enjoyed her students, Elizabeth found the realities of slavery and racism untenable, and she refused to accept the attitudes of the southern families paying her wage. She resigned her position and returned to Cincinnati within the year. While she enjoyed a full and active social life, she wrote in her diary that she felt “the want of a more engrossing pursuit than the study of music, German, and metaphysics.” When she visited a friend dying of cancer, Mary Donaldson told her how difficult it was to have exams and treatments performed by a male doctor. She suggested that since Elizabeth loved to study, she should study medicine. Though initially repelled by the idea of studying anything connected with the human body, Elizabeth found herself constantly returning to the idea. She said, “Other circumstances forced upon me the necessity of devoting myself to some absorbing occupation. I became impatient of the disturbing influence exercised by the other sex. I had always been extremely susceptible to this influence.” Because her family did not have the financial means to provide for her, she either had to marry or work. The challenge of becoming a woman physician intrigued her, and she thought the pursuit of medical training would be the deterrent she sought to a stifling marriage. Since she had no idea how to become a physician, Elizabeth consulted several doctors known to her family, as well as close family friend Harriet Beecher Stowe. Harriet Beecher-Stowe, American abolitionist and author of Uncle Tom’s Cabin, family friend of Elizabeth Blackwell They said it was a good idea, but impossible suggesting there were strong prejudices and too many obstacles to overcome. It was commonly assumed women were morally unfit to practice medicine, that they were ignorant, inexact, untrustworthy, un-businesslike, lacking in sense and mental perception, and contemptuous of logic. Not to mention immodest. There was no education available to women and in addition, medical school was expensive. Elizabeth reasoned that if, as others advised, the idea had value, then there would be a way to do it. She wrote, The idea of winning a doctor’s degree gradually assumed the aspect of a great moral struggle, and the moral fight possessed immense attraction for me. Elizabeth Blackwell In 1845, at age 24, Elizabeth decided she was going to get a medical education. To accomplish her goal, she took another teaching position to save the $3000 necessary for tuition and expenses. She found a job teaching music at an academy in Asheville, North Carolina. She lodged with the Reverend John Dickson, who had been a physician before becoming a clergyman. In her free time, Elizabeth studied the medical books in Dickson’s library. When the academy closed unexpectedly a year later, Elizabeth found work at a boarding school in Charleston, South Carolina and lodged with John Dickson’s brother, Dr. Samuel Dickson, a prominent Charleston physician. Within two years, Elizabeth achieved her financial goal. The summer of 1847, Elizabeth sailed to Philadelphia because it was considered to have the best schooling. She applied to the four best medical colleges in Philadelphia and was rejected. She recorded in her diary that interviews with school officials were disappointing. While she continued to seek admission, Elizabeth began to study anatomy privately with a doctor sympathetic to her. She also found support in Dr. Joseph Warrington who allowed her to visit his patients, attend his lectures, and make use of his library. He spoke to various friends on her behalf. Though she eventually applied for admission to every medical college in Philadelphia and New York City all twenty nine schools rejected her. Refusing to give up, she then wrote to a number of lesser known colleges, including Geneva Medical College in western New York state. Elizabeth Blackwell with her adopted daughter Kitty and two dogs, 1905. After her acceptance at Geneva Medical College, she found out the college administrators let the students decide whether to allow a woman admission or not. The young men thought it was a good joke and said yes. She started classes in November facing prejudice and loneliness. A woman studying medicine was such an aberration, townspeople would stop and stare at her. They thought her insane, immoral, or both. She stayed strong in herself and kept sight of her goal. Even though she joined the class midterm, she caught up and became the head of her class. In the summer between school terms, Elizabeth returned to Philadelphia to work at the Blockley Almshouse where a typhus epidemic had broken out. There, she gained the clinical experiences she wanted, and her increasing interest in the disease later became the subject of her thesis at Geneva. In January, 1849, at the age of 28, Elizabeth Blackwell received her medical degree, at the top of her class. Though she had received the necessary training and credential, she was banned from practicing medicine by the medical community. Blackwell decided to continue her studies in Europe, only to find the hospitals of England closed to her as well. After a few months, she traveled to the Paris hospital, La Maternite, where she was admitted under the condition she be treated as a student midwife, not as a physician. She found support in a young resident physician who provided mentoring throughout her training in obstetrics. Her study was cut short when she contracted purulent ophthalmia resulting in one eye being removed, preventing her from fulfilling a dream of becoming a surgeon. Anne Isabella Byron, Baroness Byron Elizabeth returned to England in 1850 and was accepted as an intern at St. Bartholomew’s Hospital, through the help of a cousin. During this time, she led an active social life, becoming friends with Anne Isabella Byron, the widow of