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Top Ten Tips on Negotiating With a Prospective Employee

Have you ever wondered why there isn’t much written about negotiating the terms of a job offer? It’s because many dentists consider it an uncomfortable part of the Right hiring process. Many doctors fail to understand the process of compensation negotiation. It is not simply offering the lowest wage for services rendered. Communication, preparation, trust, a mutual understanding of each party’s position and willingness to compromise are the key ingredients of successful negotiations. In the end both parties must feel they have reached an agreement that serves their mutual interests.

Below are the 10 keys to successful compensation negotiation. Follow these simple rules and you should achieve success in this important strategic tool of compensation negotiation.

1. Do your homework. Make sure you have done your research on the wage you are offering for the position being offered. Uncovering wage information is not as difficult as it may seem. Consider the following resources:

  • Ask at least 3 of your dental colleagues for their pay scales.
  • Check out on-line salary surveys like http://www.salary.com.
  • Use job listings which indicate compensation for related positions.
  • Ask friends in different yet comparable professions (Chiropractic, Accountant, Physician, and Architect).

2. Never negotiate without an offer in mind. The only time to negotiate a compensation package is when you have a clear offer formulated in advance and you are prepared to put that offer on the table in writing.

3. Think relationship. Remember your offer negotiation is taking place in the spirit of developing a relationship with a prospective new employee. Put yourself in the position of the person on the other side of the desk and you’ll realize he/she is probably as uncomfortable as you are.

4. Leave your ego at the door. Avoid, at all costs the temptation to be egotistical. Avoid making wage discussions be part of an ego trip or part of a game. This is serious business for both you and the candidate.

5. Relax. It’s natural to feel uncomfortable and uneasy about discussing money.

6. Hold off. If asked early on in the interview process, “What is the pay?” Tell the prospect that you would prefer learning more about them, their talents and past performance before you discuss compensation and that you are confident you will be able to reach a mutual agreement about pay at that time.

7. Avoid showing the buying signs. Take time to ask questions relevant to the position and learn how the candidate has performed in similar positions and situations. When you extend the interview longer than planned, or you start talking about yourself, the practice, and its history or you ask about the prospects wage and benefits needs, you may come across as too eager. You may loose leverage in the wage negotiation process.

8. Maintain control. When all your issues have been addressed satisfactorily, make the wage offer. Summarize the requirements and expected outputs of the position and then disclose to the candidate the wage you are offering.

9. Make a clear offer while having a range in mind. When all questioning has been completed to your satisfaction, references have been checked and you believe this is the Right candidate, make an unambiguous and unmistakable offer. However, be prepared with a range (that is a wage that is competitive and you are comfortable with) that will allow you to enhance upwards if the candidate balks and he/she is the Right one for your office.

10. Offer up the whole enchilada. Many practices use a variety of benefits and incentives to attract high level talent beyond a base wage. Include all perks, benefits and extras that will be included in the compensation package. An increasing number of employers are offering flexible benefit packages, which allow employees a variety of choices regarding their benefits. Tell the prospect what the whole package will look like.

It is critical to develop a negotiation strategy just as you develop a strategy for handling standard interview questions. Make a clear distinction between the negotiation of a position and discussions about the wage to be offered. It will help if you keep in mind the first principle of successful negotiation: Do your homework and never negotiate without an offer in mind. Preparation is the key element in successful compensation negotiation. Negotiating compensation packages requires a positive approach and both you and your prospective new employee have individual interests at stake. Look for ways to reconcile both by creating opportunities for mutual gain.

BONUS:
11. Put your offer in writing. In the emotion and nervousness of the Negotiations, details can often be overlooked. In all fairness to you and your new employee, your agreement needs to be put in written form. The offer spells out the points of your agreement. This will dramatically reduce the chances for misunderstandings that may occur at a later date.

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Managing Constantly Present UTIs in the Urinary Tract

One of the most persistent and potentially dangerous problems that disabled seniors with late stage Dementia have to live with are multiple UTI bacteria which permanently exist in their urinary tract. Here is my personal experience as a Caregiver.

There can be several reasons why this happens. With our mom, the reason had been partially due to kidney stones. And her weakened immune system had not been strong enough to render these residing organisms completely harmless even with the aid of antibiotics. So, these bacteria ended up ever present in certain localized areas in the body.

