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What happens when two schools with widely varying policies meet? So, no decision at the state league level, no decision at the school district level, no decision at the high school level.

The decision falls to each parent, and that decision has to be based on no information! This is unacceptable and a failure at all of those levels to do the jobs for which they are taking public money.

Mary Kaeding White Bear Lake. In the Sept. I believe there were eight candidates running for two City Council openings. The League of Women Voters held a candidate forum. Six of the eight candidates attended. The two candidates who did not participate won the election.

The point is that when it comes to local elections, things like name recognition and other factors not directly related to qualifications may play a bigger role than the responses provided by the candidates.

Ronald Garceau Vadnais Heights. Stacey brings a unique set of skills to the board. She is the mother of two middle school boys and a seasoned attorney.

She has a passion for education equity and works on behalf of all students. I feel confident that our children are well-served in this district and I support Stacey in her reelection to the Mahtomedi School Board. White Bear Lake, MN 3. The name and address of all persons conducting business under the above Assumed Name. Only one signature is required by law. No other agent is authorized to receive bids.

All bids shall be on a lump sum basis. No bid may be withdrawn for a period of 60 days after bid receipt without consent of the Owner.

Kraus-Anderson will not be responsible for notifying individual parties who obtained documents without utilizing the isqft process through KA, when Addenda are issued. The meeting was live streamed. The Distance Learning model will be available for families who pick that model. Tim Wald reviewed the health and safety portion of the presentation and provided information on personal protective equipment, signage, ventilation and water systems, screening, transportation, and nutrition services.

Matt Mons provided information about Covid case response. Allison Gillespie talked about attendance and grading. Marisa Vette provided information on how information will be provided to families. After the presentation the School Board members asked questions. Nays, Ellison. Motion carried. Nays, none. Roll call vote: all ayes. Roll call vote, all ayes. Different members stated their children had a great start.

Published one time in the White Bear Press on October 7, Neither Owner nor Engineer will be responsible for Bidding Documents, including addenda, if any, obtained from other sources.

Bids will only be accepted via the electronic bidding service through QuestCDN. No bid may be withdrawn for a period of 60 days. Vette read the public forum comments from Brian Riebe, Kristine Erickson and Beth Hill regarding safety concerns on reopening school.

Kazmierczak made a recommendation to delay the start of school to September The Board had a long and thorough discussion on school start up and the plan. Nays, Mullin, Newmaster, Beloyed, Chapman. Vote was defeated Tratechaud, Decedent.

The application has been granted. Tratechaud E. Our vision for is to give you the best community news. Please consider supporting your local newspaper. Your subscription helps keep quality reporting by professional journalists, award-winning photography and local information available to everyone in our community.

Patricia R. Preceded in death by husband of 63 years, Kenneth. Mom was kind, positive and laughed easily. A special thank you to the staff at The Pillars of Oakdale for their tender, compassionate care of mom and for providing us with a home-away-from-home for the past six months.

Mom, you were stronger than you knew. Private family interment in St. John the Baptist Cemetery, Hugo,, Minnesota. Bea was an exceptional mother, teacher, and artist. She was very proud of her Norwegian heritage, and became somewhat of an expert on the Kensington Runestone, and gave many lectures on the subject.

Much loved, she will be dearly missed by many. Family will be holding private services. For more information visit muellermemorial. Robert I. He worked 25 years at 3M in public relations, then built Business Writers Unlimited as a freelancer. A gifted photographer and lover of nature, a volunteer with the Hazelden Foundation and the Gideons.

Private interment Ft. Snelling National Cemetery. Virtual memorial to be held at a future date. Arrangements with Honsa Family Funeral Home, Greene Long, age 85, passed away peacefully in Tempe, Arizona, on September 21, Dee was born on November 27, , in St.

Paul, Minnesota. Paul Winter Carnival. In , she married her husband, Joe, and together they raised four children: Laurie, Lisa, Linda and Larry. Dee enjoyed life at the Lake; she also loved cooking, playing tennis, and entertaining for family and friends. While Dee so enjoyed the dry heat of the desert, it came as no surprise when she managed to find a home on a lake in Tempe, and immediately went out and bought a pontoon boat.

A private memorial service will be held at Fort Snelling National Cemetery in Minneapolis, Minnesota, at a date to be determined. Wed-Fri: Mass at 96 a. Tuesday: p. Saturday: Mass at 5 p. Sunday: Mass at 9 a. Sacrament of Reconciliation: Saturday p. Service times are subject to change during the coronavirus crisis. Contact your local church or check church web sites for service time and online service information.

In person worship Traditional Worship Saturday at p. Sundays at 8 a. Contemporary Worship 1st and 3rd Sunday, in the Sanctuary. Lakeside Worship weather permitting at a. Bring your lawn chair or blanket. In event of rain, worship will be held in the sanctuary. ORG The safety of our patients, and employees, remains our highest priority. We provide full service nancial planning and investment advisory services specializing in personal planning, small business, non-pro t and governmental employer groups.

Proudly Representing Over 50 Insurance Companies Providing and servicing insurance products for you, your family, and your business; that I would want for myself, my family and my business. A Registered Investment Advisor. Visit our newly renovated office and you will find all modern equipment paired with a caring staff. This rainbow was spotted around p. Wednesday, Sept. That day multiple weather systems passed through the area, which included rain, thunder, lightning, hail and rainbows.

A group of residents in an assisted living community near the Stadium bar in White Bear Lake have started a Tuesday croquet game. Due to the drastic measures taken to protect the elderly from. COVID, her community has had little interaction with each other and the outside world.

The game is a way for the women to get out, laugh, and enjoy themselves. Send us your photos for possible inclusion in Spotted Around Town. Please email your best shot to whitebearnews presspubs. Please include information about when and where it was taken and who is in the photo. Join a panel discussion with writers included in the anthology A Garden of Black Joy.

Visit WhiteBearArts. Because of COVID precautions, the Xcel employees enjoyed breakfast in their parked vehicles before starting their day and traveling out to job sites throughout the area. Bartlett is offensive coordinator. We have 11 really solid guys. We lost a lot of starters, and without the traditional practice time and scrimmages, I think all head coaches are holding their breath.

Friday, Nov. Wednesday, Nov. We also physically distance when not playing, so huddles and small group conversations look quite a bit different. Thursday, Nov. Monday, Nov. Tuesday, Nov. Bottom line is, it is what it is, and we will not make excuses. You adjust to life, you make the kids adjust, and you carry on as safe as possible. Hopefully, we will be able to have a balanced attack. Thomas Academy, 7 p. Paul, 1 p.

Saturday, Nov. The Mahtomedi girls soccer team, ranked No. Stella Grabow was in goal and made three saves. The Zephyrs played Hill-Murray at home Tuesday and hoped to line up another game Friday to close the regular season, Walz said. The team sat out three. Mahtomedi boys soccer picked up two shutout victories last week, over Tartan on Wednesday and over North St. Paul on Saturday, both at home. Scoring details not available at press time. The Zephyrs have four shutouts while allowing just five goals in eight games.

Sectionals start Thursday, Oct. Bruce Strand. Winter sports seasons were given the go-ahead last week by the Minnesota State High School League, with their schedules decreased by 30 percent of contest dates, due to the COVID pandemic.

The starting dates for winter sports activities are as follows: Nov. Two of the best tennis teams in the state, Mahtomedi and Mounds View, head the team field for the Section 4AA tournament that will conclude their season.

Mounds View is seeded first and Mahtomedi second. Both are unbeaten. Mounds View beat Mahtomedi in the finals last season after Mahtomedi won the regular season matchup. They did not meet this regular season, which was restricted to conference matches due to the pandemic.

Mahtomedi was to open Monday in the quarterfinals against the winner of White Bear Lake vs. Anthony Village. The semifinals will be held Monday, Oct. Matches are held at high seeds. Stillwater is seeded third, Centennial fourth and Roseville Area fifth. The section tournament, starting Thursday, Oct. White Bear Lake girls soccer lost its duel for first place with Stillwater last week in the regular-season finale, but will meet the Ponies again in championship games once and possibly twice.

In the conference tournament implemented this year, due to pandemic rules limiting all teams to conference-only opponents, the Bears nipped a strong Mounds View squad on Friday evening — earning a rematch with the Ponies that was held Tuesday evening. See presspubs. That game will determine the official Suburban East Conference championship. And the No. The Bears won the conference last year and Stillwater won the section. Sophie Steblay scored for Stillwater in the 25th minute and Lexi Huber made it in the 69th minute.

Pony goalie Hadley Johnson made five saves. It should be a good game. The Mustangs are the only team Stillwater did not beat; they tied Nicole Moore got the lone goal against the Mustangs, five minutes into the second half.

Lauren Eckerle started the sequence with a well-placed low shot to Charlee Adam, who was screening standout goalie Lauren McAlpine.

When the ball hit a Mustang defender, Moore pounced and booted it into the net. Mounds View put furious pressure on the Bears the rest of the way but Lehner made nine saves in the half. Vokaty played the first half as the two Bear goalies split time as usual.

Stillwater beat Woodbury to advance to the finals. Stillwater has outsdo4ed opponents , the Bears and the Mustangs Maren Schoeberl, senior co-captain for White Bear Lake soccer, is the defensive anchor on a team with six shutouts. A three-year starter, Schoeberl took over the key center defense spot this year.

Undecided on a college sport, she will also a lso be a hockey captain this winter. White Bear Lake boys soccer lost to Stillwater at home Tuesday evening in the final regular season finale and to Mounds View there Thursday in the first round of conference playoffs.

Carson Arco knocked in two goals for Stillwater. Maggie Blanding has been one of the top runners in a strong White Bear Lake cross country program for five years. There was one problem: she also really enjoys tennis, another fall sport.

This fall, with schedules for all sports shortened due to the Covid pandemic, Blanding took advantage by playing both during her junior year. And not surprisingly, doing well in both.

Blanding was paired with Franta, a senior co-captain, at the top doubles slot from the first meet, and they have posted a record. She is usually the No. As an eighth-grader she won the section championship and made allstate with a 19th-place finish.

And we have been able to make the meet and practice schedule work. Occasionally a prep athlete will also have a club team, she said. She was definitely one of our strengths this year that gave us a slight edge in our matches. Maggie Blanding and Abby Franta won , , at No. Against Forest Lake, whom they beat earlier in the season, Zimmerman prevailed , Alexina Erickson and Mia Haskins lost at 1 and 2 singles each match.

Top finishes against Roseville were Borofka and Xiaoyun Liang placing in both the 50 and freestyles, McLeod second in diving Croix Bluffs Regional Park near Hastings.

Under pandemic rules, races are limited to three teams, so only the top three seeded teams can compete for the championship. Coaches voted on the seedings. The Bear girls go against Stillwater and East Ridge. The girls will run at and the boys at at conference. Some are still feeling the weight of the changes that had to take place to open back up again. She has spent more than 45 years of choreographing and teaching dance in the northern suburbs.

Lorenz opened her fi rst studio in , but she began teaching long before that. Lorenz has had a studio in both Lino Lakes and Hugo, but about two years ago she found a larger building in Lino Lakes, so she merged the two studios. I was literally looking for almost 20 years. I jumped on it. She said she is especially grateful to have the new location this year to help deal with all of the changes that have needed to be made due to COVID Lorenz talked about the struggles she faced as a small business.

Lorenz said it was difficult to pay the lease at the time. Lorenz has two sisters that also have their own dance studios in the Twin Cities area, and they faced similar challenges. Classes take place five nights a week, beginning soon after school gets out. She teaches dance to students ages 3 to 18 and also offers tumbling classes. Lorenz shared that they had held some practices outdoors at Lino Park. Once restrictions were lifted, she said some students were able to partake in two competitions, both with many restrictions.

Now classes are happening back in the studio, but several changes had to be implemented. Lorenz said they are taking new students through October. Anderson is in her 37th year of ownership and has never had to face the challenges she has with COVID The studio shut down in March, along with much of the state.

Classes just recently started up again when the new school year began. No parents are allowed in the studio for kids over the age of 7. Masks also need to be worn in the lobby area and in the classrooms.

To reopen was a heavy cost. An additional outdoor covered area had to be provided for kids waiting outside for a ride. An in-studio monitor to make sure kids are following social distancing in the hallways and keeping their. Numbers are down this year. She thinks some are waiting to see how the start of this season goes. Still, Anderson is glad that the studio is open once again. The kids are adapting and parents are being wonderful. The county has determined the most humane and efficient way to control deer herd populations within the park system and surrounding urban areas includes archery and sharpshooting.

Research has shown that alternative methods can be costly and result in prolonged death. Two separate hunts will be held at each location.

Each hunt period is three days long; the second hunt occurs two to three weeks after the fi rst. During the hunts, entire parks or portions of parks will be closed. Signs will be posted at common entry points in parks identifying open trails and areas where park visitors are requested to stay out.

Archers for the hunts have already been selected and permitted to participate. Archers interested in participating in future hunts should visit mbrb. Learn more about deer management and controlled hunts within Ramsey County at ramseycounty. Press release. It was an abrupt change of plans for Bruce Bushey and Janet Richards, who left in to become full-time gypsies. They had sold the business at Banning and Fourth Street, their house, furniture and cars, and had donated many of their possessions.

Then they hit the road in a foot fifthwheel pulled by a 1-ton truck, intending to see the country — state by state — for the next five to 10 years. They managed to visit 15 states in less than three.

Their favorite state, by far, was Alaska. But more on that later. Plans were cut short when the couple learned the current owners were letting the store go.

The Woodbury location had already closed months earlier. Their landlord urged them to return to keep the store running. We would have walked away. The road taught them to be resourceful and flexible. We had to simplify our lifestyle. It was very freeing. The indigestion turned out to be cancer of the bile duct.

A better word might be providence. By chance, or perhaps providence, the attending physician was a renowned liver surgeon. The doctor immediately detected early stages of jaundice and scheduled emergency surgery to remove a 2-centimeter tumor.

While Bruce spent weeks in the hospital, Janet camped out in a New Jersey parking lot owned by an old classmate she fortuitously found on Facebook. That forced her to drive and set up the RV all by herself — another lesson learned that both people must know how things work. Today, the cancer is gone and Bruce is 90 pounds lighter. To prepare for the drive to the 49th state, they searched tips on Facebook from other RVers.

They heeded one in particular for maneuvering the infamous Alaskan highway. Before they left, they equipped their trailer with 8,pound axles to sustain any road condition they encountered. On a return trip from Prudhoe Bay, on a bumpy dirt road riddled with potholes, the drive shaft broke. They were stranded miles north of Fairbanks where they had left their trailer. She called our insurance company and a tow truck.

It took 12 hours to get to us. A broken drive shaft in a remote area between Fairbanks and the Arctic Ocean meant a 12hour wait for a tow truck. A woman stopped and gave them a 2-gallon jug of water and moose jerky. She also insisted on taking their photo. Will they return to the road? There is so much more to see.

Still, they are happy to be back in the. Their knack for pairing oils and vinegars in recipes is back, too. Called Luv, the business is a welcome addition to the Olive Branch, they say, as it will let them focus more on core products. A downside to the timing of their new venture is the season. They gave their cold weather gear away before they left — at least everything but their thermal underwear. We have a talent for this, and we are holding on to hopes that White Bear still wants us.

We call our return Second Chance Do you want to hug a kangaroo, cuddle a fox, pet a porcupine or feed a grape to a ringtail lemur? Those are just some of the many experiences guests will find at the Maplewood Mall. Sustainable Safari, formerly known as Cock-A-Doodle-Zoo, moved into the Maplewood Mall last year on Black Friday but had to shut down March 15 when the mall closed its doors because of the pandemic.