Lord Byron. She also met young Florence Nightingale, just before she defied her family to study nursing. A year later Elizabeth returned to New York City determined to open her own practice. She found no male doctor would accept her as an associate. No landlord in the city would rent space. Eventually she rented a room in Jersey City. She hung out her shingle and waited, but very few patients came. To increase business, Elizabeth began giving lectures on women’s health. She wrote articles on the importance of good hygiene as well as the importance of exercise and physical education for girls in school. After her sister Emily received her medical degree in 1853, she joined Elizabeth. Together they opened a clinic in the slums of New York City for women and children. Elizabeth wrote, “my working powers were more than doubled by the arrival of my sister…who became my partner and able co-worker.” They were later joined by Dr. Marie E. Zakrzewska, a trained midwife from Berlin who had done her pre-med studies with Elizabeth before graduating from Cleveland. In 1857, the clinic was closed and the three women opened The New York Infirmary for Women and Children. This facility still exists as the Beekman Downtown Hospital. It not only served the poor but provided a training facility and positions for female medical and nursing students. Dr. Zak served as chief resident and Dr. Emily as the chief of surgery. Elizabeth Blackwell founded the New York Infirmary for Women and Children with her sister Emily in 1857 During this time, Elizabeth adopted an orphan Katherine Barry, who became a lifelong companion as well as an adopted daughter. Although Elizabeth provided for Barry’s education, she never allowed the girl to develop her own interests, or make her own friends. Rather shy and self conscious about her slight deafness, Barry dedicated herself to Elizabeth’s welfare, staying with her all her life. Elizabeth recorded an incident she found amusing, “She had always been accustomed to call me ‘Doctor.’ On one occasion she was present during the visit of a friendly physician. After he was gone, she came to me with a very puzzled face, exclaiming, ‘Doctor, how very odd it is to hear a man called Doctor!'” Elizabeth once again travelled to England in 1858 to fundraise and increase awareness for women in the medical field. She returned a year later after becoming the first woman to have her name entered on the Medical Register of the United Kingdom. When the Civil War broke out in 1861, Elizabeth contributed by training and organizing a unit of female field doctors and nurses. Seven years later she founded the Woman’s Medical College adjacent to the New York Infirmary. It was the first American medical school for women. Dr. Rebecca Cole, the first American black woman to become a doctor, was one of the first graduates of the Women’s Medical College. It was one of the first medical schools in America to require four years of study. Dr. Emily Blackwell took over management of the college which freed Elizabeth to return to England and establish a medical college for women there. Elizabeth said, The first seven years of New York life were years of very difficult though steady, uphill work. It was carried on without cessation and without change from town, either summer or winter. Patients came very slowly to consult me. I had no medical companionship, the profession stood aloof, and society was distrustful of the innovation. Insolent letters occasionally came by post, and my pecuniary position was a source of constant anxiety. My keenest pleasure in those early days came from the encouraging letters received from the many valued English friends who extended across the ocean the warm sympathy they had shown in London. They strengthened that feeling of kinship to my native land which finally drew me back to it. Elizabeth Blackwell She sailed in 1869. Dr. Zakrzewska soon left to open a woman’s hospital in Boston. She said, “In 1869, the early pioneer work in America was ended. Our New York centre was well organised under able guidance, and I determined to return to England for a temporary though prolonged residence, both to renew physical strength, which had been severely tried, and to enlarge my experience of life, as well as to assist in the pioneer work so bravely commencing in London, and which extended later to Edinburgh.” She opened a private practice and enjoyed an active social life exchanging conversations with leading artists and social reformers. She helped form the National Health Society of England in 1871 and three years later also participated in the creation and opening of the New Hospital and London School of Medicine for Women. Her health, however, gradually declined. In 1873 she was forced to spend time in Italy to recover the strength lost in several bouts of “atrocious biliary colic.” She curtailed her private practice, but two years later accepted a position of Professor of Gynecology at the London School of Medicine for Woman. In 1879, Elizabeth moved to the village of Hastings, on the English Channel. She gave up private practice and began a period of prolific writing on issues she felt needed reform. These included medical education and ethics, preventative medicine, sanitation, family planning, and women’s rights. She wrote her autobiography, “Pioneer Work in Opening the Medical Profession to Woman” which was published when she was 74. Other works include “The Religion of Health” (1871), “Counsel to Parents on the Moral Education of Their Children” (1878), “The Human Element in Sex” (1884), and “Essays in Medical Sociology” (1902). She received a steady stream of visitors, corresponded vigorously, and actively wrote for publication. In 1907, at age 86, Elizabeth took a serious fall from which she never recovered. She died on May 