1 Endocarditis (infection of the heart valves) 2  Trauma (which can damage the structure of the mitral valve) 3  Rheumatic heart disease (which is now uncommon in developed countries)  Heart attack or myocardial infarction (which can cause damage to the papillary muscles, the heart muscles that support the mitral valve)
The majority of contract nursing assignments range between 12 weeks to 13 months depending on the Healthcare Delivery Organization census requirement and your availability. It is possible to extend an assignment beyond its original length, which many travelers do.
OBM Travel Rule. The OBM Travel Rule has been revised on July 1, 2014 and the State continues to leverage processes that have been used successfully at the federal level and deployed in other states.Highlights of the OBM Travel Rule include: Employees are expected to submit travel and expense reimbursement requests within 60 days of travel. 2  In no case shall an employee be able to submit a request for reimbursement after 120 days. 3  OBM Director retains discretion to establish mileage reimbursement rate and review on a quarterly basis.