The zoo is located on the second floor at the southwest end of the mall, near where Sears used to be. Bob has filled the roles of the dreamer, creator, carpenter, educator and more and Mishelle is the marketer.

How did he get into the world of exotic animals? We had tons of crazy animals. It was like my little Michael Jackson Neverland Ranch. We started bring the animals out and no one else was doing that, so it just took off. After several years of negotiating back and forth with MOA and some very big numbers, they decided to try out the concept at Maplewood Mall.

On June 15, when the business reopened after being closed down three months, it opened with a new name: Sustainable Safaris. Harvey said he has walked around the mall several times with a kangaroo and has been asked if he is carrying a reindeer, donkey, rabbit or camel. There are some pretty cool animals that are out there, and until you can have an upclose-and-personal interaction with an animal, it is hard for somebody to be excited or want to hear a message about.

This baby fennec fox can be found in Africa. Fennec foxes are the smallest foxes in the world. When the babies are born, they weigh about about as much as two double A batteries.

Their ears are oversized to help dissipate heat from their bodies. It thrills me to be the steward of these animals and help create a place that is safe to learn about them and get up close to them. Some of the most popular animals include the kangaroo, Fennec fox and alligators, but there are also wallabies, raccoons, goats, alligators, lemurs, porcupines, emus, badgers, deer, llamas, bunnies, capybaras and more.

There are typically three wildlife shows a day. Safari tours and tokens can also be purchased for more up-close experiences, like sitting on a couch with a baby wallaby.

In addition to its new home at the Maplewood Mall, the business still offers a traveling experience wildlife show at senior centers, schools, day care and YMCA facilities etc.

Many of the cleaning protocols and business operations have not changed during the pandemic because they were already in place. The business has always had strict cleaning protocols in place, too. For more information about Sustainable Safari, visit sustainablesafari.

Lead Editor Shannon Granholm can be reached at or quadnews presspubs. Owners of average-sized homes in Mahtomedi should expect to see an increase in their school district taxes of approximately 2.

Following a presentation from Jeff Priess, director of finance and operations, the Mahtomedi School Board at its Sept.

School districts are required to certify their preliminary levies to their county auditor and the Department of Education by Sept. Physical Requirements. The ideal candidate will have a minimum of three years Crew Chief experience and survey knowledge which includes:.

This position also requires the ability to work independently, be self-motivated, have good organizational and communication skills and ability to work well with clients. Licensed Surveyors welcome to apply!

JEO offers competitive salaries and benefits including sick and vacation time, flex time, health insurance, an employer contributed k, wellness incentives, paid professional licensure fees and memberships, and an annual bonus program. The role of the senior survey technician is to perform land survey to determine location and measurements of points, elevations, line areas and contours for construction, mapmaking, land division, titles or other purposes.

Essential Functions. Required Knowledge, Skills, And Abilities. Minimum Education, Experience Requirements. The Professional Land Surveyor will:. Location: Highway Design Team, Office of Design Shifts: Days, Monday through Friday The Design Bureau is looking to hire a Design Technician that will be part of a team designing highway improvement projects and construction plans that will be used to enhance the state and national transportation systems in Iowa.

This position is a member of a highway design team creating innovative transportation improvement projects. Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:. General Duty Statement. Under direction, coordinates right-of-way activities, including plan review, permitting, overseeing construction projects and restoration within the city right-of-way of varying size and complexity.

Coordinates department communication with the public through telephone, email, mailings and the City website. Distinguishing Features of the Class. Responsible for conducting field inspections and initiating administrative enforcement actions to ensure compliance with applicable Federal, State and Local Codes and Ordinances pertaining to construction within the public Right-of-Way.

Employee must be able to read and interpret construction codes, City of Fort Dodge — Webster County ordinances, and other related regulations. In addition, the employee must be able to respond to complaints, document investigation activities and initiate enforcement actions including legal case preparation.

Contacts may occasionally be adversarial in nature and the employee must use skill and judgment to resolve both technical and interpersonal problems related to code compliance. Supervision Received. Works under general supervision of the Chief Development Officer, City Engineer, or other designated supervisor with independence in decisions relating to assignments. Supervision Exercised. Required Knowledge, Skills, and Abilities.

Requires the following with or without reasonable accommodations:. Minimum Qualifications. Experience is required in GIS, computer-aided drafting or related engineer training. Must be able to effectively communicate orally in person and over the telephone and in writing using electronic devices and handwritten in English with other employees, businesses and community members.

Must be insurable and maintain insurability. Note: Bishop is looking to hire two people for this position for full-time employment. They are willing to work around an active CET student’s in-person class schedule.

Experienced Survey Instrument Person for construction layout and other engineering and land surveying duties. Our Mission. The mission of the Iowa DOT is safest, smartest, made to last. Shifts: Days, Monday through Friday. The Design Bureau is looking to hire a Design Technician that will be part of a team designing highway improvement projects and construction plans that will be used to enhance the state and national transportation systems in Iowa.

If you are self-motivated, enjoy spending time outdoors, and have a passion for serving community we invite you to join the City of Hiawatha Public Works Team.

Position is responsible for performing a wide variety of skilled and semi-skilled activities related to maintaining and repairing streets, storm sewers, sanitation sewer collection system and signage.

Duties include but are not limited to: clean and repair storm and sanitary sewers including sewer lines, manholes, intakes and related structures.

Provide general cleanup and housekeeping of Public Works Facilities. Install, repair and maintain traffic signs and barricades; maintain inventory of signs and supplies; and identify locations of signs and posts. Clean city roadways and right-of-ways by mowing grass along roadways; maintaining, trimming and removing trees and landscaped areas.

Perform routine maintenance on city equipment and vehicles including: lubricating, washing, making minor mechanical adjustments and other preventative maintenance. Load and unload heavy objects and materials as needed. Construct and repair City-owned buildings, fences, and other facilities using manual labor and equipment as needed. Perform snow removal activities by plowing, hauling, and loading snow, hand shoveling, and applying abrasives and chemicals to streets.

Repair streets and sidewalk, filling potholes, sealing cracks, and performing necessary clean-up activities. Assist other City departments and performs other duties as directed. Must be available to respond in emergencies or unusual situations outside of the normally assigned work periods. Pre-employment physical and drug test required. Minimum High School diploma or GED Certificate and one year of construction, maintenance, equipment operation or related experience; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the just such as those listed above.

Professional Land Surveyor. Location: Pleasant Hill, Iowa. Stubbs Engineering is 3rd generation family-owned business in Pleasant Hill, Iowa. The company grew and expanded into developing single-family, multi-family, and commercial subdivisions. These developments have become flourishing neighborhoods and communities. The 3rd generation has brought 3 engineers to the business.

Stubbs Engineering strives to offer innovative, cost-effective civil design solutions. Job Description:. Stubbs Engineering is seeking to hire a Professional Land Surveyor to join our team. The licensed land surveyor will need to do a multitude of surveying duties. Duties include: boundary surveys, ALTA Land Title Surveys, subdivisions, topographic surveys, industrial quantities surveys and construction staking. Job Type: Full-time.

Work Location: One location. Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification: 1 Graduation from high school or GED equivalent , and experience equal to six years of full-time work in design drafting, cartography, photogrammetry, engineering survey, soils survey, land survey, or construction inspection.

Design GroupLLC. Because of additional opportunities with our existing client base, as well as potential new markets, SDGroup is seeking a structural Building Information Modeler, Technician or Designer to join our firm. Designers and technicians work under the direction of our lead engineers on a variety of projects and project types utilizing structural steel, concrete, masonry, and wood materials.

Our clients consist of architectural firms, other design professionals, contractors, municipalities, as well as industrial, educational, and governmental facility owners. The right candidate would also be considered for the BIM Leader position within the firm. If interested, please indicate so on your application.

Other geographical areas where we provide our services may also be considered. The City of Marshalltown has both seasonal summer and full-time openings in the following areas:. Full Time:. Civil Engineering Assistant II. Seasonal Summer :.

This position involves adapting drafting design knowledge and experience with a focus on the exterior building enclosure. Essential Functions:. Minimum Physical Requirements:. Regular site visits to conduct construction observation under varying climate conditions. Applicant will encounter exposure to conditions of active construction and walking on uneven ground. Will be required to setup building enclosure commissioning testing equipment.

The candidate must be comfortable with climbing ladders and walking roofs while adhering to company and OSHA safety standards, policies, practices and procedures. Today, as always, Abaci has a deeply held belief that investment in its people is paramount.

Paired with a pursuit of improved technology and a stellar reputation for providing robust design and value, these practices have allowed Abaci to maintain relationships with many clients for decades. As Abaci grows its services and technology, we retain the traditional values that the firm was founded on:.

We value the resources of our clients and endeavor to complete projects efficiently and under budget. We value the success of our clients. We value high quality service in every project we undertake. We value expertise. Abaci staff is highly trained and educated, offering both breadth and depth of professional expertise.

We value honesty and integrity. We value a collaborative work environment for our staff, encouraging communication and teamwork. The LSIT will, mentor team members, and manage budgets and profitability. Establish plans to ensure efficiency and quality on land survey projects. Research of land records and deeds.

Manage survey crews conducting survey activities, including but not limited to boundary surveys, plat of surveys, and rural subdivisions. Coordinate with other leaders in the firm to identify and capture new business opportunities. Working towards an Iowa license as a Professional Land Surveyor. Knowledge of local governments and regulations that apply to surveying duties. Valid driver’s license and insured. Must be able to work in all kinds of weather and be able to routinely carry 40 pounds over uneven terrain.

Occasionally lift up to 80 pounds. Enthusiasm for people and drive to bring out their best, fostering a culture of collaboration and accountability. Ability to mentor and direct team members and identify professional development opportunities. Maintain relationships with clients, government representatives, contractors, vendors, and fringe network associates. Abaci Consulting offers a full suite of benefits to supplement a decidedly competitive salary. Abaci Consulting is in Grimes, Iowa.

Grimes is one of the most youthful and fastest growing cities in Iowa. The City of Grimes is a Central Iowa suburb located northwest of the capital city of Des Moines with ready access to metropolitain amenities.

Grimes leadership is dedicated to investing in economic and business projects to maintain quality living with projected community growth. The Des Moines Metropolitan area population is estimated at , This is a full time position. Primary job classification is Engineering Intern. Applicant must possess high school diploma or GED; and must possess a valid driver’s license. They start at 15 per hour and give raises periodically. Graduation from high school or GED and experience equal to six years of full-time work experience in design drafting, cartography, engineering survey, soils survey, land survey, construction inspection or photogrammetry;.

This is a professional path position that provides the opportunity to earn a Professional Surveying License. This position is available in our West Des Moines Office. Shive-Hattery fosters a team oriented atmosphere and emphasizes unparalleled client services. We offer the opportunity for involvement in a wide variety of surveying, civil engineering, landscape architecture and building projects. Requirements :. Would also be responsible for :. Status: Full-Time. Salary Day Annual Work Schedule:.

Link To: Employee Benefits. This faculty position provides instruction, student advising, and academic program responsibilities for Southeast Tech’s Land Survey Science Program.

Responsibilities include:. We offer an excellent salary and benefits package. Position available for onboarding and training activities in March, , for the school year. Position open until filled. Veenstra and Kimm, Inc. Our engineers, planners, and surveyors have been offering a full complement of services to our clients since the company’s inception. We have prided ourselves on a high level of commitment to assisting our clients achieve their goals and making their homes a better and safer place.

Our employees enjoy a flexible, relaxed work environment from which to work and grow. Access and exposure to a breadth of individuals and project types allow for both professional growth as well as personal growth. Our team works with local communities on a wide range of civil, municipal, and environmental projects. All qualified candidates are encouraged to apply.

Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, sexual orientation, gender identity, or any other protected class. Ingios Geotechnics, Inc.

Ingios is seeking qualified applicants for 3 full-time Civil Engineering Technician positions. One position is based in Iowa, one in Minnesota, and one in Tennessee. Ingios Geotechnics is an industry leading geoconstruction engineering firm specializing in the characterization, testing, and construction process control of geo-materials using advanced proprietary testing equipment.

Clients include state departments of transportation, private industrial firms, geomaterial manufacturers, and the electrical power generation industry. Normally 40 hours per week but will vary involving longer workdays at times to meet customer requirements. The applicant must be able to travel and work irregular hours if needed. Overnight travel will be required.

Accurate execution and reporting of test results is critical to meeting the customer’s requirements. The technician will be responsible for use and maintenance of electronically controlled testing equipment requiring basic computer proficiency. Operation of straight truck and trailer, forklift, and other similar equipment is required to support testing requirements.

Ingios is seeking qualified applicants for a Senior Civil Engineering Technician position. The position is based in Iowa but could occasionally involve travel to other mid-west states to support projects. Our home laboratory facility is located in Lakeville, MN. Once fully trained the technician will at times be working independently on projects and supervising other technical staff.

Washington County Engineers Office is looking for a college student pursuing undergraduate Civil or Construction Engineering to assist with construction inspection and basic land surveying. Other degree focuses will also be considered. Student must be hard working, responsible, punctual, able to follow instructions, and able to work independently. Must have a valid Iowa Driver’s License. This will be a temporary summer position with competitive wages. Some overtime may be required.

Applications and resumes may be submitted to engineer co. If you have questions, please call Application deadline is PM on Friday, April 15, or until filled. Surveying experience a plus. Strong communication skills plus computer literacy are required. Salary is based on qualifications and experience. Performs basic field and laboratory tests as directed. Exercises selection of test frequency and has the ability to make limited analysis of data. Observe placement.

Product laboratory trial batches. SE3 is a growing civil engineering firm that is committed to great quality and serving the needs of our clients. As a CADD Technician, you will have an opportunity to work on a variety of public and private sector projects across the company. SE3 has been involved in many significant transportation projects in northeastern Illinois and has expanded into the Dallas, Austin, St.

Louis, Denver, and Kansas City markets. If you are looking to expand your horizons, grow in responsibility, technical ability, and leadership, SE3 is the place for you. Point of Contact Robert Ellis, Robert. Ellis Iowadot. Location: North Maintenance Garage – Within five 5 months, employees are required to reside within 45 minutes driving time, during normal conditions, from assigned work location. Desired abilities:. Highway Technician responsibilities:.

For additional information, please click on this link to view the job description Download PDF reader. Additional Qualification Requirements.

As a Survey Field Intern you will spend the majority of your time working on survey crews with an experienced crew chief. The emphasis will be on construction staking and get experience with Trimble, Robotic Total Station, and GPS equipment in this internship.

This position will require working outdoor conditions for the majority of your day. You must be physically able to navigate rugged terrain for the purpose of performing the duties described above. Students must possess a valid driver’s license and be insurable under the firm’s standard rates. A check of the candidate’s motor vehicle record will be conducted as part of the on-boarding. This position interacts with staff, land owners, contractors, and subcontractors.

Selected candidates will be enrolled in a Civil Engineering Technician, Land Surveying or Survey Technician Degree, or related field, from an accredited post-secondary institution. General coursework in, and completion of, general surveying and AutoCAD drafting are preferred. Work with a creative and hardworking team, who believe in client satisfaction and building relationships.

With over employees and 24 offices in Minnesota, Iowa, North Dakota, North Carolina, and South Carolina, there are always new challenges and career development opportunities available. We’re Social! We thank all applicants in advance for their interest in this position, however, only those selected for an interview will be contacted. They are a nationwide company. In Iowa, they have offices in:. We are Olsson, a nationally recognized, employee-owned engineering and design firm with a rich history of success.

Simply put, we work to leave the world better than we found it. Our most important asset is our people, and we are dedicated to an environment where we continue to learn, grow, and thrive.