31, 1910 at her home, after suffering a stroke. She was buried in St. Mun’s churchyard at Kilmun on Holy Loch in the west of Scotland. At the time of her death, America had over 7,000 practicing women physicians who had graduated with a medical diploma. Though Dr. Elizabeth Blackwell was not the first woman to practice medicine in America, she was the first to receive the same training as every other medically educated physician. Through her hard work, persistence, and determination, she achieved her personal goals and worked tirelessly to open doors for women following her. Elizabeth was a strong-willed woman who relied on inner counsel to manifest her dreams and to help others to do the same. She is said to have had a strong personality, and was often quite acerbic in her criticism of others, especially of other women. Nevertheless, she supported and actively promoted the careers of many women seeking her help to enter the medical field. She was ahead of her time, insisting on strict hygienic standards in her hospitals, and a rigorous curriculum in the schools she founded, which were later copied by other established medical schools. Through her lifelong devotion to medicine and medical practice, Dr. Elizabeth Blackwell changed and improved the course of the American and British medical professions forever. Next, read about Margaret Nash, courageous WWII POW navy nurse, or Nettie Stevens: A Discoverer of Sex Chromosomes. Sita Khalsa Sita Khalsa is a guest contributor for Amazing Women In History. Thoughts: 17 Comments Categories: Activists, Other, Teachers, Women Firsts, Writers Tags: 19th century women, american women, english women, women doctors, women in medicine, women pioneers in education Reader Interactions Comments Keri October 31, 2012 at 10:39 am Thanks so much for writing this awesome post, Sita! Elizabeth Blackwell accomplished so much and paved the way for women doctors after her. I love the fact that there were over 7,000 women doctors practicing medicine at the time of her death. And she sure knew a lot of famous people! What an inspiring story =) Reply JeanP April 30, 2013 at 12:43 pm Great article, keep them coming. When pregnant with my first child and having to stop my high school teaching job at 4 months into that pregnancy, (yes, that was the rule in 1970) I went to the county library and started reading biographies at the letter A. One of the first women i came upon was Ekizabeth Blackwell, which led me to reading only bios of women and an advocate of women’s history. Reply sophia May 19, 2016 at 8:45 pm This is the most useful article i have ever had thank god i discovered it thank you for creating this article!!! Reply Bonsen December 20, 2016 at 8:50 pm This really inspires me I’m a woman and I want to become a surgeon someday Reply madalynne January 4, 2017 at 2:56 pm I am inspired by her! : ) Reply Betty April 16, 2019 at 11:57 am Great woman. I’m thrilled. I have learnt from Elizabeth’s story to keep pressing on and not to give up. Women are not a mistake; God doesn’t make mistakes. Women are a blessing, world changers. Thank you for this page. Reply madalynne January 4, 2017 at 2:58 pm I don’t know what I want to be yet with all the medical stuff but im thinking. : ) ; ) Reply Jeremy January 16, 2017 at 3:19 pm Great career! Reply natalie January 17, 2017 at 8:27 pm you go girl Reply yerelin January 18, 2017 at 7:53 pm I love this women she had a lot of work to do and that means that girls rock!!!!!!!! Reply Donna Schiavone January 24, 2017 at 11:01 am Love this – thanks! I’m sure it wasn’t easy to shorten her life story to this article, but you did a great job. Reply Mary Jones January 3, 2019 at 3:45 pm Dr Rebecca Crumpler was the first U S Black female doctor, not Dr. rebecca “Cole”.. Reply Constantine Papanicolaou January 3, 2018 at 6:24 pm In the 1845 Baltimore City directory, there is a woman on it named Eleanor Stewart listed at a “doctoress,” the only one in the city at that time. That would predate Elizabeth Blackwell as you report Blackwell did even think of medicine as a career until 1845. Reply Reminah Vincent March 5, 2018 at 1:23 am Yes, I also want to be a surgeon and that really does inspire me. Reply Shanmugavadivu June 9, 2018 at 3:03 am Thank you for saying this Reply Kathy March 10, 2019 at 11:07 pm Wonderful article, very interesting Reply carolina June 16, 2020 at 4:40 am Girls rules!!!!! 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msmarco_passage_00_136998050	Staffing Company Beaumont Texas \| American Personnel & Temps	Staffing Company Beaumont Texas \| American Personnel & Temps Home Employees Payroll Brink Paycard Employee Health Benefits Helpful Documents Time Sheets Interview Tips Direct Deposit Form Resume Do’s and Dont’s FAQ Employers Job Postings Contact Us Go to... Home Employees Payroll Brink Paycard Employee Health Benefits Helpful Documents Time Sheets Interview Tips Direct Deposit Form Resume Do’s and Dont’s FAQ Employers Job Postings Contact Us Homepage American Personnel & Temps 2020-11-24T17:34:26+00:00 Staffing Company Serving Beaumont & Southeast Texas Businesses For 47 Years! Employees American Personnel & Temps makes sure our employees training is verified and up-to-date and they are ready to work. Employers American Personnel & Temps recruits highly qualified and skilled employees we choose and match to your specific specifications. Job Postings American Personnel & Temps posts jobs daily so visit our Job Postings frequently for immediate job opportunities in a variety of fields. American Personnel & Temps is a Veteran owned staffing company located in Beaumont, Texas and has proudly served the Beaumont, Golden Triangle area 47 years. American Personnel provides a full range of staffing services that go beyond employee placement. We become a true partner to help our clients find the most efficient and effective way to recruit, manage and monitor staff. We work with our clients to define their needs and offer staffing solutions designed to help their business maintain efficiency and productivity. Whether you’re looking for short-term help, long-term contract workers, seasonal help or a permanent hire, we have the talent pool of candidates ready to assist. 