coast2coast

coast2coast

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About coast2coast

Primary care NP for underserved, high-risk, and complex chronic care populations.

Latest Activity

  1. experience with Barton ?

    Thanks all - the original post was from me but I had lost my login credentials. I have done a lot of boundary setting with this rep in no uncertain terms and he clearly isn't listening. Hasn't...
  2. African American patients - a cultural question

    every d*mn time! We all have our
  3. African American patients - a cultural question

    I see this frequently with psych patients - they want you to engage in a power struggle. Drives me nuts, every single
  4. FQHC

    same. Great experience, great coworkers, but I am getting the hell out of dodge when my NELRP contract ends this year. Life is too short to work that hard
  5. Obtaining Furnishing License after 15 years

    PM'd
  6. Notice of Termination Expectations

    Minimum 30 days ... My last position I gave them a 'soft' warning at 6 months and official resignation at 90 days, but that is probably an extreme situation (large patient panel being left and clinic...
  7. New grad offer, need input

    There's no way you will see 25+ patients/day and leave at 3pm if this is family practice/primary care. The 'productivity' bonus is a joke, as is lack of benefits. Keep
  8. Healthcare for undocumented immigrants

    No offense was intended, I was merely trying to counter what I see as a widely-held belief that things like legal status are not a routine part of healthcare delivery. An acute care example would be...
  9. Healthcare for undocumented immigrants

    interestingly enough, this is not actually true. Having worked for multiple FQHCs,I can tell you that determination of eligibility for medi-caid/obamacare takes place on site and is an integral part...
  10. Prescribers vs Providers

    this. Any goober with MD behind their name can fling scripts. TLC (which oh by the way might mean the difference between compliance and noncompliance, life and death) is where NPs impact both...
  11. The courage to say "I don't want to do this"

    Best decision I ever made was to leave a doctoral program (pre nursing career). Don't be scared to do what you need to
  12. Negotiating my salary is exhausting!

    I may be too late for this but ... THAT IS WAY TOO LOW! Waaaaaaaaaaaaaaaaaaaay under average for SoCal. New grads in community centers are starting over 90 at multiple locations in metro LA. I know...
  13. Do you text your patients?

    Never. I have also stopped giving out my direct extension at work and am now directing patients to the receptionist or nursing line. 99% of my calls and messages could/should be handled by someone...
  14. More importantly, other women will just assume one of THEM left pee all over the seat ... Let them fight amongst themselves over such petty garbage. yes, it's sexist, but it's also a battle you will...
  15. Favorite Clinical Apps -- Go!

    Medscape ASCCP ( pap guidelines ) figure 1 ( for when I get tired of interpreting paps í