This entrepreneurial spirit has made us successful and will keep us successful. The result? Inspired people. Amazing designs. And projects with purpose. A win-win for all. We want to deploy more than 12 survey crews state-wide. As part of a new team, you would:. You may have formal education in surveying.

You may not. What we are looking for is someone with fundamental experience, who is ready to take the step to the next level. Someone who can perform all kinds of land surveying fieldwork with confidence and minimal assistance. Someone who is eager to learn and enjoys being outside. This is primarily a field-work position.

While occasional overnight travel might be required, this will be very minimal. You must be capable of working in rough terrain and inclement weather. We hire survey staff with the intention of providing work throughout the winter months.

You must be able to lift pounds. CGA is employee-owned, offering competitive wages and benefits including. Point of Contact Jeremy Harris, Jeremy. Assistant Survey Party Chief This assistant survey party chief position is on a preliminary survey crew in the survey section within the Design Bureau.

The assistant survey party chief performs technical engineering survey work. Typical responsibilities include collecting topographic survey data, performing survey computations, as well as collecting, formatting, and editing electronic field data. This position requires skills that include excellent communication, , knowledge of electronic data collectors, and knowledge of electronic data collection procedures, some CADD mapping and GNSS operation is required.

Applicants must have experience using survey instruments including electronic total stations, global positioning equipment, survey levels, and a thorough understanding of feature and linking codes. Bentley MicroStation software is used. Travel: In-state overnight travel can be required. Preferred experience. Additional Requirements. For additional information, please click on this link to view the job description. Download PDF reader. We are looking to add a team member to help in our QC department.

Looking for someone with basic cad experience that we can train to use our total station for simple layout on our job sites. We are looking to fill this position over the next few months.

A motor vehicle record MVR check is a standard condition of employment. With over employees in Minnesota, Iowa, North Dakota, North Carolina, and South Carolina, there are always new challenges and career development opportunities available.

We are committed to the well-being of our employees and their families. No fee will be paid to third parties who submit unsolicited candidates directly to our hiring managers. We have over 70 years of experience serving the Upper Midwest and beyond. As a Star Tribune Top Workplace, this is a fantastic opportunity to work with a great team of professionals and grow your career!

We are looking to add a talented individual who will help foster our mission that All People Should Live in a Safe, Sustainable and Beautiful Community! We are passionate about using collaboration to lead us to the right solution. A solution that can be planned for and funded.

A lasting solution that not only works today but long into the future. Our expertise offers a fresh, engaging approach to solve multi-faceted problems involving technical, regulatory, and community issues. As a Civil Engineer Intern – Transportation, you will learn practical on-the-job experience and spend the majority of your time working with construction phase activities. Duties may include assisting with construction observation, performing construction staking, performing construction administration duties such as documenting activities, measuring and testing, providing general oversight, and interacting with contractors, sub-contractors, residents and City Staff.

Some internship opportunities may also include working on various reports, completing design calculations, writing specifications, and reviewing shop drawings. Each year we look for variety of experience, education, and ability for our student intern pool. Some positions may be filled with students who have experience depending on the level of complexity a project or client may require. Company Information:. Our ready-mix plants are strategically located around the metro area, including two portable plants for best access to job sites.

This position will primarily be based in Des Moines, IA. Position Overview. The Quality Control Technician position is responsible for providing inspection, testing services, and documentation of product for plant facilities. This position is also responsible for evaluating data necessary for adjustments to mix production to ensure compliance for all applications and projects.

Key Responsibilities Essential Duties and Functions. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Reasonable accommodations may be made to enable individuals with disability to perform the essential functions. Work Requirements. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Environment. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Benefits Offered.

If you are self-motivated, enjoy spending time outdoors, and have a passion for serving community we invite you to join the City of Hiawatha Engineering Team.

The City of Hiawatha, Iowa is seeking qualified applicant for the full-time position of Engineering Technician.

Position shall provide construction observation for projects involving City property including all right-of-way. Duties include but are not limited to daily reporting, quantity tracking for payment, communication with the contractor and design team, documenting project details and conflicts, and being a representative for the City of Hiawatha on project sites.

The Engineering Technician must exercise discretion and independent judgment in the day-to-day activities of the City infrastructure and development. Minimum High School diploma or GED Certificate and minimum two 2 year degree in construction or engineering related field.

This job does not appear on their company “jobs” page, but they are accepting application. This job is not posted on their company website, but they are taking applications. Actalent Services is recruiting a civil engineering technician for a Des Moines area company. Any interested candidates can contact Kevin Simons directly to find out more about the position. As a technician, you will perform a variety of testing on construction materials such as soils, concrete, masonry, and asphalt.

Braun Intertec is a Drug-Free Workplace and requires all new hires to complete a pre-employment drug screen test, criminal background check, and motor vehicle report. Braun Intertec employees are encouraged to expand their skills and certifications through company provided training and mentoring.

B raun Intertec strives to ensure that its careers web site is accessible to all. If you need assistance completing your online application, please email hrhelp braunintertec. As an Equal Opportunity Employer, Braun Intertec is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans.

If you need a reasonable accommodation to assist with your job search or application for employment, please e-mail us at hrhelp braunintertec. In your e-mail, please include a description of the specific accommodation you are requesting as well as the job title and requisition number of the position for which you are applying. The project work for these roles will be related to a thriving construction season for our clients in these regions.

For the right intern or co-op, there will be much to do and much to learn. Full-time college student majoring in civil or construction engineering. Must have strong work ethic, demonstrated desire to learn from hands-on experiences working in a team. Must possess strong communication skills, ability to work in a team and as an individual contributor; Able to manage activity through competing priorities.

Must be reliable – i. This can be a very client-centric role – must have strong people skills and ability to effectively manage relationships with a wide range of clients, contractors and other project stakeholders. Any prior experience with construction or prior internships in civil engineering or construction engineering is a plus.

Any construction materials or. DOT-related certifications a plus. The City of Ankeny is seeking a highly motivated, energetic civil or construction engineering student to complete a summer internship with the City’s Development Engineering Division. Pre-employment drug screen and background check required. Interested individuals should apply online and attach a detailed cover letter expressing interest, with a resume or other similar document, no later than February 27, All applicants will be considered; however, preference will be given to current students majoring in Civil or Construction Engineering or a related field who have completed their sophomore years or higher.

Candidates should be detail oriented and be able to keep accurate records. Excellent written and verbal communication skills are a must. The ability to multi-task is critical since the candidate may work on several projects at the same time.

This individual would be working for Engineering Services based out City Hall. Good experience is desirable but we are also not afraid to train the right person with a great attitude, good communication skills and strong work ethic.

The candidate for this position will primarily work closely with the District 1 Right of Way Land Survey Department and other District staff, performing boundary, topographic, and construction surveys. They will be working with R. Researching for survey related documentation, including U. Corner Certificates, Deeds, Plats of Survey, Subdivision Plats, and highway plans, from various agencies, may be included.

Contact : Allison Smyth allison. We’ve been in business for more than 85 years, serving public and private clients with evidence of our work in nearly 35 states. Brief Posting Description We are looking for an individual who wants to be part of a team that provides exceptional service to our clients, and we have an immediate opening for a Survey Crew Chief located in Mason City, IA. Responsibilities for this position include: Topographic mapping, boundary surveys, processing field surveys and construction staking, interacting with clients and contractors, and providing Quality Assurance and Quality Control.

This position acts as crew chief for a field survey crew or alone performing surveys for construction, land development, topographic, right-of-way, ALTA and control survey projects; participates in pre-survey planning meetings with project managers, resident project representatives, engineers, and contractor representatives; provides input for evaluation of members of field survey crew; and instructs and trains survey crew in survey and mapping methods, use of equipment, and field safety procedures.

The Crew Chief position gathers field survey data through use of conventional and Global Positioning System GPS methods; sets up, adjusts, maintains and operates surveying equipment, including robotic total station, data collectors, and GPS equipment, in order to measure distances, elevations, and angles; prepares field notes and drawings; and performs field surveying for roadway, railway, bridges, site and land development projects, including installing surveying construction stakes, and locating or establishing vertical and horizontal control, right of way, monuments, corners, boundaries, and property lines.

Research existing record information, including record maps, plans, deeds, easements, and rightof-way documents; and maintains field data records and survey project files. Ellis iowadot. Location: Des Moines North Maintenance Garage – Within five 5 months, employees are required to reside within 45 minutes driving time, during normal conditions, from assigned work location.

Desired Abilities:. One of our dentists, Joseph F. In , the Minnesota Legislature passed the Interoperable EHR Mandate, which states that all hospitals and health care providers must use an interoperable electronic health record EHR system by Jan. An important component of this law is that providers not only adopt the technology, but that they use the tools available in their EHRs and securely exchange relevant health inforLeveraging information technology to page Post-acute care is designed to heal and assist patients with care and support following a hospitalization from serious illness, injury or elective surgical procedure.

Multiple in-patient and out-patient post-acute locations are located throughout the Twin Cities metro area and state of Minnesota. The Evangelical Lutheran Good Samaritan Society provides housing and services to qualified individuals without regard to race, color, religion, gender, disability, familial status, national origin or other protected statuses according to applicable federal, state or local laws.

Some services may be provided by a third party. All faiths or beliefs are welcome. All rights reserved. Limitations of Use: Not recommended as first-line therapy for patients inadequately controlled on diet and exercise. Has not been studied in patients with a history of pancreatitis; consider another antidiabetic therapy. Not for the treatment of type 1 diabetes mellitus or diabetic ketoacidosis. Not a substitute for insulin.

Has not been studied in patients with severe gastrointestinal disease, including severe gastroparesis. Not for patients with pre-existing severe gastrointestinal disease. Has not been studied in combination with basal insulin.

It is unknown whether Trulicity causes thyroid C-cell tumors, including medullary thyroid carcinoma MTC , in humans as human relevance could not be determined from clinical or nonclinical studies. Routine serum calcitonin or thyroid ultrasound monitoring is of uncertain value in patients treated with Trulicity. Counsel regarding the risk factors and symptoms of thyroid tumors.

Please see Important Safety Information for Trulicity, including Boxed Warning about possible thyroid tumors including thyroid cancer, and Brief Summary of Prescribing Information on following pages.

Please see Instructions for Use included with the pen. April Minnesota Physician. Trulicity may be a good option for adult patients with type 2 diabetes who need more control than oral medications are providing. Trulicity is a glucagon-like peptide-1 receptor agonist GLP-1 RA that is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.

Trulicity is contraindicated in patients with a prior serious hypersensitivity reaction to dulaglutide or any of the product components. Risk of Thyroid C-cell Tumors: Counsel patients regarding the risk of medullary thyroid carcinoma and the symptoms of thyroid tumors eg, a mass in the neck, dysphagia, dyspnea, persistent hoarseness.

Patients with elevated serum calcitonin if measured and patients with thyroid nodules noted on physical examination or neck imaging should be referred to an endocrinologist for further evaluation.

Pancreatitis: Has been reported in clinical trials. Observe patients for signs and symptoms including persistent severe abdominal pain. If pancreatitis is suspected discontinue Trulicity promptly. Do not restart if pancreatitis is confirmed. Consider other antidiabetic therapy in patients with a history of pancreatitis. Please see Important Safety Information continued on following page.

Hypoglycemia: The risk of hypoglycemia is increased when Trulicity is used in combination with insulin secretagogues eg, sulfonylureas or insulin.

Patients may require a lower dose of the sulfonylurea or insulin to reduce the risk of hypoglycemia. Recommended starting dose is 0. Dose can be increased to 1. Hypersensitivity Reactions: Systemic reactions were observed in clinical trials in patients receiving Trulicity.

Instruct patients who experience symptoms to discontinue Trulicity and promptly seek medical advice. Severe Gastrointestinal Disease: Use of Trulicity may be associated with gastrointestinal adverse reactions, sometimes severe. Trulicity has not been studied in patients with severe gastrointestinal disease, including severe gastroparesis, and is therefore not recommended in these patients.

Gastric emptying is slowed by Trulicity, which may impact absorption of concomitantly administered oral medications. Use caution when oral medications are used with Trulicity. Drug levels of oral medications with a narrow therapeutic index should be adequately monitored when concomitantly administered with Trulicity.

In clinical pharmacology studies, Trulicity did not affect the absorption of the tested, orally administered medications to a clinically relevant degree. Pregnancy: There are no adequate and well-controlled studies of Trulicity in pregnant women. Use only if potential benefit outweighs potential risk to fetus. Nursing Mothers: It is not known whether Trulicity is excreted in human milk. A decision should be made whether to discontinue nursing or to discontinue Trulicity taking into account the importance of the drug to the mother.

Pediatric Use: Safety and effectiveness of Trulicity have not been established and use is not recommended in patients less than 18 years of age. Please see Brief Summary of Prescribing Information, including Boxed Warning about possible thyroid tumors including thyroid cancer, on following pages.

Macrovascular Outcomes: There have been no clinical studies establishing conclusive evidence of macrovascular risk reduction with Trulicity or any other antidiabetic drug. Renal Impairment: In patients treated with GLP-1 RAs there have been postmarketing reports of acute renal failure and worsening of chronic renal failure, sometimes requiring hemodialysis. A majority of reported events occurred in patients who had experienced nausea, vomiting, diarrhea, or dehydration.

In patients with renal impairment, use caution when initiating or escalating doses of Trulicity and monitor renal function in patients experiencing severe adverse gastrointestinal reactions. Mixed model repeated measures analysis. After 26 weeks, placebo-treated patients were switched in a blinded fashion to Trulicity 1. Treatment should be individualized.

Trulicity [Prescribing Information]. References assignment. American Diabetes Association. Standards from baseline at 26 weeks Diabetes Care. References 1. Standards of medical care in diabetes— Limitations of Use: Not recommended as a first-line therapy for patients who have inadequate glycemic control on diet and exercise.

Has not been studied in patients with a history of pancreatitis. Consider other antidiabetic therapies in patients with a history of pancreatitis. Should not be used in patients with type 1 diabetes mellitus or for the treatment of diabetic ketoacidosis. It is not a substitute for insulin. Not recommended in patients with pre-existing severe gastrointestinal disease. The concurrent use of Trulicity and basal insulin has not been studied.

Do not use in patients with a prior serious hypersensitivity reaction to dulaglutide or to any of the product components. Glucagon-like peptide GLP-1 receptor agonists have induced thyroid C-cell adenomas and carcinomas in mice and rats at clinically relevant exposures. It is unknown whether Trulicity will cause thyroid C-cell tumors, including medullary thyroid carcinoma MTC , in humans, as the human relevance of this signal could not be determined from the clinical or nonclinical studies.

One case of MTC was reported in a patient treated with Trulicity. This patient had pretreatment calcitonin levels approximately 8 times the upper limit of normal ULN. Counsel patients regarding the risk for MTC with the use of Trulicity and inform them of symptoms of thyroid tumors eg, a mass in the neck, dysphagia, dyspnea, persistent hoarseness.

The role of serum calcitonin monitoring or thyroid ultrasound monitoring for the purpose of early detection of MTC in patients treated with Trulicity is unknown.

Such monitoring may increase the risk of unnecessary procedures, due to the low specificity of serum calcitonin as a screening test for MTC and a high background incidence of thyroid disease. If serum calcitonin is measured and found to be elevated, the patient should be referred to an endocrinologist for further evaluation.

Patients with thyroid nodules noted on physical examination or neck imaging should also be referred to an endocrinologist for further evaluation. Pancreatitis: In Phase 2 and Phase 3 clinical studies, 12 3.