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msmarco_passage_00_137270613	Are These Pregnancy Symptoms? \| American Pregnancy Association	Are These Pregnancy Symptoms? \| American Pregnancy Association Pregnancy Symptoms You know your body is telling you you’re pregnant so let’s look at key pregnancy symptoms. Since many signs of pregnancy are not specific only to pregnancy let’s see what else these signs could be. Share Pin Tweet Wednesday August 19th, 2020 Early Signs of Pregnancy Pregnancy symptoms differ from woman to woman and pregnancy to pregnancy; however, one of the most significant signs of pregnancy is a missed period. It's important to understand the early signs of pregnancy because each symptom may have causes other... more... no comments yet! What is Implantation Bleeding? When the 6-12 days-old fertilized egg attaches to the interior lining of... Posted on: 07/06/2020 Categories: Getting Pregnant Pregnancy Symptoms Am I Pregnant, Or…? Am I Pregnant, or Is It Something Else? When you become sexually... Posted on: 06/09/2017 Categories: Pregnancy Symptoms Uncategorized Illnesses with Pregnancy-Like Symptoms Am I pregnant or paranoid? This is a common question for those... Posted on: 06/25/2015 Categories: Pregnancy Symptoms Uncategorized Nausea During Pregnancy Nausea during pregnancy is typically one of the most experienced and complained... Posted on: 08/07/2013 Categories: Pregnancy Health and Wellness Pregnancy Symptoms How to Know if You are Pregnant The only way to know answer the question "Am I pregnant" is... Posted on: 10/21/2020 Categories: Getting Pregnant Taking a Pregnancy Test Taking a pregnancy test can be filled with excitement for some people,... Posted on: 04/24/2017 Categories: Getting Pregnant Pregnancy Products & Tests Am I Pregnant, Or…? Am I Pregnant, or Is It Something Else? When you become sexually... Posted on: 06/09/2017 Categories: Pregnancy Symptoms Uncategorized Pregnancy Tests – Urine and Blood There are two types of pregnancy tests; one uses a urine sample,... Posted on: 01/11/2020 Categories: Getting Pregnant Positive Pregnancy Test A positive pregnancy test means a hormone called human chorionic gonadotropin (hCG)... Posted on: 04/24/2018 Categories: Getting Pregnant Pregnancy Products & Tests What is a False Pregnancy? A woman’s intuition is a funny thing. Most women know they are... Posted on: 03/06/2019 Categories: Fertility Getting Pregnant View More Pregnancy Symptoms Articles
msmarco_passage_00_137801108	Bleeding During Pregnancy \| American Pregnancy Association	Bleeding During Pregnancy \| American Pregnancy Association Bleeding During Pregnancy Vaginal bleeding during pregnancy can occur frequently in the first trimester of pregnancy, and may not be a sign of problems. However, bleeding that occurs in the second and third trimester of pregnancy can often be a sign of a possible complication. Bleeding can be caused by a number of potential reasons. Some basic things to know about bleeding: If you are bleeding, you should always wear a pad or panty liner, so that you can monitor how much you are bleeding and what type of bleeding you are experiencing. You should never wear a tampon or introduce anything else into the vaginal area, such as douche or sexual intercourse if you are currently experiencing bleeding. If you are also experiencing any of the other symptoms mentioned below in connection with a possible complication, you should contact your health care provider immediately. First Half of Pregnancy: Miscarriage: Bleeding can be a sign of miscarriage, but does not mean that miscarriage is imminent. Studies show that anywhere from 20-30% of women experience some degree of bleeding in early pregnancy. Approximately half of the pregnant women who bleed do not have miscarriages. Approximately 15-20% of all pregnancies result in a miscarriage, and the majority occur during the first 12 weeks. Signs of Miscarriage include: Vaginal bleeding Cramping pain felt low in the stomach (stronger than menstrual cramps) Tissue passing through the vagina Most miscarriages cannot be prevented. They are often the body’s way of dealing with an unhealthy pregnancy that was not developing. A miscarriage does not mean that you cannot have a future healthy pregnancy or that you yourself are not healthy. Ectopic Pregnancies: Ectopic pregnancies are pregnancies that implant somewhere outside the uterus. The fallopian tube accounts for the majority of ectopic pregnancies. Ectopic pregnancies are less common than miscarriages, occurring in 1 of 60 pregnancies. Signs of Ectopic Pregnancies: Cramping pain felt low in the stomach (usually stronger than menstrual cramps) Sharp pain in the abdominal area Low levels of hCG Vaginal bleeding Women are at a higher risk if they have had: An infection in the tubes A previous ectopic pregnancy Previous pelvic surgery Molar Pregnancies: Molar pregnancies are a rare cause of early bleeding. Often referred to as a “mole”, a molar pregnancy involves the growth of abnormal tissue instead of an embryo. It is also referred to as gestational trophoblastic disease (GTD). Signs of a Molar Pregnancy: Vaginal bleeding Blood tests reveal unusually high hCG levels Absent fetal heart tones Grape-like clusters are seen in the uterus by an ultrasound What are the common reasons for bleeding in the first half of pregnancy? Since bleeding that occurs in the first half