This situation is especially true for, what I consider, “special needs” seniors with two or more other physical ailments. These types of people are essentially confined to the bed. They have to be turned and fed by g-tube. And most often Nursing Homes are not the ideal place for them. The majority of them do not talk. They have contractures and they are incontinent. More important, they are totally dependent on the care of a live-in primary caregiver. It is for these reasons that they are considered “special needs”.

The goal then becomes not to get rid of the infections, but to manage and control their severity. If these germs are not treated and/or properly managed, they can cause some real damage like kidney failure or death.

Understand, however, that many bacteria reside in the body with symbiotic relationships. It is when certain ones unintentionally are allowed to compromise their unique living arrangements that they then can create damage.

First, what are UTI? According to The National Kidney and Urologic Diseases Information Clearinghouse, it is an infection in the urinary tract. 1 in 5 women will experience UTIs in her lifetime. These infections are caused by microbes which are organisms too small to be seen without a microscope. This includes fungi, viruses, and bacteria. However, bacteria are the most common cause of UTIs. There are basically three kinds of UTIs:

* Urethritis is an infection in the urethra.

* Cystitis is an infection in the bladder.

* Pyelonephritis is an infection in the kidneys

So, what are some of the names of the bacteria which can cause so much damage in the body? Three of the most recognized are: (a) Escherichia coli, (b) Klebsiella pneumoniae, (c) Streptococcus epidermidis.

Managing them can be tricky and a real inconvenience. Every time my mom had urine samples done at the hospital or clinic, two of these bacteria are always more prominent in my mom’s urine than some others: Escherichia coli and Klebsiella. Her doctors had decided years ago to keep her on a low dose maintenance of antibiotics at home to control them.

They also become resistant to certain antibiotics. Whenever these germs occasionally did manage to progress to a more dangerous level-for whatever reasons-they required us to take our mother to the hospital for a few rounds of intravenous antibiotics. That usually stabilized any potential harm.

At home, however, we eventually had learned how to manage these infections in our mom by way of monitoring, early detection, proper hydration and vitamin intake. These routines should be performed daily to ascertain that the level of bacteria growth in her system remains low.

MONITORING THE URINE:

(1) Visually check the adult underwear throughout the day. Whenever it becomes full and ready to be discarded, always check the color, odor and volume of the urine.

(2) Make a note of it in a daily care journal. Usually, foul smelling urine, bad color and/or low urine volume mean that the status of severity has increased.

(3) Remember. All three of these areas of concern (color, odor and volume) might not progress at the same rate. Only one area might be noticeably dominant.

(4) Always consider these three areas in relationship to each other. Check the urine often.

When the odor is noticeably foul and/or strong, chances are likely that the infection has multiplied to a dangerous level.

Lemon yellow is the normal color of urine. Light, medium or dark tea colors signifies guarded caution. Rust or Red colors means full alert-SOME APPROPRIATE AND TIMELY ACTION MUST BE TAKEN!!

The volume of urine is important as well. Water in; water out! If there is not sufficient amount of urine in the adult underwear, it might mean that your senior could be withholding voiding for fear of pain which means the infection has elevated. It could also mean possible blockage-especially if the senior has kidney stones. You may need to call your doctor if that condition continues-especially if it is accompanied by higher body temperatures or other related symptoms.

EARLY DETECTION IS KEY:

(1) When looking at the color of the urine in a soiled adult underwear, make note of first signs of discoloration and odor.

(2) Journalize the advent of the change and watch its progress.

(3) Choke off the growth, if possible. Sometimes simply giving the patient more water or some kind of acidic juice can slow the growth of the germ.

(4) Continue to maintain daily ingestion of maintenance antibiotic. Your daily recordings is your early detection tool.

PROPER HYDRATION:

(a) The Institute of Medicine determined that an adequate intake (AI) for men is roughly 3 liters (about 13 cups) of total beverages a day. The (AI) for women is 2.2 liters (about 9 cups) of total beverages a day. So how much water is enough to employ as a tool to control constant UTIs in the urine.

(b) Too much water can cause hyponatremia. It is a condition where more than normal amounts of sodium is flushed out of the system from drinking too much water. Marathon runners can experience this condition when drinking excessive amounts of H20.