An analysis of adjudicated events revealed 5 cases of confirmed pancreatitis in patients exposed to Trulicity 1. After initiation of Trulicity, observe patients carefully for signs and symptoms of pancreatitis, including persistent severe abdominal pain.

If pancreatitis is suspected, promptly discontinue Trulicity. If pancreatitis is confirmed, Trulicity should not be restarted. Trulicity has not been evaluated in patients with a prior history of pancreatitis.

Hypoglycemia with Concomitant Use of Insulin Secretagogues or Insulin: The risk of hypoglycemia is increased when Trulicity is used in combination with insulin secretagogues eg, sulfonylureas or insulin.

Patients may require a lower dose of sulfonylurea or insulin to reduce the risk of hypoglycemia. Hypersensitivity Reactions: Systemic hypersensitivity reactions were observed in patients receiving Trulicity in clinical trials. If a hypersensitivity reaction occurs, the patient should discontinue Trulicity and promptly seek medical advice.

Renal Impairment: In patients treated with GLP-1 receptor agonists, there have been postmarketing reports of acute renal failure and worsening of chronic renal failure, which may sometimes require hemodialysis. Some of these events were reported in patients without known underlying renal disease. Because these reactions may worsen renal failure, use caution when initiating or escalating doses of Trulicity in patients with renal impairment.

Monitor renal function in patients with renal impairment reporting severe adverse gastrointestinal reactions. Pool of Placebo-controlled Trials: These data reflect exposure of patients to Trulicity and a mean duration of exposure to Trulicity of At baseline, the population had diabetes for an average of 8. At baseline, 2. Note: Percentages reflect the number of patients that reported at least 1 treatment-emergent occurrence of the adverse reaction.

Gastrointestinal Adverse Reactions : In the pool of placebo-controlled trials, gastrointestinal adverse reactions occurred more frequently among patients receiving Trulicity than placebo placebo More patients receiving Trulicity 0.

Investigators graded the severity of gastrointestinal adverse reactions occurring on 0. Pool of Placebo- and Active-Controlled Trials: The occurrence of adverse reactions was also evaluated in a larger pool of patients with type 2 diabetes participating in 6 placebo- and active-controlled trials evaluating the use of Trulicity as monotherapy and add-on therapy to oral medications or insulin. In this pool, a total of patients with type 2 diabetes were treated with Trulicity for a mean duration 52 weeks.

At baseline, 5. Hypoglycemia was more frequent when Trulicity was used in combination with a sulfonylurea or insulin. Severe hypoglycemia occurred in 2. The long-term clinical effects of the increase in HR have not been established. Adverse reactions of sinus tachycardia were reported more frequently in patients exposed to Trulicity.

Sinus tachycardia was reported in 3. Persistence of sinus tachycardia reported at more than 2 visits was reported in 0. Immunogenicity : Across four Phase 2 and five Phase 3 clinical studies, 64 1.

Of the 64 dulaglutide-treated patients that developed dulaglutide ADAs, 34 patients 0. The detection of antibody formation is highly dependent on the sensitivity and specificity of the assay. Additionally, the observed incidence of antibody including neutralizing antibody positivity in an assay may be influenced by several factors including assay methodology, sample handling, timing of sample collection, concomitant medications, and underlying disease.

For these reasons, the incidence of antibodies to dulaglutide cannot be directly compared with the incidence of antibodies of other products. Hypersensitivity: Systemic hypersensitivity adverse reactions sometimes severe eg, severe urticaria, systemic rash, facial edema, lip swelling occurred in 0.

Injection-site Reactions : In the placebo-controlled studies, injection-site reactions eg, injection-site rash, erythema were reported in 0. The adverse reaction of first degree AV block occurred more frequently in patients treated with Trulicity than placebo 0. On electrocardiograms, a PR interval increase to at least milliseconds was observed in 0. Caution should be exercised when oral medications are concomitantly administered with Trulicity.

In clinical pharmacology studies, Trulicity did not affect the absorption of the tested, orally administered medications to any clinically relevant degree. The risk of birth defects, loss, or other adverse outcomes is increased in pregnancies complicated by hyperglycemia and may be decreased with good metabolic control.

It is essential for patients with diabetes to maintain good metabolic control before conception and throughout pregnancy. Trulicity should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Because many drugs are excreted in human milk and because of the potential for clinical adverse reactions from Trulicity in nursing infants, a decision should be made whether to discontinue nursing or to discontinue Trulicity, taking into account the importance of the drug to the mother. Pediatric Use: Safety and effectiveness of Trulicity have not been established in pediatric patients. Trulicity is not recommended for use in pediatric patients younger than 18 years. Geriatric Use: In the pool of placebo- and active-controlled trials, No overall differences in safety or efficacy were detected between these patients and younger patients, but greater sensitivity of some older individuals cannot be ruled out.

Hepatic Impairment: There is limited clinical experience in patients with mild, moderate, or severe hepatic impairment. Therefore, Trulicity should be used with caution in these patient populations. In a clinical pharmacology study in subjects with varying degrees of hepatic impairment, no clinically relevant change in dulaglutide pharmacokinetics PK was observed. Renal Impairment: In the four Phase 2 and five Phase 3 randomized clinical studies, at baseline, 50 1.

No overall differences in safety or effectiveness were observed relative to patients with normal renal function, though conclusions are limited due to small numbers.

In a clinical pharmacology study in subjects with renal impairment including end-stage renal disease ESRD , no clinically relevant change in dulaglutide PK was observed. There is limited clinical experience in patients with severe renal impairment or ESRD. Trulicity should be used with caution, and if these patients experience adverse gastrointestinal side effects, renal function should be closely monitored.

Gastroparesis: Dulaglutide slows gastric emptying. Trulicity has not been studied in patients with pre-existing gastroparesis. Effects associated with these overdoses were primarily mild or moderate gastrointestinal events eg, nausea, vomiting and non-severe hypoglycemia. Counsel patients to report symptoms of thyroid tumors eg, a lump in the neck, persistent hoarseness, dysphagia, or dyspnea to their physician.

Instruct patients to discontinue Trulicity promptly, and to contact their physician, if persistent severe abdominal pain occurs. Review and reinforce instructions for hypoglycemia management when initiating Trulicity therapy, particularly when concomitantly administered with a sulfonylurea or insulin.

Inform patients treated with Trulicity of the potential risk for worsening renal function and explain the associated signs and symptoms of renal impairment, as well as the possibility of dialysis as a medical intervention if renal failure occurs. If symptoms of hypersensitivity reactions occur, patients must stop taking Trulicity and seek medical advice promptly. Refer to the accompanying Instructions for Use for complete administration instructions with illustrations.

Inform patients about the importance of adherence to dietary instructions, regular physical activity, periodic blood glucose monitoring and HbA1c testing, recognition and management of hypoglycemia and hyperglycemia, and assessment for diabetes complications. During periods of stress such as fever, trauma, infection, or surgery, medication requirements may change and advise patients to seek medical advice promptly.

The day of once weekly administration can be changed if necessary, as long as the last dose was administered 3 or more days before. If a dose is missed and there are at least 3 days 72 hours until the next scheduled dose, it should be administered as soon as possible.

Thereafter, patients can resume their usual once weekly dosing schedule. If a dose is missed and the next regularly scheduled dose is due in 1 or 2 days, the patient should not administer the missed dose and instead resume Trulicity with the next regularly scheduled dose. HbA1c is especially useful for evaluating long-term glycemic control. Additional information can be found at www. Gulon, DDS. Cancer is life changing and some cancers are hard to fight with traditional treatments.

Paul offers exclusive treatment in the Twin Citie metro area. CyberKnife targets tumors with superi accuracy, has fewer treatments, and minimal side effects. Many patients return to their usual activitie right after treatment. Cancer is life changing and some cancers are harder toliver, fight with traditional treatments. CyberKnife brain and other tumors and Cancer is life changing and some cancers are harder Cancer is life changing and some cancers are metastases. Cancer is life changing and some cancers are hard Center at HealthEast St.

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CyberKnife targets tumors with superior healtheast. CyberKnife targets tumors with super metro area. CyberKnife targets tumors withside superior accuracy, has fewer and minimal targets tumors with treatments, superior accuracy, has fewer CyberKnife treats cancers such as prostate, lung, accuracy, has fewer treatments, and minimal side effects. Many patients return to their usual activities accuracy, has fewer treatments, and minimal side accuracy, has fewer treatments, and minimal side treatments, and minimal side effects.

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To learn more or to find out if more is out if CyberKnife is CyberKnife healtheast. Publisher Mike Starnes mstarnes mppub. Assistant Editor Patricia Mata tmata mppub. Account Executive Stacey Bush sbush mppub. We welcome the submission of manuscripts and letters for possible publication.

All views and opinions expressed by authors of published articles are solely those of the authors and do not necessarily represent or express the views of Minnesota Physician Publishing, Inc.

The contents herein are believed accurate but are not intended to replace medical, legal, tax, business, or other professional advice and counsel. No part of the publication may be reprinted or reproduced without written permission of the publisher. Allina Health patients aged Researchers also worked to engage the general public through informational campaigns at community events.

They developed an award-winning website with general screening information and updates to help engage and educate the public. More than 3, patients who were not up to date with their screening were eligible for the study.

Of those, more than 2, had colorectal cancer screening tests ordered and more than engaged in shared decisionmaking sessions with a nurse. However, they say that. Workplace Solutions For Physician Burnout Studied Addressing communication and workflow issues at hospitals may help reduce rates of physician burnout and dissatisfaction and improve retention rates, according to a national study led.

Half the clinics were randomized to work-life interventions and half received no interventions. Researchers then measured work conditions, including time pressure, workplace chaos, and work control, as well as clinician outcomes, at a baseline and at 12 to 18 months. Of clinicians, completed the study. The results show that at the clinics with interventions, physician burnout or satisfaction.

Specifically, those with interventions saw a The study identified three types of interventional programs that were most effective—workflow redesign, communication improvements particularly between provider groups , and quality improvement projects targeted to clinician concerns. Specifically, the communications and workflow interventions showed a trend toward greater improvements in clinician satisfaction and retention rates.

This study shows that interventions can have a positive effect on clinicians; and the next step in the analyses will determine how much of this impact is transmitted to patients. The report includes data from 69 Minnesota hospitals and surgical centers from October to October In that time period, they reported 2 million visits in which there were adverse health events, including 98 serious injuries and 13 deaths. In the previous report,. The authors point out that four new reportable event categories were added this year and those additions contributed to the rise in reportable errors.

The new categories were death or serious injury resulting from failure to follow up or communicate laboratory, pathology, or radiology test results in which five events were reported ; irretrievable loss of an irreplaceable biological specimen in which 20 events were reported ; neonatal death or serious injury associated with labor and delivery in a low-risk pregnancy in which six events were reported ; and death or serious injury of a patient associated with the introduction of a metallic object into the MRI area in which no events were reported.

According to MDH, Minnesota is one of 28 states that tracks adverse events and only Capsules to page No wonder the famed Juilliard School admitted them all—simultaneously. Please note: The Minnesota Orchestra does not perform on this program.

Paul Fire Department have teamed up to help reduce emergency calls and unnecessary hospital readmissions in the East Metro through a pilot program where specially trained paramedics will visit patients in their homes within 48 hours after they are discharged from the hospital.

Readmissions usually happen within the first 72 hours of being released. The program will focus on patients with congestive heart failure, which has one of the highest hospital readmission rates.

Patients will be referred to the St. Paul Fire Department for a free commun-. Paramedics will provide education on medications, perform a clinical assessment, help patients understand symptoms to watch for, make sure they are connected to resources within the community for food and transportation, and perform a home safety check.

Our colleagues at Methodist Hospital have seen great results with this program, and we are excited to expand it to the East Metro.

Paramedics have visited almost patients and found 20 cases that. They also referred 10 patients to social and community services, seven patients to food shelves, and replaced smoke detectors or batteries in 52 homes. The Safe Patient Standard bill would establish a workgroup to determine minimum staffing for nurses for various hospital units and sizes in Minnesota. Staffing should be flexible. Health care professionals closest to the patient should determine appropriate levels of staffing, not the government.

Jain earned her medical degree at Kasturba Medical College, India, and completed a residency in internal medicine as well as a fellowship in advanced echocardiography and cardiovascular diseases at Mayo Clinic, Rochester. Tiryaki also serves as an associate professor in the department of neurology at the University of Minnesota and is one of 11 faculty advisors for medical school students.

She earned her medical degree from Hannover Medical School, Germany. Most recently, he served as a family practitioner at Essentia Health—Lakeside Clinic, Duluth, and as an urgent care physician for Bloomington-based HealthPartners.

Cloud, has received the St. Cloud Hospital Physician of Excellence award. The award recognizes a St. Cloud Hospital medical staff member for exemplary work ethic and dedication to patient care. Winners are nominated by their peers; those who nominated Hauge characterized him as respectful, dedicated, and Mark Hauge, MD always willing to put his patients first. Hauge earned his medical degree from Mayo Medical School, Rochester; completed a fellowship in medical oncology at Mayo Clinic, Rochester; and completed a residency in internal medicine at the University of Minnesota.

Background and Focus: With dramatic population growth, and as baby boomers become senior citizens, the demand for health care is exceeding the supply. Addressing the shortage of medical doctors involves creating new relationships between medical professionals. Training and licensure for Physician Assistants, Advanced Nurse Practitioners, Chiropractors, Respiratory Therapists, Physical Therapists, Home Care Providers, Dentists, and many other health care professions have become increasingly rigorous and provide expanded support to our health-care delivery system.

Greater integration of these professions allows medical doctors to work to the top of their license but requires new pathways for communication and care coordination. Objectives: We will examine many of the new partnerships that are emerging between medical doctors and other medical professionals.

We will look at the ways leveraging these new relationships can improve access to care while reducing costs and improving outcomes. We will consider points of resistance to forming these kinds of health care teams and what should be avoided in creating them. We will discuss what the proper oversight for these relationships should entail and how to maximize the coordination of care that they require.

Tickets may be ordered by phone at , by fax at , on our website mppub. Make checks payable to Minnesota Physician Publishing. Please note: tickets are non-refundable.

Find a Federal Government Job | USAGov.September 10, | Thief River Falls Times & Northern Watch – Official Page

Another project making a positive impact involves Hearts and Hammers. Volunteers for the Roseville-based nonprofit have helped revitalize five homes in White Bear Lake thanks to money from the community foundation. Hearts and. Hammers assists low-income homeowners with exterior work at no cost so they can safely stay in their affordable home. Executive Director Randi Prebil said two grants awarded by the foundation in and drew their attention to White Bear Lake.

COVID put its sensory-friendly project on hold. A production planned months earlier focused on providing access to theater. The show was completely revamped to a virtual online program free to the community. For more information on these grants and how to donate, visit greaterwblfoundation.

Also new to the Community Partners Fund in are grants to offset operating expenses for nonprofits. Bald Eagle Lake is getting cleaner. Thanks to a Clean Water Fund Grant, that trend will continue. The fi lter treats formerly untreated stormwater before it reaches the lake.

The system diverts runoff from Ramsey County Ditch 11 RCD11 , removes phosphorus, sediment and other pollutants, and discharges the cleaner water back into the ditch.

The township provided land for the regional water quality project and the watershed district the money to construct, operate and maintain it. The district board budgeted for the project so residents will not see a property tax increase. What they will see is an improvement in water clarity. This is no longer the case, but RCD11 still serves as the outlet for stormwater flows from this area, and for White Bear Lake now that its surface elevation has reached the outlet.

When White Bear Lake is flowing through its outlet, as it did for much of ,. The improvement project has been a long time coming to the Ditch 11 watershed, noted the project manager. That water went completely untreated. The sand filter project involves Ditch 11, which flows under Hwy. Rustic Roots Winery is located at St. The pair officially bought the farmland last July with the purposes of making it a winery.