of pregnancy is so common, many wonder what the causes are besides some of the complications already mentioned. Bleeding can occur in early pregnancy due to the following factors: Implantation bleeding can occur anywhere from 6-12 days after possible conception. Every woman will experience implantation bleeding differently—some will lightly spot for a few hours, while others may have some light spotting for a couple of days. Some type of infection in the pelvic cavity or urinary tract may cause bleeding. After intercourse, some women may bleed, because the cervix is very tender and sensitive. You should discontinue intercourse until you have been seen by your doctor. This is to prevent any further irritation—having normal sexual intercourse does not cause a miscarriage. Second Half of Pregnancy: Common conditions of minor bleeding include an inflamed cervix or growths on the cervix. Late bleeding may pose a threat to the health of the woman or the fetus. Contact your health care provider if you experience any type of bleeding in the second or third trimester of your pregnancy. Placental Abruption: Vaginal bleeding may be caused by the placenta detaching from the uterine wall before or during labor. Only 1% of pregnant women have this problem, and it usually occurs during the last 12 weeks of pregnancy. Signs of Placental Abruption: Bleeding Stomach pain Women who are at higher risks for this condition include: Having already had children Are age 35 or older Have had abruption before Have sickle cell anemia High blood pressure Trauma or injuries to the stomach Cocaine use Placenta Previa: Placenta previa occurs when the placenta lies low in the uterus partly or completely covering the cervix. It is serious and requires immediate care. It occurs in 1 in 200 pregnancies. Bleeding usually occurs without pain. Women who are at higher risks for this condition include: Having already had children Previous cesarean birth Other surgery on the uterus Carrying twins or triplets Preterm Labor: Vaginal bleeding may be a sign of labor. Up to a few weeks, before labor begins, the mucus plug may pass. This is normally made up of a small amount of mucus and blood. If it occurs earlier, you could be entering preterm labor and should see your physician immediately. Signs of Preterm Labor include these symptoms that occur before the 37th week of pregnancy: Vaginal discharge (watery, mucus, or bloody) Pelvic or lower abdominal pressure Low, dull backache Stomach cramps, with or without diarrhea Regular contractions or uterine tightening Get the Fetal Life App for Apple and Android endorsed by the American Pregnancy Association. It features meal recommendations, kicks counter, blood glucose tracking, and more. Share Pin Tweet Apr 26, 2017
msmarco_passage_00_137968115		Signs of Miscarriage – American Pregnancy Association Most miscarriages occur within the first 13 weeks. Learn about the types of miscarriage, signs, symptoms, treatment and support available, ... English Español Donate Week by Week Newsletter Pregnancy Due Date Calculator Ovulation Calendar Baby Names Directory Provider Search Search Search Search Live Help: 1-800-672-2296Contact us Unplanned Pregnancy Am I Pregnant – How to Know Pregnancy Symptoms Pregnancy Products & Tests Can I get pregnant if… ? 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Signs & Symptoms Pregnancy tests Products & Tests to Support Your Pregnancy Pregnancy Tests – the best time to take one Gender Reveal Tests Paternity tests Ovulation Tests & Tools Health of mom and baby Health & Nutrition Pregnancy Friendly Recipes Changes in your body Is it Safe During Pregnancy? Pregnancy Health and Wellness Supplements and Medications for a Healthy Pregnancy Breastfeeding Prenatal Care Complications & Concerns Common challenges Genetic Disorders & Birth Defects Resources The Bumpy Truth Blog Blog Fertility Products Resource Guide PDF Library Video Library Baby Names Directory Directory Provider Search Week by Week Newsletter Pregnancy Due Date Calculator Ovulation Calendar About Donate & Make Motherhood a Healthy Reality Your Gift Corporate Sponsors Contact Partner With Us Home Signs of Miscarriage Signs of Miscarriage A pregnancy that ends on its own within the first 20 weeks of gestation is called a miscarriage. It is the most common type of pregnancy loss. Studies reveal that anywhere from 10-25% of all clinically recognized pregnancies will end in miscarriage. Chemical pregnancies may account for 50-75% of all miscarriages. This occurs when a pregnancy is lost shortly after implantation, resulting in bleeding that occurs around the time of her expected period. The woman may not realize that she conceived when she experiences a chemical pregnancy. Warning Signs of Miscarriage If you experience any or all of these miscarriage symptoms, it is important to contact your health care provider or a medical facility to evaluate if you could be having a miscarriage: Bleeding may start as light spotting, or it could be heavier and appear as a gush of blood. As the cervix dilates to empty, the bleeding becomes heavier. The heaviest bleeding is generally over within three to five hours from the time heavy bleeding begins. Lighter bleeding may stop and start over one to two weeks before it completely ends. The color of the blood can range from pink to red to brown. Red blood is fresh blood that leaves the body quickly. Brown blood, on the other hand, is blood that’s been in the uterus a while. You may see discharge the color of coffee grounds, or near black, during a miscarriage. Exactly how much bleeding you’ll experience depends on a variety of circumstances, including how far along you are and whether or not your miscarriage is progressing naturally. Let your doctor know if you fill more than two sanitary pads an hour for two