(c) We discussed with our mom’s urologist about finding a workable consumption of water to help treat UTIs and to help flush out Kidney stones. Water can be a useful tool in managing UTIs. Remember: Each doctor often has a different opinion. At home, we had been following different doctors’ advice for years and found that every one of them has a different opinion to offer.

(d) Ultimately it depends on the caregiver to take notes, closely monitor his love one’s water-infection relationship and act accordingly. It has been my experience to hear doctors tell us one way and then blame us if it doesn’t ‘pan out”.

(e) The key to this water technique of controlling UTIs is to make scheduled visits to the doctor and/or clinic and have complete blood work done. Lab reports will show current changes in the levels of sodium or potassium in the bloodstream. Thus, water can indeed be a useful flushing technique in controlling the growth of permanently residing or recurrent infections in the urinary tract.

VITAMIN INTAKE:

(1) Vitamin C is a good source of ascorbic acid. When the urinary tract is coated with a sufficient amount of acid, germs find a difficult time sticking to the surface. Vitamin C can limit bacteria growth.

(2) Cranberry juice is often praised by doctors and nurses as the number one juice which inhibits the growth of UTIs. What they fail to also mention is that if your ailing senior has kidney stones, cranberry juice often exacerbate the condition as it creates stones as well. Remember: Cranberry juice is not the only juice that contains ascorbic acid. Lime, lemon or a simple vitamin C tab can be an adequate substitute for Cranberry juice.

(3) Make sure that vitamin C is a daily part of your Senior’s diet.

So yes. These diseases can be a menace! Everyone’s body is different. However chronic or ever present UTIs can be managed with a plan that should be collaborated between the primary caregiver and the doctor. Talk with him or her about a water and low dose antibiotic regimen. It worked for my mom.

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IBAN Accounts (International Bank Accounts)

What are IBAN accounts?

IBAN or International Bank Account Number is basically having a global bank account. It is created internationally to identify the bank accounts across national borders and overseas countries. This is an important account because whenever you make an international payment, it is compulsory to have the IBAN. It contains both a bank account number and an identification code for the bank itself. As a matter of fact IBAN is a unique code that easily identifies a beneficiary’s bank account for the purpose, round the globe. It is not a new account number, only an ungraded version of digital system of your current account.

The IBAN consists of an alphabetical country code, which is followed by two digits, and then up to 35 characters of the bank account number. An IBAN is used to uniquely and properly identify or recognize a customer’s bank account across the world. Today, more than 54 countries are using IBAN accounts and mostly the counties of the European Union, UAE, Kuwait, Saudi Arabia, Germany and more are the participants.

Significant Features of using IBAN accounts

• An IBAN is a Straight Through Processing or STP of Electronic Payments system. This system minimizes delays and extra costs related to account numbers.
• The implementation of IBAN will bring more efficiency in the process of remittance related transactions. It serves to cut risk of transcription errors.
• The IBAN accounts facilitate with quicker processing of your funds transfer.
• Normally, banks are required the accuracy IBAN at the time of a fund transfer and they check only the IBAN is correct or not to make the funds transfer. This establishes the operation of funds transfer from one place of the world to another easier as well as more immediate. It is used for sending and receiving both local and international funds transfers.
• You don’t have to pay any additional charge while using IBAN, only you have to pay normal transaction processing fees.
• Now, it is easier for the IBAN customers to perform their funds transfer because of online banking facility. It reduces the monetary value and enhances the operational efficiency.

The Purpose of using International Bank Account Number or IBAN accounts
International Bank Account Number is essential for the purpose of receiving as well as sending an electronic payment from the bank. You can receive and send an electronic payment internationally or overseas and also locally, when you have a correct and accurate IBAN. If you want to send an electronic payment through IBAN to another country, it is possible only when that country has adopted IBAN facility. This means both the parties must have the International Bank Account Number or IBAN accounts to have successful fund transfer transactions.

The consequence of using improper IBAN
Due to any error or misunderstanding, you have given incorrect and forget to give the IBAN information, a certain amount of charge is applied by the receiving bank and your IMT may be rejected. The amount of charge will be deducted from your payment or else charge back. Thus, always check your IBAN properly before making fund transfer transaction.

If you wish to have an IBAN account, then go for it because it is easy to create and also a great help for fund transfer across the world smoothly.

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