Last summer was preparation of the land for planting the 11, vines currently in the ground. This winter and summer have been about remodeling what was a residential home into a storefront. As of now, the business will feature nine varieties of wine — four white, four red and one rose in assorted sweet and dry flavors. Or one is certainly welcome to bring a blanket and spread out on the property.

Hours of operation will be 11 a. Sundays-Wednesdays and 11 a. For more information, visit rusticroots. Allen and his wife, Annie, met as students at Bethel. They live in White Bear Lake and have four adult children. Thorson has served as chair of the MMA Board of Trustees from to , and as president in , and is a former president of the Minnesota Academy of Family Physicians. The City Council will interview three finalists to replace him at p.

The interviews will be broadcast live on the cable channel and streamed live on Facebook for the community to view. More details can be found at cityofbirchwood. They have been a serious player in the local restaurant scene ever since. Regulars will all recognize the smiling face of Rebecca greeting you from behind the bar when you arrive. In fact, Rebecca operates a small farm north of White Bear Lake that supplies a lot of the fresh produce the restaurant uses. Many of the staff has been with Ingredients since the beginning, a testament to their passion for the restaurant and its vision.

The restaurant has been a loyal supporter of the community over the years with regular participation at the annual Taste of White Bear Lake and other festivals, along with many donations of gourmet dinner parties to. Before Covid they were doing a very robust lunch trade and their themed Wine Dinners were extremely popular as well.

They recently opened back up for lunch 11 a. The restaurant is open Tuesday thru Sunday at 11 a. Curbside pickup is available from 4 p.

Visit ingredientscafe. In , their dream became a reality when they came across the quaint old house for rent on Craigslist wherein the restaurant now operates in the Marina Triangle. Growing up in Roseville and White Bear Lake, Daron was well aware of the need for a higher quality of dining in the area they decided to take the risk. Nicole and Daron are immensely grateful for their opportunities. We want to stay open for you. Have you supported your favorite restuarant this week?

Join the effort to ReGrow White Bear as we cultivate growth, community and awareness to create a vibrant, bright and thriving White Bear Lake area. Written by Ken Galloway Ken has been a hospitality executive and professional chef in the Twin Cities for many years and has been a long-time supporter of the local hospitality scene. We keep hearing how imperative it is for young adults to get involved in the political process to understand how decisions are made and impact our lives.

I have known Elliott Engen for many years and in our discussions, I recognize his firm grasp of policies currently on the books, as well as those within reach. I have encouraged each of them to seek out opportunities to do something meaningful and to do it with passion. I look at Elliott Engen and see a young man doing exactly that. His understanding of our local government, his appreciation of our community and his desire to make improvements best suited to our area is why he has my support.

We can be cynical and decide that youth is a detriment — but not me. When I meet people like Elliott, I do not believe for a moment that youth is wasted on the young. Elliott has the energy and talent to put words into action, and I trust him with my vote. I am grateful, as I realize these achievements were not for himself alone, but for the good of our community. Jan Johnson White Bear Lake. One of the refreshing aspects of the Vadnais Heights City Council race is that candidates run without being under the umbrella of a particular political party.

Multiple requests to the city for a streetlight to be placed in our neighborhood park due to safety concerns were received and rejected. Thankfully, when Bob began his role with the City Council, he was successful in getting a light installed.

As a result, there is a decrease in suspicious activity. In addition, Bob has enjoyed volunteering for many years to serve on a panel of judges for a local high school scholarship. Please join us in casting your vote for Robert Morse so that he can continue to share his light on the Vadnais Heights City Council. Dawn Tiefert Vadnais Heights. Why is this happening? Climate change is causing more rain and because of development of all the surrounding land, the water has no place to go.

Now these homeowners are looking at a multimilliondollar pumping project to save their homes. Recognizing the impacts of climate change and focusing now on prevention, mitigation vs.

We can all make a difference personally and at the local level. Minnesota has a GreenStep Cities program, a free program that helps cities achieve their sustainability and quality of life goals. Unfortunately, our current Vadnais Heights City Council has decided not to participate in this program even though our surrounding neighbors have been participating for years White Bear Lake, Arden Hills, Mounds View, Mahtomedi, Shoreview.

It is time we have a City Council that makes climate change a priority. There are two candidates running for council who are climate champions: Steve Rogers and Erik Goebel. These two candidates have been endorsed by Northeast Climate Action www. I urge all Vadnais Heights residents to vote for climate on your ballot this year, up and down the ballot. Judy Lissick Vadnais Heights.

It is time for a change, and Birchwood residents have a great opportunity to vote for Mike McKenzie for mayor of Birchwood. We have known Mike for more than 25 years. Mike has the experience and the qualities to serve our community well. He is sincere and honest, understands management and knows how to apply these qualities to city governance. He will work hard to manage Birchwood efficiently and fairly.

It is time for new leadership — leadership that will serve all Birchwood residents equally well. We urge you to vote for Mike McKenzie for mayor of Birchwood — it is time for a change.

Judy and Gerry Duffy Birchwood. My neighbors and I are concerned about the rising incidence of vehicles that are speeding excessively on the residential streets of Mahtomedi, including on Old Wildwood Road. We are concerned for the safety of our children, the residents who live on these roads as well as the neighboring community that use the roads for recreational purposes.

The Minnesota state Legislature authorized cities to set their own speed limits on its streets without the authorization of the Minnesota Department of Transportation. The Legislature changed the definition of a residential roadway, which has the effect of allowing cities to adopt a speed limit of 25 mph without any engineering review. The change in definition of a residential roadway expands the ability of cities to designate such streets at 25 mph.

Changing the speed limit on such a street no longer requires a traffic study by the Minnesota Department of Transportation, nor does it require an engineering analysis by the city. Per the new legislation, cities may adopt the 25 mph speed limit by council action provided the roadway meets the definition. The residents that live in Mahtomedi and the neighboring community that utilize the streets for recreational purposes are calling on the city of Mahtomedi to reduce the speed limit on residential streets to mph.

Please reach out to the Mahtomedi City Council and let them know if you are in support of reducing the speed limits on our streets. A special thanks to Mahtomedi City Council Member Steve Wolgamot for supporting the safety measures currently being taken. Brett Peterson Mahtomedi. Lots of people are very excited about this. I, too, would be happy if my grandson could safely play football during his first year in high school.

Yes, the professional and college teams have started to play — so why not our kids? Consider these things — the professional teams are about money, the college teams are revenue generators for their institutions.

More importantly, what about the safety? The pros and the colleges have the resources for daily testing of everybody involved — are the high schools doing that? What is the mask policy for coaches, staff and athletes? Who will enforce that policy? Do they think each district, or school, should make its own rules? What happens when two schools with widely varying policies meet? So, no decision at the state league level, no decision at the school district level, no decision at the high school level.

The decision falls to each parent, and that decision has to be based on no information! This is unacceptable and a failure at all of those levels to do the jobs for which they are taking public money.

Mary Kaeding White Bear Lake. In the Sept. I believe there were eight candidates running for two City Council openings. The League of Women Voters held a candidate forum.

Six of the eight candidates attended. The two candidates who did not participate won the election. The point is that when it comes to local elections, things like name recognition and other factors not directly related to qualifications may play a bigger role than the responses provided by the candidates.

Ronald Garceau Vadnais Heights. Stacey brings a unique set of skills to the board. She is the mother of two middle school boys and a seasoned attorney. She has a passion for education equity and works on behalf of all students. I feel confident that our children are well-served in this district and I support Stacey in her reelection to the Mahtomedi School Board. White Bear Lake, MN 3. The name and address of all persons conducting business under the above Assumed Name.

Only one signature is required by law. No other agent is authorized to receive bids. All bids shall be on a lump sum basis. No bid may be withdrawn for a period of 60 days after bid receipt without consent of the Owner. Kraus-Anderson will not be responsible for notifying individual parties who obtained documents without utilizing the isqft process through KA, when Addenda are issued. The meeting was live streamed. The Distance Learning model will be available for families who pick that model.

Tim Wald reviewed the health and safety portion of the presentation and provided information on personal protective equipment, signage, ventilation and water systems, screening, transportation, and nutrition services. Matt Mons provided information about Covid case response. Allison Gillespie talked about attendance and grading.

Marisa Vette provided information on how information will be provided to families. After the presentation the School Board members asked questions. Nays, Ellison. Motion carried. Nays, none. Roll call vote: all ayes. Roll call vote, all ayes. Different members stated their children had a great start.

Published one time in the White Bear Press on October 7, Neither Owner nor Engineer will be responsible for Bidding Documents, including addenda, if any, obtained from other sources. Bids will only be accepted via the electronic bidding service through QuestCDN. No bid may be withdrawn for a period of 60 days. Vette read the public forum comments from Brian Riebe, Kristine Erickson and Beth Hill regarding safety concerns on reopening school. Kazmierczak made a recommendation to delay the start of school to September The Board had a long and thorough discussion on school start up and the plan.

Nays, Mullin, Newmaster, Beloyed, Chapman. Vote was defeated Tratechaud, Decedent. The application has been granted. Tratechaud E. Our vision for is to give you the best community news. Please consider supporting your local newspaper. Your subscription helps keep quality reporting by professional journalists, award-winning photography and local information available to everyone in our community.

Patricia R. Preceded in death by husband of 63 years, Kenneth. Mom was kind, positive and laughed easily. A special thank you to the staff at The Pillars of Oakdale for their tender, compassionate care of mom and for providing us with a home-away-from-home for the past six months.

Mom, you were stronger than you knew. Private family interment in St. John the Baptist Cemetery, Hugo,, Minnesota. Bea was an exceptional mother, teacher, and artist. She was very proud of her Norwegian heritage, and became somewhat of an expert on the Kensington Runestone, and gave many lectures on the subject. Much loved, she will be dearly missed by many. Family will be holding private services. For more information visit muellermemorial. Robert I. He worked 25 years at 3M in public relations, then built Business Writers Unlimited as a freelancer.

A gifted photographer and lover of nature, a volunteer with the Hazelden Foundation and the Gideons. Private interment Ft. Snelling National Cemetery. Virtual memorial to be held at a future date. Arrangements with Honsa Family Funeral Home, Greene Long, age 85, passed away peacefully in Tempe, Arizona, on September 21, Dee was born on November 27, , in St. Paul, Minnesota.

Paul Winter Carnival. In , she married her husband, Joe, and together they raised four children: Laurie, Lisa, Linda and Larry. Dee enjoyed life at the Lake; she also loved cooking, playing tennis, and entertaining for family and friends.

While Dee so enjoyed the dry heat of the desert, it came as no surprise when she managed to find a home on a lake in Tempe, and immediately went out and bought a pontoon boat. A private memorial service will be held at Fort Snelling National Cemetery in Minneapolis, Minnesota, at a date to be determined.

Wed-Fri: Mass at 96 a. Tuesday: p. Saturday: Mass at 5 p. Sunday: Mass at 9 a. Sacrament of Reconciliation: Saturday p. Service times are subject to change during the coronavirus crisis. Contact your local church or check church web sites for service time and online service information.

In person worship Traditional Worship Saturday at p. Sundays at 8 a. Contemporary Worship 1st and 3rd Sunday, in the Sanctuary. Lakeside Worship weather permitting at a. Bring your lawn chair or blanket. In event of rain, worship will be held in the sanctuary. ORG The safety of our patients, and employees, remains our highest priority. We provide full service nancial planning and investment advisory services specializing in personal planning, small business, non-pro t and governmental employer groups.

Proudly Representing Over 50 Insurance Companies Providing and servicing insurance products for you, your family, and your business; that I would want for myself, my family and my business.

A Registered Investment Advisor. Visit our newly renovated office and you will find all modern equipment paired with a caring staff. This rainbow was spotted around p. Wednesday, Sept. That day multiple weather systems passed through the area, which included rain, thunder, lightning, hail and rainbows. A group of residents in an assisted living community near the Stadium bar in White Bear Lake have started a Tuesday croquet game.

Due to the drastic measures taken to protect the elderly from. COVID, her community has had little interaction with each other and the outside world.

The game is a way for the women to get out, laugh, and enjoy themselves. Send us your photos for possible inclusion in Spotted Around Town. Please email your best shot to whitebearnews presspubs.

Please include information about when and where it was taken and who is in the photo. Join a panel discussion with writers included in the anthology A Garden of Black Joy. Visit WhiteBearArts. Because of COVID precautions, the Xcel employees enjoyed breakfast in their parked vehicles before starting their day and traveling out to job sites throughout the area.

Bartlett is offensive coordinator. We have 11 really solid guys. We lost a lot of starters, and without the traditional practice time and scrimmages, I think all head coaches are holding their breath.

Friday, Nov. Wednesday, Nov. We also physically distance when not playing, so huddles and small group conversations look quite a bit different.

Thursday, Nov. Monday, Nov. Tuesday, Nov. Bottom line is, it is what it is, and we will not make excuses. You adjust to life, you make the kids adjust, and you carry on as safe as possible. Hopefully, we will be able to have a balanced attack. Thomas Academy, 7 p. Paul, 1 p. Saturday, Nov. The Mahtomedi girls soccer team, ranked No. Stella Grabow was in goal and made three saves.

The Zephyrs played Hill-Murray at home Tuesday and hoped to line up another game Friday to close the regular season, Walz said. The team sat out three. Mahtomedi boys soccer picked up two shutout victories last week, over Tartan on Wednesday and over North St. Paul on Saturday, both at home. Scoring details not available at press time. The Zephyrs have four shutouts while allowing just five goals in eight games.

Sectionals start Thursday, Oct. Bruce Strand. Winter sports seasons were given the go-ahead last week by the Minnesota State High School League, with their schedules decreased by 30 percent of contest dates, due to the COVID pandemic. The starting dates for winter sports activities are as follows: Nov. Two of the best tennis teams in the state, Mahtomedi and Mounds View, head the team field for the Section 4AA tournament that will conclude their season.

Mounds View is seeded first and Mahtomedi second. Both are unbeaten. Mounds View beat Mahtomedi in the finals last season after Mahtomedi won the regular season matchup.

They did not meet this regular season, which was restricted to conference matches due to the pandemic. Mahtomedi was to open Monday in the quarterfinals against the winner of White Bear Lake vs. Anthony Village. The semifinals will be held Monday, Oct. Matches are held at high seeds. Stillwater is seeded third, Centennial fourth and Roseville Area fifth. The section tournament, starting Thursday, Oct.

White Bear Lake girls soccer lost its duel for first place with Stillwater last week in the regular-season finale, but will meet the Ponies again in championship games once and possibly twice. In the conference tournament implemented this year, due to pandemic rules limiting all teams to conference-only opponents, the Bears nipped a strong Mounds View squad on Friday evening — earning a rematch with the Ponies that was held Tuesday evening. See presspubs. That game will determine the official Suburban East Conference championship.

And the No. The Bears won the conference last year and Stillwater won the section. Sophie Steblay scored for Stillwater in the 25th minute and Lexi Huber made it in the 69th minute. Pony goalie Hadley Johnson made five saves. It should be a good game. The Mustangs are the only team Stillwater did not beat; they tied Nicole Moore got the lone goal against the Mustangs, five minutes into the second half.

Lauren Eckerle started the sequence with a well-placed low shot to Charlee Adam, who was screening standout goalie Lauren McAlpine. When the ball hit a Mustang defender, Moore pounced and booted it into the net. Mounds View put furious pressure on the Bears the rest of the way but Lehner made nine saves in the half.