or more hours in a row. Other miscarriage symptoms may include: Mild to severe back pain(often worse than normal menstrual cramps) Weight loss White-pink mucus coming from the vagina True contractions (very painful happening every 5-20 minutes) Tissue with clot like material passing from the vagina A sudden decrease in signs of pregnancy Most miscarriages occur during the first 13 weeks of pregnancy. Pregnancy can be such an exciting time, but with the great number of miscarriages that occur, it is beneficial to be informed. What Causes Miscarriage? During the first trimester, the most common cause of miscarriage is chromosomal abnormality – meaning that something is not correct with the baby’s chromosomes. Most chromosomal abnormalities are the cause of a damaged egg or sperm cell or are due to a problem at the time that the zygote went through the division process. Chromosomes are tiny structures inside the cells of the body that carry many genes, the basic units of heredity. The reasons for miscarriage are varied, and most often cannot be identified. Other Causes of Miscarriage Include (but are not limited to): Infection Exposure to environmental and workplace hazards such as high levels of radiation or toxic agents Hormonal irregularities Improper implantation of fertilized egg in the uterine lining Maternal age Uterine abnormalities Incompetent cervix (The cervix begins to widen and open too early, in the middle of pregnancy, without signs of pain or labor.) Lifestyle factors such as smoking, drinking alcohol, or using illegal drugs Disorders of the immune system including lupus, an autoimmune disease Severe kidney disease Congenital heart disease Diabetes that is not controlled Thyroid disease Radiation Certain medicines, such as the acne drug isotretinoin (Accutane®). Severe malnutrition. Group B beta strep. Note:There is no proof that stress, or moderate exerciseor sexual activitycauses miscarriage. What are the Chances of Having a Miscarriage? Women under the age of 35 yrs old have about a 15% chance of miscarriage An increase in maternal age affects the chances of miscarriage Women who are 35-45 yrs old have a 20-35% chance of miscarriage, Women over the age of 45 can have up to a 50% chance of miscarriage A woman who has had a previous miscarriage has a 25% chance of having another (only a slightly elevated risk than for someone who has not had a previous miscarriage) Types of Miscarriage Miscarriage is often a process and not a single event. You may hear your health care provider mention types of miscarriages: Threatened Miscarriage: Some degree of early pregnancy uterine bleeding accompanied by crampingor lower backache. The cervix remains closed. This bleeding is often the result of implantation. Inevitable or Incomplete Miscarriage:Abdominal or back pain accompanied by bleeding with an open cervix. Miscarriage is inevitable when there is a dilation or effacementof the cervix and/or there is a rupture of the membranes. Bleeding and cramps may persist if the miscarriage is not complete. Complete Miscarriage:A completed miscarriage is when the embryo or products of conceptionhave emptied out of the uterus. Bleeding should subside quickly, as should any pain or cramping. A completed miscarriage can be confirmed by an ultrasound or by having a surgical curettage (D&C) performed. Missed Miscarriage:Women can experience a miscarriage without knowing it. A missed miscarriage is when embryonic death has occurred but there is not any expulsion of the embryo. It is not known why this occurs. Signs of this would be a loss of pregnancy symptoms and the absence of fetal heart tones found on an ultrasound. Recurrent Miscarriage (RM): Defined as 3 or more consecutive first trimester miscarriages. This can affect 1% of couples trying to conceive. Related Issues Blighted Ovum:Also called an embryonic pregnancy. A fertilized egg implants into the uterine wall, but fetal development never begins. Often there is a gestational sac with or without a yolk sac, but there is an absence of fetal growth. Ectopic Pregnancy: A fertilized egg implants itself in places other than the uterus, most commonly the fallopian tube. Treatment is needed immediately to stop the development of the implanted egg. If not treated rapidly, this could end in serious maternal complications. Molar Pregnancy:The result of a genetic error during the fertilization process that leads to the growth of abnormal tissue within the uterus. Molar pregnancies rarely involve a developing embryo, but often entail the most common symptoms of pregnancy including a missed period, positive pregnancy test and severe nausea. Understanding early fetal developmentand first-trimester development can give you a good idea of what is going on with your pregnancy, and help you know what your health care provider is looking for when there is a possible miscarriage occurring. Miscarriage Treatments Options The main goal of treatment during or after a miscarriage is to prevent hemorrhaging and infection. The earlier you are in the pregnancy, the more likely that your body will expel all the fetal tissue by itself and will not require further medical procedures. If the body does not expel all the tissue, the most common procedure performed to stop bleeding and prevent infection is a dilation and curettage, known as a D&C. Drugs may be prescribed to help control bleeding after the D&C is performed. Bleeding should be monitored closely once you are at home; if you notice an increase in bleeding or the onset of chills or fever, it is best to call your physician immediately. Prevention Since the cause of most miscarriages is due to chromosomal abnormalities, there is not much that can be done to prevent them. One vital step is to get as healthy as you can before conceiving to provide a healthy atmosphere