Evan Chalfin, FNP

Evan Chalfin, FNP

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Walk-In Acute Care Services

Do you need medical care today, but you can’t get in with your regular Open Door provider?

Open Door is pleased to announce walk-in services for non-life threatening medical issues!

What: Open Door Acute Care Center (ACC) for walk-in appointments for established Open Door patients

Who: for all established Open Door patients.  We cannot accept anyone who is not already a patient of Open Door. 

Where: 2412 Buhne Street, Eureka, CA 95501 | 707.443.4666 phone

When: 8 am – 5 pm, Monday through Friday (closed for lunch 12:00PM – 1:00 PM)

What: Walk-in health center (no appointment needed) for established patients

Morning appointments accepted before 11:15 AM

Afternoon appointments accepted before 4:15 PM

The ACC serves the following acute issues:

  • Cough, chest, or sinus congestion
  • Sore throat
  • Earache/ear pain
  • Nausea/vomiting
  • Diarrhea/constipation
  • Headache/migraine
  • Pinkeye
  • Eye injury
  • Asthma or COPD flare up
  • Wounds/minor injury
  • Abscess or other infection
  • Lice, scabies, ringworm, or rash
  • STD testing
  • UTI or yeast infection
  • Back or joint pain, less than 2 weeks

Important Notes:

  • Appointments are made on a first-come first-served basis.
  • Wait times can be up to 2 hours.
  • Come in early, as schedules fill up quickly.  We open to pts at 8 am and 1 pm.   You can call ahead to see if our schedule is full at (707) 443-4666. 

The Acute Care Center cannot see patients for work related injury or illness, sports physicals, or medication refills of any kind. 

We cannot treat life-threatening conditions. If you have any of the following, please call 911 or proceed to the Emergency Department nearest you:

  • Chest pain or heart palpitations
  • Acute psychiatric changes including suicidal ideation
  • Severe abdominal pain, active internal bleeding (throwing up blood or black stool)
  • External bleeding, uncontrolled bleeding or bleeding/ spotting with possible pregnancy
  • Poisoning
  • Car accident/physical trauma (assault/major fall)
  • Suspected (child, sexual, or elder) abuse
  • Neurological changes including stroke, recent loss of consciousness, decreased level of consciousness (unusually sleepy, listless, “out of it” confused, hard to wake, not acting normal) and seizures
  • Precepted clinics
    • 4 Sessions / Week
    • These are the cornerstone of the residency. In precepted clinics, the APC residents each develop their own patient panel while having an expert Open Door primary care provider (MD, APRN or PA) exclusively assigned to them.
  • Specialty rotations
    • 2 Sessions / Week x 1 / Month
    • The APC residents complete rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Sample rotations include: orthopedics, dermatology, women’s health, pediatrics, geriatrics, newborn/nursery, HIV care, adult behavioral health, child and adolescent behavioral health, and healthcare for the homeless.
  • Mentored independent clinics
    • 2 Sessions / Week
    • During independent clinics, the APC residents work as members of a team and see patients at the delegation of other primary care providers, who remain available for consultations. The focus is on the practice of episodic and acute care visits.
  • Didactic Sessions
    • 1 Session / Week
    • The NP/PA residents attend formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.
    • Quality Improvement Training: Training on Open Door’s Quality Improvement model, including clinical microsystems and facilitation as well as leadership development.
    • Journal club: bimonthly journal presentation related to evidence-based practice…
    • “Hot Topic” Preclinic Conference: weekly preclinic conference led by individual residents or faculty related to core primary care topics and patient presentations
  • Quality Improvement Project and Training: Training on Open Door’s Quality Improvement model, including clinical microsystems and facilitation, as well as leadership development.

Point of Care Ultrasound Training (POCUS)

The ODCHC APC residency program offers a Point of Care Ultrasound (POCUS) training program as part of our Advanced Practice Clinician (APC) residency curriculum. This program equips healthcare providers with the skills to perform and interpret ultrasounds at the patient’s bedside, resulting in enhanced diagnostic accuracy, timely decision-making, reduced healthcare costs, improved patient experience, expanded access to underserved areas, and opportunities for education and community health promotion. By integrating POCUS into our curriculum, we enhance patient care and access to healthcare while reducing costs benefiting individual patients and the community.