Vokaty played the first half as the two Bear goalies split time as usual. Stillwater beat Woodbury to advance to the finals. Stillwater has outsdo4ed opponents , the Bears and the Mustangs Maren Schoeberl, senior co-captain for White Bear Lake soccer, is the defensive anchor on a team with six shutouts. A three-year starter, Schoeberl took over the key center defense spot this year. Undecided on a college sport, she will also a lso be a hockey captain this winter. White Bear Lake boys soccer lost to Stillwater at home Tuesday evening in the final regular season finale and to Mounds View there Thursday in the first round of conference playoffs.

Carson Arco knocked in two goals for Stillwater. Maggie Blanding has been one of the top runners in a strong White Bear Lake cross country program for five years. There was one problem: she also really enjoys tennis, another fall sport. This fall, with schedules for all sports shortened due to the Covid pandemic, Blanding took advantage by playing both during her junior year.

And not surprisingly, doing well in both. Blanding was paired with Franta, a senior co-captain, at the top doubles slot from the first meet, and they have posted a record. She is usually the No. As an eighth-grader she won the section championship and made allstate with a 19th-place finish. And we have been able to make the meet and practice schedule work.

Occasionally a prep athlete will also have a club team, she said. She was definitely one of our strengths this year that gave us a slight edge in our matches. Maggie Blanding and Abby Franta won , , at No. Against Forest Lake, whom they beat earlier in the season, Zimmerman prevailed , Alexina Erickson and Mia Haskins lost at 1 and 2 singles each match.

Top finishes against Roseville were Borofka and Xiaoyun Liang placing in both the 50 and freestyles, McLeod second in diving In your e-mail, please include a description of the specific accommodation you are requesting as well as the job title and requisition number of the position for which you are applying. The project work for these roles will be related to a thriving construction season for our clients in these regions. For the right intern or co-op, there will be much to do and much to learn.

Full-time college student majoring in civil or construction engineering. Must have strong work ethic, demonstrated desire to learn from hands-on experiences working in a team. Must possess strong communication skills, ability to work in a team and as an individual contributor; Able to manage activity through competing priorities. Must be reliable – i. This can be a very client-centric role – must have strong people skills and ability to effectively manage relationships with a wide range of clients, contractors and other project stakeholders.

Any prior experience with construction or prior internships in civil engineering or construction engineering is a plus. Any construction materials or. DOT-related certifications a plus.

The City of Ankeny is seeking a highly motivated, energetic civil or construction engineering student to complete a summer internship with the City’s Development Engineering Division. Pre-employment drug screen and background check required. Interested individuals should apply online and attach a detailed cover letter expressing interest, with a resume or other similar document, no later than February 27, All applicants will be considered; however, preference will be given to current students majoring in Civil or Construction Engineering or a related field who have completed their sophomore years or higher.

Candidates should be detail oriented and be able to keep accurate records. Excellent written and verbal communication skills are a must. The ability to multi-task is critical since the candidate may work on several projects at the same time. This individual would be working for Engineering Services based out City Hall.

Good experience is desirable but we are also not afraid to train the right person with a great attitude, good communication skills and strong work ethic. The candidate for this position will primarily work closely with the District 1 Right of Way Land Survey Department and other District staff, performing boundary, topographic, and construction surveys.

They will be working with R. Researching for survey related documentation, including U. Corner Certificates, Deeds, Plats of Survey, Subdivision Plats, and highway plans, from various agencies, may be included.

Contact : Allison Smyth allison. We’ve been in business for more than 85 years, serving public and private clients with evidence of our work in nearly 35 states. Brief Posting Description We are looking for an individual who wants to be part of a team that provides exceptional service to our clients, and we have an immediate opening for a Survey Crew Chief located in Mason City, IA.

Responsibilities for this position include: Topographic mapping, boundary surveys, processing field surveys and construction staking, interacting with clients and contractors, and providing Quality Assurance and Quality Control. This position acts as crew chief for a field survey crew or alone performing surveys for construction, land development, topographic, right-of-way, ALTA and control survey projects; participates in pre-survey planning meetings with project managers, resident project representatives, engineers, and contractor representatives; provides input for evaluation of members of field survey crew; and instructs and trains survey crew in survey and mapping methods, use of equipment, and field safety procedures.

The Crew Chief position gathers field survey data through use of conventional and Global Positioning System GPS methods; sets up, adjusts, maintains and operates surveying equipment, including robotic total station, data collectors, and GPS equipment, in order to measure distances, elevations, and angles; prepares field notes and drawings; and performs field surveying for roadway, railway, bridges, site and land development projects, including installing surveying construction stakes, and locating or establishing vertical and horizontal control, right of way, monuments, corners, boundaries, and property lines.

Research existing record information, including record maps, plans, deeds, easements, and rightof-way documents; and maintains field data records and survey project files. Ellis iowadot. Location: Des Moines North Maintenance Garage – Within five 5 months, employees are required to reside within 45 minutes driving time, during normal conditions, from assigned work location. Desired Abilities:. Highway Technician Associate responsibility:. Point of Contact David Bare – david.

Team lift or mechanical assist recommended for weights over 75 lbs. Additional Requirements : Post offer, pre-employment physical. Must successfully complete a Federal Highway Administrative approved comprehensive bridge inspection training course required by the National Bridge Inspection Standards prior to appointment or within a period of time designated by the appointing authority.

Work Hours: Days, Monday through Thursday, am to pm Travel: The person selected must be willing to travel and be able to climb and work under difficult and potentially hazardous conditions; occasional overnight travel. The Design Bureau is looking to hire a Design Technician Associates that will be part of a team designing highway improvement projects and construction plans that will be used to enhance the state and national transportation systems in Iowa.

Point of Contact Jim Scott, Jim. Scott iowadot. Location: Grimes Maintenance Garage – Within five 5 months, employees are required to reside within 45 minutes driving time, during normal conditions, from assigned work location. We are seeking an entry level Land Surveying Technician to join our team in all three offices. Position involves assisting a Survey Crew Chief with surveying field work, minor computer aided drafting and general project assistance.

The successful applicant will be a self-starter, motivated to meet internal deadlines and possess the ability to clearly communicate with other team members. Must have basic math skills, computer skills and the ability to work well with others in a team environment. Wages are commensurate with experience and skill set. If you meet these qualifications and are ready for an exciting, challenging and rewarding summer please apply at www.

Position involves assisting a Professional Land Surveyor with surveying field work, drafting surveys, legal descriptions and easement exhibits. Must have strong math skills, computer skills and the ability to work well with others in a team environment. In addition to a strong technical skill set, the position requires basic proficiency with AutoCAD.

Specific job tasks include:. Applicant should have advanced knowledge of modern survey practice and technology.

General Requirements:. If you meet these qualifications and are ready for an exciting, challenging and rewarding career please apply at www. Nicole DeWitt. Human Resources Manager ned hrsurveying. Laboratory Engineering Technician — Summer Our Construction Materials Technicians will perform various observations and tests on construction materials such as soils, concrete, masonry, reinforcing steel and asphalt.

You will communicate with Project Managers, client representatives and other key stakeholders regarding testing and inspection results. Tests are performed on building construction sites in the Des Moines area and in the Terracon laboratories. Successful candidates will receive in-depth technical training and professional certifications as they advance in the position. This is an opportunity to become a member of a successful team, be part of of the construction process, and make a career at a steady, growing organization.

This will be a field assistant position to start with, with the potential to become a crew chief. The position is currently not posted on CDA’s website, but it is open to receive resumes. These internships are not posted on CDA’s website, but are open for you to submit a resume. This position will work directly with licensed Civil and Senior Civil Engineers to gain on-the-job experience in the Civil Engineering field.

Primary tasks will be to assist in construction observation and survey. WHKS strives to provide a flexible, supportive, and collaborative workplace where individuals can utilize and develop their strengths and pursue their interests in the field of Civil Engineering.

WHKS offers excellent compensation and benefits, as well as work schedule flexibility. Visit our website to learn more about our services and other career opportunities at www.

College credit or equivalent experience in Civil Engineering Tech. Must be Legal U. Citizen, have valid Driver’s License, and clean driving record. Position will be based out of: Engineer’s Office in Marengo. Under the general direction of the County Engineer, this position will perform surveying, engineering design, construction staking and inspection for road, bridge and drainage maintenance and construction projects.

Starting rate of pay will be based on qualifications and experience. This position is eligible for the County’s paid benefits package. Applicants must have a valid Iowa driver license, a good driving record, organized, an eye for detail and flexible to change.

Applications are available online at www. As your second year students set their eyes on graduation next May and as your first year students look to gain some hands-on experience, I wanted to reach out to mention that we currently have a few full-time and internship opportunities available within various sectors that would provide your students with an educational, challenging, and rewarding experience.

In addition, I wanted to mentioned that we are in the process of coordinating in-person and virtual Open House events for December 21 and 22, which would be great opportunities for students to learn more about what we do and to hear from various members of the TKDA team. Nilles Associates, Inc. Established in , we have grown from a small land surveying firm to a full-service civil engineering, land surveying, and landscape architecture firm serving a wide range of private and public clients.

We have provided innovative designs for projects large and small throughout the Des Moines metropolitan area and throughout the state of Iowa. The full time Engineering Technician position would be responsible for performing and completing a variety of duties including but not limited to:. Nilles Associates offers a competitive salary and benefits package. Point of Contact Yanxiao Jia, Yanxiao.

Location: Design Project Section, Office of Design in Ames Shift: Days, Monday through Friday The Office of Design is looking to hire a Design Technician Specialist that will be part of a team designing highway improvement projects and construction plans that will be used to enhance the state and national transportation systems in Iowa.

This position is an essential member of a highway design team developing innovative transportation improvement projects. The Design Technician Specialist will assist leading the develop of highway plans under immediate supervision of the principal engineer of a project. Shift: Days, Monday through Friday. We have a great opportunity for a CAD technician to join a vital and growing survey department. This position is a critical addition to our team at the company headquarters located in Ankeny, Iowa.

Are you looking for a new, exciting opportunity? Join our Des Moines, IA office and be an integral part of growing our transportation practice. While the primary focus will be on local and statewide transportation projects, the candidate will have the opportunity to support other disciplines and projects through our firmwide transportation practice. This advanced proficiency level position performs non-routine and complex assignments involving responsibility for planning and conducting complete projects of varied scope.

Assists engineering teams in outlining objectives, requirements and design approaches. Responsible for gathering engineering data from a variety of sources.

Prepare electronic files, design plans, construction details and meeting exhibits with minimal direction and in coordination with engineering teams.

Microstation and Geopak experience — advanced proficiency level desired. Bentley OpenRoads experience a plusBluebeam Revu experience a plus. Responsible for verifying the accuracy of drawings, compatibility of work across disciplines and for checking detail and quantity calculations. Assists the engineer in outlining objectives, requirements and design approaches.

Attends project and pre-construction meetings and provides input to ensure proper policies, procedures, and specifications are followed. Prepares electronic files for use in meetings and facilitates their display. Calculates quantities and performs engineering related computations. Provides training and mentoring of less experienced technicians. Performs other duties as assigned. Associate of Science or Technical School.

In lieu of education, 8 years related experience. Proficient in the terminology and symbols used in survey notes, plans, shop drawings, aerial photographs, and maps related to a specific Engineering sub-type. Click here to learn more about EOE including disability and vet. Foth Infrastructure Solutions, LLC Foth is currently seeking an innovative and results-driven Civil Design Technician looking to advance their career utilizing the latest technology in a team-oriented and client-focused work environment.

Projects include improvements to a wide variety of airport infrastructure, including utilities, roads, taxiways, and runways.

You will be integral in providing essential solutions critical to the future growth and expansion of commercial service airports throughout Iowa. Our projects will challenge and reward you with many diverse opportunities to grow your career and technical skills. Foth Infrastructure Solutions, LLC is currently seeking a team-focused, innovative, and results-oriented Assistant Survey Technician who has a desire to contribute to our clients’ success and is looking for new learning experiences and opportunities for career growth.

This position will be working out of our Des Moines, IA location. Overcrowding, safety, and aging infrastructure — these are all challenges faced by nearly every community today. As a member of the Foth Infrastructure Solutions engineering team, you will help clients meet these challenges while minimizing impacts to the community and the environment.

From airports to utilities, roads, and bridges, you will be a part of providing effective solutions that are cost-conscious and practical. Conduct impactful technical survey activities for municipal and transportation projects, to include:. Point of Contact Michael Schneider, Michael. Schneider iowadot. Preferred experience:. Starting pay is negotiable within pay scale range, based on years of experience above the minimum qualifications.

Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification: 1 Graduation from high school, GED, or equivalency, and experience equal to four years of fulltime work in highway maintenance, equipment operation, construction inspection, field work in engineering survey, or materials inspection and testing. Stanley Consultants is seeking a talented and motivated Associate Technician to work in our Des Moines office.

This position uses Microstation software to produce neat, legible construction documents that meet company and client quality standards. The successful candidate primarily functions as a member of a project design team developing roadway, bridge, drainage and utility improvements for public agencies and other entities.

As a member-owned company for over years, we have been improving lives by surpassing complex challenges in power generation and delivery, transportation, water, governmental and military facilities, building services, and the environment. We inspire by embracing a global mindset, diversity and training to build member skills that stretch the imagination.

We provide a collegial work environment where members feel connected to their colleagues and clients, as well as fulfilled in their work. We are proud to be part of Stanley Consultants, and invite you to join our team! Bishop Engineering, A fast paced Engineering and Surveying company located in Urbandale, Iowa is looking for a pleasant, outgoing, responsible, and organized individual to perform surveying party chief duties.

Perform all aspects of construction staking as part of a two-man crew. We offer a very competitive pay scale with full benefits package including medical, dental, life, and k to all qualified employees. Highway Construction Projects:. Highway Design Projects:. Successful candidate must be able to work independently, be resourceful, and have the ability to learn Iowa DOT standards and project delivery process and AutoCAD.

Applications are due by November 26 th and we will be conducting interviews the week of December 6th,. This job is not posted on the Boone County Website. To apply complete the attached Boone County Application and submit that to the Engineer’s office. This enables us to have access to a variety of survey projects from boundary survey to 3D scanning to heavy highway staking and beyond. We serve public and private clients throughout Iowa.

We run state-of-the-art equipment. We take career development seriously. We support any survey staff member in their pursuit of becoming a licensed surveyor. We don’t hire survey staff member with the intention of laying them off over winter, they are a crucial part of our team at CGA. Project Surveyor L.

Army Corp of Engineers has direct hiring authority for recent graduates. You can apply anytime, even if there is not an open position on the USAJobs website. The local Omaha contact person is Jon Kragt. He will forward your information for other nationwide opportunities. You can also sign-up on this site to receive notifications for job announcements.

You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Turn on more accessible mode. Turn off more accessible mode. Skip Ribbon Commands. Skip to main content. Turn off Animations. Turn on Animations. It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Site Contents. Current Listing? Position Type. Posting Date. Position Name. Company Name. Contact Information.

Pin to Top. Public Works Director. A completed Employment Application form, cover letter, and resume including salary history must be submitted to the City Clerk’s Office, South Market Street, Oskaloosa, IA for first review of applications.

Assistant Survey Party Chief. Please review HERE Download PDF reader Download PDF reader Opportunities for professional growth and development Paid time off effective immediately – Biweekly vacation, separate sick leave, accruals rollover on a yearly basis, and 10 paid holidays per year Iowa Public Employee Retirement System IPERS Retirement Package with employer match Optional A plan with employer contributions Employee Discount Programs from variety of vendors vision, cellular, fitness, recreation, season passes, travel, counseling; legal, financial Additional requirements: Must have experience using survey instruments including electronic total stations, global positioning equipment, survey levels, and understanding of feature and linking codes.