for conception to occur. Exercise regularly Eat healthily Manage stress Keep weight within healthy limits Take folic acid daily Do not smoke Once you find out that you are pregnant, the goal is to be as healthy as possible, to provide a healthy environment for your baby to grow in: Keep your abdomen safe Do not smoke or be around smoke Do not drink alcohol Check with your doctor before taking any over-the-counter medications Limit or eliminate caffeine Avoid environmental hazards such as radiation, infectious disease, and x-rays Avoid contact sports or activities that have a risk of injury Emotional Treatment for a Miscarriage Unfortunately, miscarriage can affect anyone. Women are often left with unanswered questions regarding their physical recovery, their emotional recoveryand trying to conceive again. It is very important to keep the lines of communication open with family, friends and health care providers during this time. Some helpful websites that address miscarriage and pregnancy loss include: www.mend.org Pregnancy Loss Support Ways that we can help. If you are concerned or have questions, you are welcome to contact our helpline at 1-800-672-2296. You are welcome to alert our prayer team by sending an email to (prayers@americanpregnancy.org ). Compiled using information from the following sources: 1. Current Obstetric & Gynecologic Diagnosis & Treatment Ninth Ed. DeCherney, Alan H., et al, Ch. 14. MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); [updated 2006 Feb 23]. Pregnancy Loss; [updated 2006 Feb 22; reviewed 2006 Feb 7; cited 2006 Feb 23]. 2. Planning Your Pregnancy and Birth Third Ed. The American College of Obstetricians and Gynecologists, Ch. 15. Williams Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 9 Share Pin Tweet Share Pin Tweet Apr 26, 2020 Categories Can I get pregnant if… ? 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msmarco_passage_00_138086154	Spotting During Pregnancy \| American Pregnancy Association	Spotting During Pregnancy \| American Pregnancy Association Spotting During Pregnancy Spotting during pregnancy is a common concern that many pregnant women face. Approximately 20% of women report they experience spotting during their first 12 weeks of pregnancy. Bleeding that occurs early in pregnancy is usually lighter in flow than a menstrual period. Also, the color often varies from pink to red to brown. The majority of women who experiencing spotting during pregnancy go on to have a healthy pregnancy and baby. Spotting During Pregnancy Versus Bleeding Vaginal bleeding during pregnancy is any discharge of blood from the vagina. It can happen anytime from conception (when the egg is fertilized) to the end of pregnancy. Light bleeding, or spotting, during pregnancy is common, especially during the first trimester. It is considered spotting when you notice a few drops of blood occasionally in your underwear, or if you wipe yourself with tissue and see a little blood on the paper. There should not be enough blood to fill a panty liner. Bleeding is a heavier flow of blood. With bleeding, you will need a liner or pad to keep the blood from soaking your clothes. Whether you are bleeding or spotting, it is best to contact your healthcare provider and describe what you are experiencing. What Causes Spotting During Pregnancy? Implantation bleeding is a common cause of spotting early on in pregnancy. Implantation bleeding happens when the fertilized egg attaches to the uterine lining. This can trigger a few days of light bleeding or spotting. This spotting occurs before a woman even knows she is pregnant and is often mistaken as a pending period. Bleeding that occurs after the day a woman expects her period is typically too late to be considered implantation bleeding, and is more likely related to early pregnancy in general. Another common cause of spotting is a cervical polyp (a harmless growth on the cervix), which is more likely to bleed during pregnancy due to higher estrogen levels. This may occur because there is an increased number of blood vessels in the tissue around the cervix during pregnancy. As a result, contact with this area (through sexual intercourse or a gynecological exam, for example) can cause bleeding. Even without the presence of a cervical polyp, there are a few things that may cause some spotting in the couple days after: Sexual intercourse Gynecological exam, such as a vaginal ultrasound Heavy lifting/excessive exercise When to Worry About Spotting During Pregnancy? Spotting or bleeding during pregnancy is not expected and may be abnormal, but it is not always a cause for concern. However, it is important to contact your healthcare provider to discuss the symptoms you are experiencing. The good news is that 50% of women with bleeding during pregnancy go on to have a healthy pregnancy and a healthy baby. Any spotting or bleeding in the second or third trimesters should be reported to your healthcare provider immediately. In the first trimester, spotting is somewhat more common, but should also be reported to your doctor or midwife. Call your obstetrician especially if you notice heavy bleeding similar to a menstrual period to make sure the bleeding is not a result of pregnancy complications, such as an ectopic pregnancy. Abnormal bleeding in late pregnancy may be more serious because it can signal a complication with you or your baby. Call your doctor as soon as possible if you experience any bleeding in your second or third trimester. Your healthcare provider will most likely check for cervical polyps, and make sure your cervix is closed. To help manage your spotting during pregnancy and to increase the probability of continuing with a healthy pregnancy, your healthcare provider may encourage you to do the following: Bed rest or more naps More time off your