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.
The temporary permit authorizes a nurse to work in a specific setting. It is valid for up to 90 days. There is a $124 application fee and a $35 fee for the temporary permit (http://dpr.delaware.gov/boards/nursing/fees.shtml). A candidate who does not pass on a first attempt may continue to take NCLEX exam over the next five years.