Those eligible will receive both hands-on Behind-the-Wheel Range and Road training, with web-based Theory training, to fulfill required state and federal regulations. Minimum Qualification Requirements Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification: 1 Three years of full-time work experience in engineering survey, which included the operation of survey instruments.

Entry Level Technician. Send resume to: Ryan Clement Operations Manager ryan cmtdsm. Performs testing, observation, and inspection as directed in accordance with training and the specified procedures. Communicates information to Operations Manager and other required personnel as directed by the Operations Manager.

Must be 18 years of age with a clean driving record, drug free, and available to work flexible hours. Send resume to: Branden Stubbs, PE branden stubbs3. Design Technician II – Transportation. While the primary focus will be on local and statewide highway and transportation projects, the candidate will have the opportunity to support other disciplines and projects through our firmwide transportation practice.

This position is a proficient level position in a team environment in which primary responsibilities include supporting engineering teams in the preparation of drawings with CADD and assisting in other aspects of plan preparation such as information gathering, processing survey data, and creating exhibits for use in meetings.

Transfers information in numerical, written and sketched, or electronic format from sources such as legal descriptions, survey data, aerial photographs and computer files to final plans and maps. Develops and implements custom automated drafting and design procedures under supervision. Identifies errors, problems, or non-standard situations and suggests alternatives.

Visualizes and illustrates concept or designs in 2 or 3 dimensions. Utilize mathematics including algebra, geometry, and trigonometry. Minimum Qualifications: Associate of Science or Technical School 2 years related experience In lieu of education, 4 years related experience Proficient in the terminology and symbols used in survey notes, plans, shop drawings, aerial photographs, and maps related to a specific Engineering sub-type.

Design Technician I – Transportation. While the primary focus will be on local and statewide highway and transportation projects, the candidate will have the opportunity to support other disciplines and projects through our Central States Office and firmwide transportation practice.

This position is an entry level position in a team environment in which primary responsibilities include preparing drawings with CADD and assisting in other aspects of engineering plan preparation such as information gathering and data transfer. Utilizes mathematics including algebra, geometry, and trigonometry. Performs tasks under close supervision or from detail procedures. Design Technician Associate. Typical Responsibilities: Participates on a team that makes decisions that effectively balance mobility, environmental impacts, property impacts, cost and long term maintenance.

Produces highway project plans that are consistent with Iowa DOT design guidance. Assists in calculation of roadway geometric features including vertical and horizontal highway alignments. Assists in the design of intersections, drainage systems and traffic control plans. Assists in the develop 3-dimensional computer models of the proposed roadway. Calculates material quantities that will be needed to build the proposed roadway project. Prepares final details needed to clearly communicate the intention of plans to a road contractor.

Uses various engineering software programs to generate project information. Preferred Characteristics: Ability to successfully utilize advanced software applications. Analyzes challenges, defines successful solution alternatives and proactively solves problems. Passion and commitment to excellence in our highway design products. Effectively communicates with all levels of management and a wide variety of individuals involved in our development process. Motivated, friendly, inclusive and get-it-done attitude.

Embraces and encourages a culture that thrives on innovative ideas and leading changes that result in effective process and project improvements. Brings a professional positive attitude to our team every day. Interesting and complex projects are regularly developed by our staff providing varied experiences. Flexible work schedules. Annual pay and cost of living increases are typical.

An environment where teamwork, customer service, and a positive attitude are valued. Assistant to County Engineer.

Salary will depend on qualifications and experience. Candidates must possess valid State of Iowa driver’s license. Senior Civil Designer. Note: the job position lists Minneapolis, but the Des Moines office has the same need. When applying, note on the application which office you are applying for Minneapolis or Des Moines.

Essential Duties: Revise and create designs and drawings from redlined drawings, verbal and written instructions, marked prints, sketches, computations, and other sources prepared by task leads, designers or engineers. GPS Technician. Building as-builts and original ground topos using gps and drone equipment, Work alongside grading and utility crews in the field, Quantity takeoffs for stockpiles and as-built sites, Hands on working on gps guided equipment, including maintenance, and new installs.

Survey Field Technician. Engineering Technician. The job description is also included below. Applications will be accepted until the position is filled. Adair County is an Equal Opportunity Employer.

Physical ability to work outdoors under adverse conditions is necessary. Successful candidates will pass a physical, background check and drug screen prior to employment. Adair County offers an excellent benefit package including health, vision, dental, life insurance, IPERS and paid time off. Entry Level Survey Technician. The Survey Technician will: Perform field work on civil engineering, construction and general surveying projects, including topographic, ALTA, boundary, Right of Way and As-builts, Flood Elevation Certificates, Lot Surveys with supervision provided by a senior survey technician.

Keep accurate notes, records and sketches to describe work performed. Place stakes at designated points and drive them into the ground. Operate and maintain equipment that would include a tablet computer, digital camera, survey grade GPS, robotic total stations along with other measuring tools and Personal Protective Equipment. Work professionally in the field as a representative of JEO and our clients.

Communicate effectively, both written and oral, daily, with the project team. Qualifications High school diploma or G. When working outside, ability to stand for long periods, walk over all types of terrain while caring equipment up to 50 pounds. Must be able to work in inclement weather conditions. Survey Crew Chief. The ideal candidate will have a minimum of three years Crew Chief experience and survey knowledge which includes: boundary surveying construction staking topographic surveying.

Senior Survey Technician. The Survey Technician will: Perform field work on civil engineering, construction and general surveying projects, including topographic, ALTA, boundary, Right of Way and As-builts, Flood Elevation Certifications, Lot Surveys Keep accurate notes, records and sketches to describe work performed Place stakes at designated points and drive them into the ground Operate and maintain equipment that would include a tablet computer, digital camera, survey grade GPS, robotic total stations along with other measuring tools Qualifications High school diploma or G.

Drafts complex boundary surveys and property base maps. Process large topographic surveys. Determine earthwork cuts and fills volumes based on existing and proposed topography. Prepares moderately difficult to difficult topographic and construction drawings. Supports field assignments as required. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

Ability to write routine reports and correspondence. Ability to speak effectively before employees of the organization. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Fully competent in the office as it pertains to creating construction staking data and processing preliminary topographic surveys.

Able to perform required duties independently with little to no assistance. Knowledge of boundary survey procedures, able to interpret surveys, plats and deeds. The ideal candidate will have a minimum of three years Crew Chief experience and survey knowledge which includes: The Professional Land Surveyor will: Perform field work on civil engineering, construction and general surveying projects, including topographic, ALTA boundary, Right of Way and As-builts, Flood Elevation Certificates, Lot Surveys Keep accurate notes, records, and sketches to describe work performed Place stakes at designated points and drive them into the ground Operate and maintain equipment that would include a tablet computer, digital camera, survey grade GPS, robotic total stations along with measuring tools.

Design Technician. Typical Responsibilities: Participates on a team that makes decisions that effectively balance mobility, environmental impacts, property impacts, cost and long-term maintenance.

Analyzes challenges, defines successful solution alternatives, and proactively solves problems. Motivated, friendly, inclusive, and get-it-done attitude.

Four years of full-time work experience in design drafting, cartography, photogrammetry, engineering survey, soils survey, land survey, or construction inspection; and b.

Right of Way Coordinator. General Duty Statement Under direction, coordinates right-of-way activities, including plan review, permitting, overseeing construction projects and restoration within the city right-of-way of varying size and complexity. Distinguishing Features of the Class Responsible for conducting field inspections and initiating administrative enforcement actions to ensure compliance with applicable Federal, State and Local Codes and Ordinances pertaining to construction within the public Right-of-Way.

Supervision Received Works under general supervision of the Chief Development Officer, City Engineer, or other designated supervisor with independence in decisions relating to assignments. Assists citizen, contractors, utility companies and internal staff e. Researches and gathers data on deeds and legal descriptions. Reviews and issues right-of-way permits.

Makes field determination and notification to the contractor of non-complying work or materials. Verifies elevation and other measurements necessary to assure that excavations, backfilling, grading, compaction, alignments, slopes, grades, and elevations are proper.

Inspects public sidewalks, identifies defects or hazardous conditions, issues notices to repair, and verifies repairs have been made. Maintains records and prepares detailed daily diaries and inspection reports on pertinent construction activities for all necessary documentation requirements.

Develops and maintains records of construction quantities installed by contractors on a daily basis and confirm construction quantities with contractors on a weekly basis. Performs data entry in associated software systems. Investigates and responds to citizen complaints and responds to questions and comments in a courteous and timely manner.

Testifies in court, on appeals and when civil infractions are prosecuted. Supports continuous improvement initiatives. Ability and willingness to communicate and coordinate project needs with supervisors, surveyors, engineers and other engineering department personnel. Knowledge of construction materials testing methods and requirements. Knowledge of standard specifications governing public works construction and of problems involved with securing adherence by construction forces. Ability to make decisions regarding construction-related issues.

Good interpersonal skills, ability and willingness establish and maintain effective working relationships with employees, contractors, developers, government officials, representatives of various agencies, the general public and others. Ability to interpret engineering plans and specifications. Ability to create and maintain accurate records and estimates and to prepare reports. Ability to calculate quantities used on construction projects.

Ability to learn and assist in the site location and recording of traffic counts, by electronic means. Knowledge of all safety requirements related to the activities of the department i. Ability to determine long range needs and to plan, organize and oversee work for the accomplishment of objectives, with minimal direct supervision. Ability to supervise the work of others and assess performance.

Good knowledge of the geography of the city. Ability to work effectively as a member of a team to achieve goals. Demonstrates proficiency in operating a computer, iPad and modern day office equipment. Skill in the use of applicable software programs and willingness to learn new technology. Ability to communicate effectively with others, both orally and in writing. Ability to deal courteously and tactfully with the public to explain pertinent codes, ordinances and rules.

Understanding of and respect for the diversity of others including those whose first language may be one other than English. Integrity, ingenuity, and inventiveness in the performance of assigned tasks. Ability to be dependable and punctual for work.

Sufficient sensory observation capabilities which permit the employee to adequately perform inspection duties. Occasionally perform work indoors, sitting or standing at a desk in front of a computer. Sufficient mental capacity which permits sound decision-making, good judgment, calculating routine mathematical equations rapidly and accurately, interpreting and enforcing laws, codes and procedures.

Sufficient manual dexterity which permits the employee to write field notes, draw simple sketches, operate measurement devices, testing equipment, computer, and other technology. Routinely perform work outdoors, under a variety of weather conditions, with moderate to high noise level, exposure to dirt, noise, fumes and temperature extremes.

Sufficient personal mobility and physical reflexes which permits the employee continuously move to visit various job sites throughout the city, frequently stand, walk on various levels of terrain, bend at the waist and knees, stoop, squat, kneel, climb and reach above and below shoulder level to do measuring and testing, lift and carry equipment and materials up to 50 pounds and visit construction projects on-site at various locations.

Sufficient alertness and considerable mental and visual concentration to ensure attention to detail and accuracy. Occasionally use a respirator. Trulicity is a glucagon-like peptide-1 receptor agonist GLP-1 RA that is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.

Trulicity is contraindicated in patients with a prior serious hypersensitivity reaction to dulaglutide or any of the product components. Risk of Thyroid C-cell Tumors: Counsel patients regarding the risk of medullary thyroid carcinoma and the symptoms of thyroid tumors eg, a mass in the neck, dysphagia, dyspnea, persistent hoarseness. Patients with elevated serum calcitonin if measured and patients with thyroid nodules noted on physical examination or neck imaging should be referred to an endocrinologist for further evaluation.

Pancreatitis: Has been reported in clinical trials. Observe patients for signs and symptoms including persistent severe abdominal pain. If pancreatitis is suspected discontinue Trulicity promptly. Do not restart if pancreatitis is confirmed. Consider other antidiabetic therapy in patients with a history of pancreatitis. Please see Important Safety Information continued on following page. Hypoglycemia: The risk of hypoglycemia is increased when Trulicity is used in combination with insulin secretagogues eg, sulfonylureas or insulin.

Patients may require a lower dose of the sulfonylurea or insulin to reduce the risk of hypoglycemia. Recommended starting dose is 0. Dose can be increased to 1. Hypersensitivity Reactions: Systemic reactions were observed in clinical trials in patients receiving Trulicity. Instruct patients who experience symptoms to discontinue Trulicity and promptly seek medical advice. Severe Gastrointestinal Disease: Use of Trulicity may be associated with gastrointestinal adverse reactions, sometimes severe.

Trulicity has not been studied in patients with severe gastrointestinal disease, including severe gastroparesis, and is therefore not recommended in these patients. Gastric emptying is slowed by Trulicity, which may impact absorption of concomitantly administered oral medications. Use caution when oral medications are used with Trulicity. Drug levels of oral medications with a narrow therapeutic index should be adequately monitored when concomitantly administered with Trulicity.

In clinical pharmacology studies, Trulicity did not affect the absorption of the tested, orally administered medications to a clinically relevant degree. Pregnancy: There are no adequate and well-controlled studies of Trulicity in pregnant women. Use only if potential benefit outweighs potential risk to fetus. Nursing Mothers: It is not known whether Trulicity is excreted in human milk. A decision should be made whether to discontinue nursing or to discontinue Trulicity taking into account the importance of the drug to the mother.

Pediatric Use: Safety and effectiveness of Trulicity have not been established and use is not recommended in patients less than 18 years of age. Please see Brief Summary of Prescribing Information, including Boxed Warning about possible thyroid tumors including thyroid cancer, on following pages.

Macrovascular Outcomes: There have been no clinical studies establishing conclusive evidence of macrovascular risk reduction with Trulicity or any other antidiabetic drug. Renal Impairment: In patients treated with GLP-1 RAs there have been postmarketing reports of acute renal failure and worsening of chronic renal failure, sometimes requiring hemodialysis.

A majority of reported events occurred in patients who had experienced nausea, vomiting, diarrhea, or dehydration. In patients with renal impairment, use caution when initiating or escalating doses of Trulicity and monitor renal function in patients experiencing severe adverse gastrointestinal reactions.

Mixed model repeated measures analysis. After 26 weeks, placebo-treated patients were switched in a blinded fashion to Trulicity 1. Treatment should be individualized. Trulicity [Prescribing Information]. References assignment. American Diabetes Association. Standards from baseline at 26 weeks Diabetes Care.

References 1. Standards of medical care in diabetes— Limitations of Use: Not recommended as a first-line therapy for patients who have inadequate glycemic control on diet and exercise. Has not been studied in patients with a history of pancreatitis.

Consider other antidiabetic therapies in patients with a history of pancreatitis. Should not be used in patients with type 1 diabetes mellitus or for the treatment of diabetic ketoacidosis. It is not a substitute for insulin. Not recommended in patients with pre-existing severe gastrointestinal disease. The concurrent use of Trulicity and basal insulin has not been studied. Do not use in patients with a prior serious hypersensitivity reaction to dulaglutide or to any of the product components.

Glucagon-like peptide GLP-1 receptor agonists have induced thyroid C-cell adenomas and carcinomas in mice and rats at clinically relevant exposures. It is unknown whether Trulicity will cause thyroid C-cell tumors, including medullary thyroid carcinoma MTC , in humans, as the human relevance of this signal could not be determined from the clinical or nonclinical studies. One case of MTC was reported in a patient treated with Trulicity.

This patient had pretreatment calcitonin levels approximately 8 times the upper limit of normal ULN. Counsel patients regarding the risk for MTC with the use of Trulicity and inform them of symptoms of thyroid tumors eg, a mass in the neck, dysphagia, dyspnea, persistent hoarseness. The role of serum calcitonin monitoring or thyroid ultrasound monitoring for the purpose of early detection of MTC in patients treated with Trulicity is unknown.