Procedure Clinic

The procedure clinic within our Advanced Practice Clinician (APC) residency curriculum at Open Door Community Health Centers empowers our healthcare providers with the skills to perform essential medical procedures efficiently in the primary care setting, such as biopsies, injections, suturing, etc. This program significantly benefits our patients and community by ensuring enhanced patient care, reduced wait times, cost-effective treatment, and improved access to essential healthcare services. With procedure-trained providers, we prioritize patient well-being, offer prompt and effective procedures, and contribute to our community’s overall health and satisfaction.

Longitudinal Pediatric Clinics

Our Longitudinal Pediatric Clinic training, an integral component of the Advanced Practice Clinician (APC) residency curriculum at Open Door Community Health Centers, is designed to equip our healthcare providers with specialized skills in pediatric care. This program offers numerous benefits to our patients and community by ensuring comprehensive, continuous, and high-quality healthcare for children. Our residents gain expertise in pediatric diagnosis, treatment, and prevention, leading to improved child health outcomes. By focusing on pediatric care, we are committed to enhancing the well-being of our young patients, fostering healthier communities, and providing a vital service to families in need of specialized healthcare for their children.

Humboldt Bay Harbor Cruise (The Madaket)

Humboldt Coastal Beaches and Hiking Trail (moonstone beach, headwater trail, etc)

Sue-Meg State Park

Avenue of the Giants

Kinetic Sculpture Race

The Carson Mansion

Trees of Mystery

Fern Canyon

Confusion Hill

Redwood Sky Walk at Sequoia Zoo

Applicants must be recent graduates (less than 18 months) from an accredited master’s or DNP program, licensed (CA APRN) and credentialed (FNP-C) or license/credential-eligible as an FNP or PA-C with a stated commitment to practice as a primary care provider in Federally Qualified Health Centers (FQHC) or other safety-net settings upon completion of the residency.

Requirements for newly graduated Nurse Practitioners and Physician Assistants

  • Copy of RN license
  • Copy of California APRN or PA-C Licenses
  • Copy of licenses from any other state
  • California Controlled Substances license
  • Federal DEA certificate
  • Copy of driver’s license
  • Professional diploma. (BSc, BSN, MS, MSN)
  • Three (3) signed letters of recommendation, at least one of which should include your former employer and one peer
  • Non-US residents must provide proof of eligibility to work in US (permanent resident card / VISA etc.), if applicable

"The support and continued professional growth offered by the residency program during the often difficult transition from student to provider is priceless. I could not imagine beginning my NP career without it. The organization is welcoming and supportive and the diversity of the patient population provides unique and valuable training opportunities. It has been an outstanding experience I feel lucky to have had the opportunity to be a part of. I wish that all NP’s could have the same supportive start."

Stephanie Randall, FNP
Marressa Ozokwere, FNP Eureka

"I love the fact that when I started Residency and decided to stay on board with Open Door, there was and continues to be support available at all times.There is this constant push for excellence and growth; I love that there are constant ways to hone my craft as I am introduced to up to date treatment guidelines.The patient population and their feedback constantly shows me the reward that comes from giving and the need to continue to be better."

Values for Residency:

  • Heal and comfort; serve compassionately
  • Serve as representatives for Open Doors’ Mission to provide quality care to all people
  • Foster growth, excellence and positivity
  • Excel at our craft and find ways to continue to improve. View Self-reflection as a strength
  • Support and learn from updated research and share with peers; be a lifetime learner
  • Treat all equally and responsibly use our power for good
Marressa Ozokwere, FNP
Angelo Alfano, FNP Headshot Eureka

Values of Open Door NP Residency:

  • Promotion of a diverse provider workforce representative of the community it serves.
  • Dedication to training NP’s to practice at the full extent of their scope.
  • Promote provider retention in the field of primary care.
  • Training providers to work in a low resource rural practice setting.
  • To produce providers that apply their medical knowledge to care for complex medical patients with confidence and compassion.

Testimonial:

“The open door NP residency allowed me to gain confidence taking care of the most complex family medicine patients in a low resource rural practice environment. This program taught me that being a primary care provider is about working as a team at every level to support each other and the patient in achieving their goals of care. The preceptors of this program set the bar for intelligence and compassion, each is dedicated to educating and supporting the next generation of primary care providers”

Angelo Alfano, FNP
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