coast2coast

coast2coast

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All Content by coast2coast

  1. experience with Barton ?

    coast2coast replied to coast3coast's topic in Nurse Practitioners, NP

    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

    coast2coast replied to 0.adamantite's topic in Patient, Colleague Relations

    every d*mn time! We all have our

  3. African American patients - a cultural question

    coast2coast replied to 0.adamantite's topic in Patient, Colleague Relations

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

  4. FQHC

    coast2coast replied to Palliative Care, DNP's topic in Advanced Practice

    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

    coast2coast replied to laurenj819's topic in Nurse Practitioners, NP

    PM'd

  6. Notice of Termination Expectations

    coast2coast replied to psychNP2013's topic in Advanced Practice

    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

    coast2coast replied to eftxrnpnp's topic in Nurse Practitioners, NP

    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

    coast2coast replied to takkatak's topic in General Nursing

    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

    coast2coast replied to takkatak's topic in General Nursing

    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

    coast2coast replied to Mavrick's topic in Advanced Practice

    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"

    coast2coast replied to everlongRN's topic in Post Graduate Students

    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!

    coast2coast replied to CocoaLoverFNP's topic in Nurse Practitioners, NP

    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?

    coast2coast replied to automotiveRN67's topic in Advanced Practice

    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. Is it just me, or is this rude, sexist, and condescending?

    coast2coast replied to RNdynamic's topic in Patient, Colleague Relations

    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!

    coast2coast replied to edmia's topic in Nurse Practitioners, NP

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

  16. Can't get a hold of BRN

    coast2coast replied to Satsun's topic in General Nursing

    You would not be the first person to fly to Sacramento to ask our esteemed BON a single question. That is definitely an option. personally, I start robo-calling at 7:59 am and just leave it on...

  17. Foster Care Physicals

    coast2coast replied to midwestFNP's topic in Nurse Practitioners, NP

    I believe Midwest and I are referring to foster PARENT physicals, not the children themselves. you seem to be making this personal, and your last statement is both inflammatory and unconstructive....

  18. Meanwhile at the pain clinic...(is it really worth it?!)

    coast2coast replied to mountainaireNP's topic in Advanced Practice

    Do you LIKE this job? Do you find it rewarding? If so, then stay. if not - you almost have a year of experience. Start applying! I remember how hard this first job was for you to find, but you are no...

  19. Foster Care Physicals

    coast2coast replied to midwestFNP's topic in Nurse Practitioners, NP

    agreed. In addition to a physical exam, there are questions about mental fitness and treatment compliance on the forms in my state. I can't possibly certify those things without an established...

  20. Direct-entry programs

    coast2coast replied to Ashley313's topic in Student Nurse Practitioner

    Thats a tough question, honestly. I am personally comfortable with my level of debt and it's long-term payoff, but you are asking about substantially more. I would wait to see if you get into the...

  21. Direct-entry programs

    coast2coast replied to Ashley313's topic in Student Nurse Practitioner

    I wasn't actually trying to make a comparison, just referencing the advice the OP received in previous posts. I have great respect for RNs and the APN role that they created. That being said,...

  22. Foster Care Physicals

    coast2coast replied to midwestFNP's topic in Nurse Practitioners, NP

    easy ... I DON'T certify the health of a patient I don't know. Have refused to do the foster care form more than once. As a corollary to this, our clinic has a policy that we can refuse to do...

  23. Direct-entry programs

    coast2coast replied to Ashley313's topic in Student Nurse Practitioner

    I went about 130k into debt for my direct entry master's. It was totally worth it, but my loan payments are now $1000/month. That is doable on the average NP salary, but means that I still live on a...

  24. (IN)Appropriate Dress

    coast2coast replied to trinitymaster's topic in General Nursing

    Forgot to add that I would strongly recommend you discuss this with your professors, they might be able to help you understand how problematic your attitude in the first post

  25. (IN)Appropriate Dress

    coast2coast replied to trinitymaster's topic in General Nursing

    You use the frustration emoji because you lack any type of experiential or contextual understanding of why it is inappropriate for a male nurse to make comments about tight pants worn by women NPs,...