Such monitoring may increase the risk of unnecessary procedures, due to the low specificity of serum calcitonin as a screening test for MTC and a high background incidence of thyroid disease. If serum calcitonin is measured and found to be elevated, the patient should be referred to an endocrinologist for further evaluation. Patients with thyroid nodules noted on physical examination or neck imaging should also be referred to an endocrinologist for further evaluation.

Pancreatitis: In Phase 2 and Phase 3 clinical studies, 12 3. An analysis of adjudicated events revealed 5 cases of confirmed pancreatitis in patients exposed to Trulicity 1. After initiation of Trulicity, observe patients carefully for signs and symptoms of pancreatitis, including persistent severe abdominal pain. If pancreatitis is suspected, promptly discontinue Trulicity. If pancreatitis is confirmed, Trulicity should not be restarted.

Trulicity has not been evaluated in patients with a prior history of pancreatitis. Hypoglycemia with Concomitant Use of Insulin Secretagogues or Insulin: The risk of hypoglycemia is increased when Trulicity is used in combination with insulin secretagogues eg, sulfonylureas or insulin.

Patients may require a lower dose of sulfonylurea or insulin to reduce the risk of hypoglycemia. Hypersensitivity Reactions: Systemic hypersensitivity reactions were observed in patients receiving Trulicity in clinical trials. If a hypersensitivity reaction occurs, the patient should discontinue Trulicity and promptly seek medical advice. Renal Impairment: In patients treated with GLP-1 receptor agonists, there have been postmarketing reports of acute renal failure and worsening of chronic renal failure, which may sometimes require hemodialysis.

Some of these events were reported in patients without known underlying renal disease. Because these reactions may worsen renal failure, use caution when initiating or escalating doses of Trulicity in patients with renal impairment.

Monitor renal function in patients with renal impairment reporting severe adverse gastrointestinal reactions. Pool of Placebo-controlled Trials: These data reflect exposure of patients to Trulicity and a mean duration of exposure to Trulicity of At baseline, the population had diabetes for an average of 8. At baseline, 2. Note: Percentages reflect the number of patients that reported at least 1 treatment-emergent occurrence of the adverse reaction.

Gastrointestinal Adverse Reactions : In the pool of placebo-controlled trials, gastrointestinal adverse reactions occurred more frequently among patients receiving Trulicity than placebo placebo More patients receiving Trulicity 0. Investigators graded the severity of gastrointestinal adverse reactions occurring on 0. Pool of Placebo- and Active-Controlled Trials: The occurrence of adverse reactions was also evaluated in a larger pool of patients with type 2 diabetes participating in 6 placebo- and active-controlled trials evaluating the use of Trulicity as monotherapy and add-on therapy to oral medications or insulin.

In this pool, a total of patients with type 2 diabetes were treated with Trulicity for a mean duration 52 weeks. At baseline, 5. Hypoglycemia was more frequent when Trulicity was used in combination with a sulfonylurea or insulin. Severe hypoglycemia occurred in 2. The long-term clinical effects of the increase in HR have not been established. Adverse reactions of sinus tachycardia were reported more frequently in patients exposed to Trulicity. Sinus tachycardia was reported in 3. Persistence of sinus tachycardia reported at more than 2 visits was reported in 0.

Immunogenicity : Across four Phase 2 and five Phase 3 clinical studies, 64 1. Of the 64 dulaglutide-treated patients that developed dulaglutide ADAs, 34 patients 0. The detection of antibody formation is highly dependent on the sensitivity and specificity of the assay.

Additionally, the observed incidence of antibody including neutralizing antibody positivity in an assay may be influenced by several factors including assay methodology, sample handling, timing of sample collection, concomitant medications, and underlying disease. For these reasons, the incidence of antibodies to dulaglutide cannot be directly compared with the incidence of antibodies of other products.

Hypersensitivity: Systemic hypersensitivity adverse reactions sometimes severe eg, severe urticaria, systemic rash, facial edema, lip swelling occurred in 0. Injection-site Reactions : In the placebo-controlled studies, injection-site reactions eg, injection-site rash, erythema were reported in 0. The adverse reaction of first degree AV block occurred more frequently in patients treated with Trulicity than placebo 0.

On electrocardiograms, a PR interval increase to at least milliseconds was observed in 0. Caution should be exercised when oral medications are concomitantly administered with Trulicity. In clinical pharmacology studies, Trulicity did not affect the absorption of the tested, orally administered medications to any clinically relevant degree.

The risk of birth defects, loss, or other adverse outcomes is increased in pregnancies complicated by hyperglycemia and may be decreased with good metabolic control. It is essential for patients with diabetes to maintain good metabolic control before conception and throughout pregnancy. Trulicity should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Because many drugs are excreted in human milk and because of the potential for clinical adverse reactions from Trulicity in nursing infants, a decision should be made whether to discontinue nursing or to discontinue Trulicity, taking into account the importance of the drug to the mother.

Pediatric Use: Safety and effectiveness of Trulicity have not been established in pediatric patients. Trulicity is not recommended for use in pediatric patients younger than 18 years. Geriatric Use: In the pool of placebo- and active-controlled trials, No overall differences in safety or efficacy were detected between these patients and younger patients, but greater sensitivity of some older individuals cannot be ruled out. Hepatic Impairment: There is limited clinical experience in patients with mild, moderate, or severe hepatic impairment.

Therefore, Trulicity should be used with caution in these patient populations. In a clinical pharmacology study in subjects with varying degrees of hepatic impairment, no clinically relevant change in dulaglutide pharmacokinetics PK was observed.

Renal Impairment: In the four Phase 2 and five Phase 3 randomized clinical studies, at baseline, 50 1. No overall differences in safety or effectiveness were observed relative to patients with normal renal function, though conclusions are limited due to small numbers. In a clinical pharmacology study in subjects with renal impairment including end-stage renal disease ESRD , no clinically relevant change in dulaglutide PK was observed.

There is limited clinical experience in patients with severe renal impairment or ESRD. Trulicity should be used with caution, and if these patients experience adverse gastrointestinal side effects, renal function should be closely monitored. Gastroparesis: Dulaglutide slows gastric emptying. Trulicity has not been studied in patients with pre-existing gastroparesis.

Effects associated with these overdoses were primarily mild or moderate gastrointestinal events eg, nausea, vomiting and non-severe hypoglycemia. Counsel patients to report symptoms of thyroid tumors eg, a lump in the neck, persistent hoarseness, dysphagia, or dyspnea to their physician.

Instruct patients to discontinue Trulicity promptly, and to contact their physician, if persistent severe abdominal pain occurs. Review and reinforce instructions for hypoglycemia management when initiating Trulicity therapy, particularly when concomitantly administered with a sulfonylurea or insulin. Inform patients treated with Trulicity of the potential risk for worsening renal function and explain the associated signs and symptoms of renal impairment, as well as the possibility of dialysis as a medical intervention if renal failure occurs.

If symptoms of hypersensitivity reactions occur, patients must stop taking Trulicity and seek medical advice promptly. Refer to the accompanying Instructions for Use for complete administration instructions with illustrations.

Inform patients about the importance of adherence to dietary instructions, regular physical activity, periodic blood glucose monitoring and HbA1c testing, recognition and management of hypoglycemia and hyperglycemia, and assessment for diabetes complications. During periods of stress such as fever, trauma, infection, or surgery, medication requirements may change and advise patients to seek medical advice promptly.

The day of once weekly administration can be changed if necessary, as long as the last dose was administered 3 or more days before. If a dose is missed and there are at least 3 days 72 hours until the next scheduled dose, it should be administered as soon as possible. Thereafter, patients can resume their usual once weekly dosing schedule. If a dose is missed and the next regularly scheduled dose is due in 1 or 2 days, the patient should not administer the missed dose and instead resume Trulicity with the next regularly scheduled dose.

HbA1c is especially useful for evaluating long-term glycemic control. Additional information can be found at www. Gulon, DDS. Cancer is life changing and some cancers are hard to fight with traditional treatments. Paul offers exclusive treatment in the Twin Citie metro area. CyberKnife targets tumors with superi accuracy, has fewer treatments, and minimal side effects.

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Publisher Mike Starnes mstarnes mppub. Assistant Editor Patricia Mata tmata mppub. Account Executive Stacey Bush sbush mppub. We welcome the submission of manuscripts and letters for possible publication. All views and opinions expressed by authors of published articles are solely those of the authors and do not necessarily represent or express the views of Minnesota Physician Publishing, Inc.

The contents herein are believed accurate but are not intended to replace medical, legal, tax, business, or other professional advice and counsel.

No part of the publication may be reprinted or reproduced without written permission of the publisher. Allina Health patients aged Researchers also worked to engage the general public through informational campaigns at community events.

They developed an award-winning website with general screening information and updates to help engage and educate the public. More than 3, patients who were not up to date with their screening were eligible for the study. Of those, more than 2, had colorectal cancer screening tests ordered and more than engaged in shared decisionmaking sessions with a nurse.

However, they say that. Workplace Solutions For Physician Burnout Studied Addressing communication and workflow issues at hospitals may help reduce rates of physician burnout and dissatisfaction and improve retention rates, according to a national study led. Half the clinics were randomized to work-life interventions and half received no interventions. Researchers then measured work conditions, including time pressure, workplace chaos, and work control, as well as clinician outcomes, at a baseline and at 12 to 18 months.

Of clinicians, completed the study. The results show that at the clinics with interventions, physician burnout or satisfaction. Specifically, those with interventions saw a The study identified three types of interventional programs that were most effective—workflow redesign, communication improvements particularly between provider groups , and quality improvement projects targeted to clinician concerns.

Specifically, the communications and workflow interventions showed a trend toward greater improvements in clinician satisfaction and retention rates. This study shows that interventions can have a positive effect on clinicians; and the next step in the analyses will determine how much of this impact is transmitted to patients.

The report includes data from 69 Minnesota hospitals and surgical centers from October to October In that time period, they reported 2 million visits in which there were adverse health events, including 98 serious injuries and 13 deaths. In the previous report,. The authors point out that four new reportable event categories were added this year and those additions contributed to the rise in reportable errors. The new categories were death or serious injury resulting from failure to follow up or communicate laboratory, pathology, or radiology test results in which five events were reported ; irretrievable loss of an irreplaceable biological specimen in which 20 events were reported ; neonatal death or serious injury associated with labor and delivery in a low-risk pregnancy in which six events were reported ; and death or serious injury of a patient associated with the introduction of a metallic object into the MRI area in which no events were reported.

According to MDH, Minnesota is one of 28 states that tracks adverse events and only Capsules to page No wonder the famed Juilliard School admitted them all—simultaneously. Please note: The Minnesota Orchestra does not perform on this program.

Paul Fire Department have teamed up to help reduce emergency calls and unnecessary hospital readmissions in the East Metro through a pilot program where specially trained paramedics will visit patients in their homes within 48 hours after they are discharged from the hospital.

Readmissions usually happen within the first 72 hours of being released. The program will focus on patients with congestive heart failure, which has one of the highest hospital readmission rates. Patients will be referred to the St. Paul Fire Department for a free commun-. Paramedics will provide education on medications, perform a clinical assessment, help patients understand symptoms to watch for, make sure they are connected to resources within the community for food and transportation, and perform a home safety check.

Our colleagues at Methodist Hospital have seen great results with this program, and we are excited to expand it to the East Metro. Paramedics have visited almost patients and found 20 cases that. They also referred 10 patients to social and community services, seven patients to food shelves, and replaced smoke detectors or batteries in 52 homes.

The Safe Patient Standard bill would establish a workgroup to determine minimum staffing for nurses for various hospital units and sizes in Minnesota. Staffing should be flexible. Health care professionals closest to the patient should determine appropriate levels of staffing, not the government. Jain earned her medical degree at Kasturba Medical College, India, and completed a residency in internal medicine as well as a fellowship in advanced echocardiography and cardiovascular diseases at Mayo Clinic, Rochester.

Tiryaki also serves as an associate professor in the department of neurology at the University of Minnesota and is one of 11 faculty advisors for medical school students. She earned her medical degree from Hannover Medical School, Germany.

Most recently, he served as a family practitioner at Essentia Health—Lakeside Clinic, Duluth, and as an urgent care physician for Bloomington-based HealthPartners. Cloud, has received the St. Cloud Hospital Physician of Excellence award. The award recognizes a St. Cloud Hospital medical staff member for exemplary work ethic and dedication to patient care.

Winners are nominated by their peers; those who nominated Hauge characterized him as respectful, dedicated, and Mark Hauge, MD always willing to put his patients first. Hauge earned his medical degree from Mayo Medical School, Rochester; completed a fellowship in medical oncology at Mayo Clinic, Rochester; and completed a residency in internal medicine at the University of Minnesota.

Background and Focus: With dramatic population growth, and as baby boomers become senior citizens, the demand for health care is exceeding the supply. Addressing the shortage of medical doctors involves creating new relationships between medical professionals. Training and licensure for Physician Assistants, Advanced Nurse Practitioners, Chiropractors, Respiratory Therapists, Physical Therapists, Home Care Providers, Dentists, and many other health care professions have become increasingly rigorous and provide expanded support to our health-care delivery system.

Greater integration of these professions allows medical doctors to work to the top of their license but requires new pathways for communication and care coordination. Objectives: We will examine many of the new partnerships that are emerging between medical doctors and other medical professionals.

We will look at the ways leveraging these new relationships can improve access to care while reducing costs and improving outcomes. We will consider points of resistance to forming these kinds of health care teams and what should be avoided in creating them. We will discuss what the proper oversight for these relationships should entail and how to maximize the coordination of care that they require. Tickets may be ordered by phone at , by fax at , on our website mppub.

Make checks payable to Minnesota Physician Publishing. Please note: tickets are non-refundable. Matt Brandt Multicare Associates Mr. Brandt is CEO of Multicare Associates in the Twin Cities, a primary care physician group that has been piloting a direct pay primary care model since In , he founded a health care cooperative, PrimaCare Direct, which includes over doctors and offers direct pay health care services to employers and patients in the Twin Cities.

We also compared cooperative made up of health care providers who data from different health plans to determine what work together to market medical services directly their per member, per month spend was on primary to patients and employers.

I prefer to think of care. Then we looked at our primary care spendPrimaCare Direct as a group of physician practices ing and researched what other direct primary care that understands how to practices were charging. The good The goal should really be side of the current system.

The goal significantly exceeded the monthly fee. Cooperative pracoverall cost of care? Currently, the big trend for employers is to care. Instead of direct pay medical home. The defining elements of managing their care with their primary care proDPC is to create improved access to primary care vider they wind up in the emergency room, which and to ensure that patients have an enduring and drives up the cost of care. One ER visit can pay for trusting relationship with their primary care providers.

Fee-for-service incentives are replaced with a eight primary care visits. PrimaCare Direct eliminates the barrier for patients to see their primary simple flat monthly fee. It encourages good utilization teaching a patient to use their inhaler properly versus health outcomes, a better patient experience, and bad utilization a patient ending up in the ER with lower costs. PrimaCare Direct has also started to an asthma attack. Independent physician groups include specialty services.

Specialty practices can join the cooperative and provide procedures or care have typically been very good at developing outpatient capabilities, imaging centers, surgery centers, packages for one bundled fee instead of having diagnostic labs, etc.

Often, specialty physician groups can deliver the same high-quality services in an outpatient setting for 20 percent to 50 percent less than at a hospital. The monthly fee is capped at four family members, so additional family members are free. Early results have been promising. Multicare Associates has been using this model with its employees for some time and has kept its health plan costs under control for the past seven years.