feet Staying well hydrated Limit your physical activity Elevate your feet when possible Avoid lifting items over 10 pounds Remember, the good news is the majority of women who experience spotting during pregnancy go on to have a healthy pregnancy. However, do not let this fact keep you from contacting your healthcare provider. It is important to discuss spotting and bleeding with your doctor. Want to Know More? Sharp Pain During Pregnancy 7 Common Discomforts of Pregnancy Warning Signs of Miscarriage Compiled using information from the following sources: 1. Mayo Clinic Guide to a Healthy Pregnancy, New York, NY: HarperCollins Publishers Inc. 2. Obstetrics and Gynecology: The Essentials of Clinical Care. New York, NY: Thieme New York 3. Danforth’s Obstetrics and Gynecology, Ninth Ed. Scott, James et al., Ch. 17 4. Williams Obstetrics, Twenty-Second Ed. Cunningham, F. Gary et al., Ch. 51 Share Pin Tweet Jul 13, 2020
msmarco_passage_00_138619522	La urticaria durante el embarazo - Asociación Americana del Embarazo	La urticaria durante el embarazo - Asociación Americana del Embarazo Hives During Pregnancy About 1 in 5 pregnant women experience changes in their skin during pregnancy, including acne, skin darkening, and stretch marks. Although women may feel self-conscious about these new “beauty marks,” skin changes during pregnancy are a normal occurrence. Hives during pregnancy are less common, but they do happen frequently. Hives during pregnancy represent an allergic reaction to food, insect bites, medicine, chemicals, etc. With the increase in hormones and changes that happen in your body, it is possible that you become more sensitive to pathogens and experience hives while pregnant. What Causes Hives During Pregnancy? As your belly grows to keep up with your growing baby, skin discomfort in the form of itchiness and dryness can occur. Pregnant women can face more serious bouts of itchiness, hives or rashes, and 1 in 150 pregnant women will develop a more serious skin condition known as PUPP. Hives are caused by allergic reactions. The dryness and stretching of your skin along with other changes can make you more susceptible to experiencing hives during pregnancy. Hives can be caused by an allergic reaction to almost anything. Some common causes of hives during pregnancy are noted below: Medicine insect bites chemicals pollen animal dander foods (i.e. dairy, nuts, shellfish) Hives can be triggered or brought on by scratching stress, or pressure on the skin. It is important to take great care of your skin as to not aggravate or worsen the hives you experience. Another condition that affects 1 in 50 women is cholestasis of pregnancy. This is a condition where intense itching is also accompanied by nausea, vomiting, and potentially jaundice. This condition can indicate there are problems with your liver. Should you see these signs or symptoms, it is important to contact your doctor immediately. What is PUPP? PUPP stands for pruritic urticarial papules and plaques of pregnancy. Women that develop PUPP will see outbreaks of red, raised patches on their skin. The first site of the outbreak is generally the abdomen, but women with PUPP can see the condition spread to the arms and legs as well. Women with PUPP sometimes report extreme itching with these outbreaks. Some research points to PUPP being linked to a genetic condition, as it seems to run in families, but ultimately, the cause of PUPP is still unknown. Generally, PUPP happens more often in a woman’s first pregnancy and is rarely seen in subsequent pregnancies. How Can I Treat Hives During Pregnancy? Minor rashes can have a tendency to go away on their own. However, it is important not to scrub the affected area. Soap can aggravate the condition, so cutting back on the amount of soap you use can be beneficial. One technique that could reduce the itchiness is taking an oatmeal bath or using baking soda in your bath. Keeping your skin well-moisturized can also help with the itching and dryness. There are several antihistamines that are considered safe to take during pregnancy such as Allegra, Benadryl, and Chlor-Trimeton, Claritin and Zyrtec. It is important to review the warnings on any medication and consult your pharmacist and healthcare provider before taking any medication. For more serious skin conditions like PUPP, doctors may prescribe oral medications or a variety of anti-itch creams. How Can I Prevent Hives During Pregnancy? You might be someone who is more susceptible to hives in general. If that is the case, more than likely you know what foods or pathogens to avoid from previous experience. Because you might be more susceptible and pregnancy tends to bring on dry and itchy skin, it is important to know steps you can take to prevent hives while pregnant. You at least want to know how you can minimize the hives you experience during pregnancy. Here are some tips for minimizing or preventing hives during pregnancy: Avoid hot showers and hot baths (at least lower the temperatures) Avoid wearing tight fitted clothing Try not to scratch your skin as it itches Keep pressure off your skin Avoid stress and practice relaxation techniques The above may not prevent all cases of hives, but it usually makes the cases of hives less severe and go away quicker. Want to Know More? 7 Common Discomforts of Pregnancy How to Treat Itchy Skin Naturally During Pregnancy Compiled from the following Sources American Academy of Dermatology, (Accessed Oct 2014), Hives: Who Gets and Causes National Institute of Health (access Oct 2014), Hives Harms, R. (2004). Mayo Clinic guide to a healthy pregnancy (1st ed., pp. 480-481). New York: HarperResource. Johnson, R. (1994). Mayo Clinic complete book of pregnancy & baby’s first year (1st ed., p. 17). New York: W. Morrow and Co. Share Pin Tweet Oct 21, 2014