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.
This is important because they may have a better answer and so the recruiter and the hiring manager are reading from the same script. There is a contract between the Facility and the Travel. Nursing Company that you don't see. This contract may vary from the one you have between Your Travel Nurse Company and You. For this reason you need to verify things. Also if the Hiring Manager is not the direct Manager of the Unit I would ask to speak with that manager if possible. An ounce of prevention is worth a pound of cure.