Dembitz

Dembitz APRN

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All Content by Dembitz

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

    Dembitz replied to AmyB_NP's topic in Nurse Practitioners, NP

    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...

  2. New NP - Balancing What I Know and What I Don't Know

    Dembitz replied to OncRN2015's topic in Nurse Practitioners, NP

    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...

  3. Disability evaluations for social security

    Dembitz replied to Michelle91518's topic in Advanced Practice

    Pre-op assessments for anesthesia? From what I understand, it's mostly a one-and-done type encounter with no ongoing

  4. What can an RN do in a clinic??

    Dembitz replied to beachnrse's topic in General Nursing

    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...

  5. WHNP - Fertility Medicine?

    Dembitz replied to jenoglv's topic in Advanced Practice

    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...

  6. What are the low stress nurse practitioner jobs

    Dembitz replied to Azureshunter's topic in Student Nurse Practitioner

    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

  7. Clinical Question - Tampon left in for one month

    Dembitz replied to FullGlass's topic in Nurse Practitioners, NP

    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...

  8. Massachusetts NPs - A License Question!

    Dembitz replied to NewBostonFNP's topic in Nurse Practitioners, NP

    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

  9. Any study hints for the DOT/CMV exam?

    Dembitz replied to momofm1998's topic in Advanced Practice

    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...

  10. Urgent Care My First Job

    Dembitz replied to daneka50's topic in Nurse Practitioners, NP

    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...

  11. NPs how many hours a week are you considered full time?

    Dembitz replied to amlk's topic in Advanced Practice

    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...

  12. How Long To Get A Consult?

    Dembitz replied to AnnieNP's topic in Nurse Practitioners, NP

    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...

  13. Doctor Hiring NP's

    Dembitz replied to DO89's topic in Nurse Practitioners, NP

    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...

  14. working alone as a new grad

    Dembitz replied to travelRN555's topic in Nurse Practitioners, NP

    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...

  15. New NP, embarrassing salary offer!

    Dembitz replied to RNpandoraRN's topic in Nurse Practitioners, NP

    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...

  16. WHNP Certification HELP

    Dembitz replied to rnc-ob_2000's topic in General Nursing

    I used the Kelsey purple book and felt well prepared. There's also an online test available for purchase somewhere, but that was 3 years ago so I don't have the link

  17. Is it offensive?

    Dembitz replied to PC0229's topic in Nurse Practitioners, NP

    Not offensive at all. I introduce myself by my first name, but many of my patients call me Dr. LastName anyway. I correct them the first few times, then give up. I've been called much, much worse.

  18. Open up....Spoonfed report

    Dembitz replied to ICURN3020's topic in Patient, Colleague Relations

    I wonder if this is an issue of lack of experience rather than micromanaging. How long has the nurse been on your unit or working in a similar environment? Is it possible that she asks for all this...

  19. Giving notice when changing jobs

    Dembitz replied to jennylynn_1983's topic in Nurse Practitioners, NP

    My employer specifies 3 month notice for all providers. My experience is that most credentialing processes take about that

  20. How do you figure out which imaging type is best?

    Dembitz replied to Pachinko's topic in Nurse Practitioners, NP

    I can really only speak to the ortho-type imaging. In the system I use, I choose the body part I want xrays of and it comes with certain standard views. For knees you need to decide weight bearing or...

  21. RN experience helpful and essential to be a NP

    Dembitz replied to apostolic4eva's topic in Student Nurse Practitioner

    Just to argue for the sake of arguing, I had to refer a patient to a wound clinic this week for a burn I probably could have managed in office with more wound care experience (and dressing supplies)....

  22. Is there an advantage to getting aanp certification over ancc or vise versa?

    Dembitz replied to mackce's topic in Advanced Practice

    Not certain they'll only take ANCC, but all our NPs in my group are ANCC so it hasn't come up. It's possible other NPs at the hospital are AANP, but as this isn't an issue for me I didn't really...

  23. Women's Health NP

    Dembitz replied to Road2CNO's topic in Nurse Practitioners, NP

    ANP/WHNP here. Couldn't find a WHNP job, working as an ANP with no OB/GYN at all. I miss it and want to get back into the field, but I'm not sure I would advise doing WHNP alone to anyone as the job...

  24. Advanced Nursing vs Medicine

    Dembitz replied to matthewandrew's topic in Advanced Practice

    It's not the science prereqs, it's the 4 years of med school + residency. Most of medicine is routine. I think it's a great distribution of resources if I, for example, manage the knee sprain myself...

  25. GN to NP in <1yr

    Dembitz replied to OhioCCRN's topic in General Nursing

    And I saw a patient recently who refused to see a particular MD (one known nationally as a thought leader in his field) because previously, the MD had told the patient repeatedly that he had a strain...