coast2coast

coast2coast

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All Content by coast2coast

  1. Is being an NP REALLY like i'm reading?

    you ou have described my reality. I have realized the dream of knowing patients, seeing families, providing education. In order to do that, I see 24-36 patients per day and routinely work an hour to...
  2. (IN)Appropriate Dress

    so neither an NP nor a female professional. Think I've heard
  3. Patient education frustration

    I choose my battles. I won't prescribe antibiotics qMonth, and we agree not to talk about how often they go get random penicillin shots in Tijuana. And yes you get a reputation. Just make sure it's...
  4. Patient education frustration

    I could write a book on the california immigrant hispanic population and education and diabetes. What I have learned so far: - Culturally many are taught to be extremely subservient to...
  5. Patient education frustration

    I work with the exact same population, and have learned a few things the hard way. Some things to think about: - how are you communicating? do you speak spanish or with a translator? do you...
  6. NELRP is definitely taxed. They take out about 30% before they give it to you. In my case, the offer on paper looked like NELRP was going to give me substantially more money than NHSC. After taxes...
  7. Patient Comments

    ...
  8. Career (Prep) Advice

    There should be plenty of NP opportunities in ID, possibly more inpatient than outpatient but it probably depends on where you live. All of those clinical sites would be great; if possible I would...
  9. Many nursing schools will not hire DNPs as tenured faculty. If you have your heart set on teaching, and you definitely need loan repayment to pay for the degree, I would strongly recommend doing PhD...
  10. California Scope of Practice

    In the outpatient setting, not at all. Inpatient really depends on the culture of the hospital, the specific service, and how much experience they have utilizing NPs. I have seen extreme opposites...
  11. I'm 24. I'm 5'5" - 44-35-44. No shrinking violet, but not a bruiser, either. I live in skinny jeans and fitted tops and I like looking remotely "female" when I step out of the house. Normally...
  12. Time

    Primary care here ... I take a lot of "behavioral" and chronic complex care new patients. As soon as I realize a patient has 25 complaints on their first visit ... I stop my h&p and make them...
  13. My obamacare experience

    I work in a state that elected to provide medicaid expansion as part of the ACA. We were closed yesterday for New Year's, so today was when "obamacare" implementation really took effect for my...
  14. California NP licensing and job search

    Until recently I always had the impression that CA BON was staffed by 2 people. The same man and woman always answered the phones. Response times certainly suggested that 2 people were doing all the...
  15. Chronic care at retail clinics?

    Really interesting to hear this perspective, thanks for sharing. I always wondered about ability to refer out from this setting. It sounds like you have an official referral network? What about labs...
  16. Yes I have wondered about that! I even re-checked my HPSA score and it still says 13. I got funded late in the cycle, maybe I was really lucky and there weren't many 13's accepted. Who knows. They...
  17. Question on the NP Furnishing License in Calif

    a few thoughts .... Something is very wrong with CA BON staffing right now (more so than usual). So it might be a realllly long time before you hear anything official. Depending on how recently you...
  18. I was funded last year with a site score of 13. I think they give more funding each year to NP's which is why I made the
  19. Anyone go back to paper charts after EMR?

    Yes - it is painful to go backwards but you get used to it. My biggest frustration has been med lists (you better hope the most recept script got put in the chart, and that it's legible) and vaccine...
  20. Accelerated BSN, how much did it cost you

    Federal loan amounts are determined by your cost of attendance, which is calculated by your school. My school added everything up (they include cost of living estimate, tuition, health insurance) and...
  21. Wish granted! What type NP are you? Adult Where (state)(rural/urban) do you practice? Urban, California Are you independent or in a group? FQHC/ primary care with integrated behavioral health program...
  22. Thoughts on designer resumes?

    Pretty but not
  23. NELRP 2013 - Who else applied?

    I was notified of acceptance last Thursday, 9/4. Hang in
  24. DMII Victoza med management

    We added levemir to formulary a few months ago (in addition to NPH and 70/30) and I have been pushing it pretty hard with my DM2's. It's amazing to see how fast A1C's normalize with a long-acting...
  25. DMII Victoza med management

    Somewhat similarly, my preferred escalation is: 1. Max metformin. Hard & fast. No weenie 5 year slog at 500mg/day. You either need it or you don't. 2. Max glipizide ( and wait for the...