Dembitz

Dembitz APRN

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About Dembitz

Dembitz has 7 years experience as a APRN.


Latest Activity

  1. Genital exams at school physicals and well-child check-ups?

    Breast self exams are not evidence based. I don't teach them or encourage them. https://www.aafp.org/patient-care/clinical-recommendations/all/breast-cancer-self-bse.html Screening exams for testicular cancer are also not evidence based. https://www....
  2. New NP - Balancing What I Know and What I Don't Know

    I look things up all the time. And if a patient has an unusual set of symptoms, I talk them through my diagnosis. "Well, I'm sure it's not <XYZ emergency> because <ABC>, but I'm not really sure what this is. I'm going to do some research ...
  3. Disability evaluations for social security

    Pre-op assessments for anesthesia? From what I understand, it's mostly a one-and-done type encounter with no ongoing care.
  4. What can an RN do in a clinic??

    Our nurses have standing orders to triage UTIs, and if low risk, treat with antibiotics per protocol. They let the provider know after the fact. We're maybe working on a standing order for nurses to see patients with sore throats, do rapid test, and ...
  5. WHNP - Fertility Medicine?

    Dual cert as a WHNP/ANP. I interviewed at a fertility practice in a high cost of living area, salary was GARBAGE with pretty minimal autonomy. They justified the salary because the NP scope was so limited, at least in their practice. I do have a form...
  6. What are the low stress nurse practitioner jobs

    Some onsite workplace clinics can be lower stress, particularly the ones for white collar. Mostly rashes and colds, the occasional injury due to ergonomics. Manufacturing sites are more difficult.
  7. Clinical Question - Tampon left in for one month

    Assess for PID (CBC, cervical motion tenderness, wet prep or swab for BV/yeast) and UTI/pyelonephritis due to flank pain (urinalysis with culture). Maybe ultrasound depending on exam and institutional availability. Treat according to CDC guidelines a...
  8. Massachusetts NPs - A License Question!

    You can and should apply for your license before your get a job. You won't be able to get a MA controlled substance registration until you are hired.
  9. Any study hints for the DOT/CMV exam?

    Know the guidelines for common conditions (HTN, CAD w/PCI or CABG, DM, OSA, vision, hearing) COLD. Pay attention during the training class. I had to take this when they were rolling out the requirement, and everyone in my facility (MDs, NPs, PAs) sco...
  10. Urgent Care My First Job

    If you're unsure about a procedure, there should be someone there to back you up or you need to refer out. That being said, sometimes you just need to go for it. I learned digital blocks (admittedly more straightforward than some other procedures) by...
  11. Full time for any MD/DO/APRN/PA where I work is 32 contact hours. We work 4 days per week, 8 hour days, lunch does not count towards hours. I rarely take work home. The doctor I work with stays an extra 15-30 minutes a few days per week.
  12. How Long To Get A Consult?

    I'm rural, but we have weirdly good access to derm due to a derm NP opening a practice in the area. Psych is impossible, as it is in so many areas, but getting a patient in to endo takes almost as long as pysch.
  13. Doctor Hiring NP's

    If you're opening your own practice, you'll likely have a ramp up period where business, and hence your schedule, is a bit slower. Depending on your area, it could take a while to ramp up to a full patient panel. Why not contact one of the nursing sc...
  14. working alone as a new grad

    Are you really responsible for arranging PT and getting all prior auths? Generally there should be nurses or MAs who take care of most of that, only involving the provider if a peer to peer review is needed. And all images should have a formal read b...
  15. New NP, embarrassing salary offer!

    I live in a high cost of living area. Dual certified as WHNP and ANP. My first job as a new grad in a non-women's health field paid $85,000 in a somewhat lower income part of the state. I interviewed for a WHNP position closer to home in a much highe...