Borrelia Burgdorferi. Lyme disease is caused by a number of different strains and species of Borrelia bacteria, generally Borrelia burgdorferi in the United States and Borrelia afzelii and Borrelia garinii in Europe.epending on the strain of Borrelia, the bacteria will be more or less likely to spread through the bloodstream to distant sites in the body (Wormser, Brisson, Liveris et. al., 2008). When it does spread, it can cause arthritic, neurological, cardiovascular and other symptoms.
Some health care facilities utilize a 12-hour model for their registered nursing staff. The nurse generally works for 12 hours (usually 7 am to 7 pm or vice versa) a day for three days in a row and then has the next four days off.
1 In central PA, LPN's make about $20/hour on average. 2  Office jobs with great hours and benefits generally pay less ($17-18/hr), and nursing homes more ($20+) with additional money ($2-3/hr extra) in shift differentials for 2nd or 3rd shift (cost of benefits can be higher, though).he LPN's at work make from 20-25/hr depending on experience. The RN's make 30-37/hr depending on the shift. These are the rates in this PA suburban area. In California, on average, a CNA (nursing assistant) makes $9-14 per hour, more being made on night shift and with experience.