coast2coast

coast2coast

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All Content by coast2coast

  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 brought me any good offers either - similar to BCgrad, ...
  2. African American patients - a cultural question

    every d*mn time! We all have our kryptonite!
  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 time.
  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 forever!
  5. Obtaining Furnishing License after 15 years

    PM'd you
  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 couldn't retain adequate number of providers).
  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 looking.
  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 someone needing dispo to rehab or skilled nursing. ...
  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 of the workflow of community clinics. Specifically...
  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 quantity and quality of life. (Name-calling only in the...
  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 do.
  12. Now THAT'S a lab result

    he was severely hypothyroid due to med noncompliance due to mania ...
  13. Now THAT'S a lab result

    Chronic hgb in the 3.5-4.0 range. Dying of metastatic probably rectal dancer, survived almost a year. a1c 16.9, very alive and one of my best-behaved diabetics now. TSH 490. Manic but definitely alive a1c's of 15, systolic BPs in the 200s, and trig...
  14. 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 you are a new grad and need to get hired, but man ...
  15. 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 else. I found that by my being involved they gener...
  16. Is it just me, or is this rude, sexist, and condescending?

    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 never win. Seriously. Just pee on the seat next t...
  17. Favorite Clinical Apps -- Go!

    Medscape ASCCP ( pap guidelines ) figure 1 ( for when I get tired of interpreting paps í ½í¸‰)
  18. Can't get a hold of BRN

    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 speakerphone til I get a human being.
  19. Foster Care Physicals

    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. You have no idea where Midwest works or what she/he ...
  20. Meanwhile at the pain clinic...(is it really worth it?!)

    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 longer green. If this place makes you miserable,...
  21. Foster Care Physicals

    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 patient relationship. The last thing a foster kid need...
  22. Direct-entry programs

    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 other programs, and also speak to MGH about your con...
  23. Direct-entry programs

    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, financially I think it is far wiser to do a DE-MSN rathe...
  24. Foster Care Physicals

    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 paperwork of any type for a new patient.
  25. Direct-entry programs

    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 budget and not luxuriously AT ALL. 175 is signif...