Recent Activity http://community.dnanurse.org/rss-featured en Looking for advice on how to land my first Dermatology NP position http://community.dnanurse.org/node/232 <p>Hello everyone!</p><p>I am so excited to be joining DNA. I wanted to get advice on how to land my first Dermatology NP position. I have been an NP for over 4 years and have experience in family practice (currently) and management of NPs. I do have experience in treating minor derm problems, such as acne, all types of rashes, etc. I even have experience with the cosmetic aspect of Derm (Latisee, Vaniqa, etc). I have such a passion and excitement about going into Dermatology practice! I want to learn more about the field. However, living in Illinois, I feel that I am limited to job openings. I am constantly looking for openings in Illinois, but the postings are usually more than 2 hours away from my home. The ones that I have seen near my home REQUIRE experience only with an NP who has worked in a Derm office and not primary care. A recent job I applied for sounded really great and the employer was willling to train, but it was filled so quickly because of the volume of experienced NPs who applied.</p><p>I was wondering if anyone had any advice for me in terms of where to look or what to do? If you are an experienced NP in Dermatology, what advice would you give someone just starting off? I would really appreciate any feedback. I heard that maybe getting a certification in Dermatology would help since it shows you have some training, but before I do this and spend money/time is it worth the investment?</p><p>Thank you!!!</p><p>MB</p><p>P.S. If you live in IL, would you be able to help me and connect some time? Thanks!</p> http://community.dnanurse.org/node/232#comments Sat, 28 Feb 2015 14:14:06 EST mbenes Suturing http://community.dnanurse.org/node/229 <p>Any ideas on where to go to attend workshops on suturing? Have solid basic skill, yet want to broaden my skillset.</p> http://community.dnanurse.org/node/229#comments Sun, 08 Feb 2015 15:03:35 EST lamberger Certification http://community.dnanurse.org/node/231 <p>&nbsp;Can someone please tell me where to get information for prep books for crtification?&nbsp;</p><p>Thanks,&nbsp;</p><p>H</p> http://community.dnanurse.org/node/231#comments Thu, 20 Nov 2014 22:53:50 EST hannahfnp Education http://community.dnanurse.org/node/230 <p>Hello all,</p><p>So I just joined the DNA recently and I'm fairly new at this. I have a tele and home health background and currently work in an outpatient dermatology practice. I wanted to ask my fellow nurses what kind of advatages as far as job offers, etc a nurse might get from having a dermatology certification? I have an associate's degree and all I see are job postings for derm NP. Any input, advice would be greatly appreciated. Liz</p> http://community.dnanurse.org/node/230#comments Sat, 08 Nov 2014 10:34:08 EST edrwal Sterile versus clean technique in dermatology http://community.dnanurse.org/node/228 <p>Hi, I just joined this organization today. &nbsp;Most of my career in nursing has been in the operating room (general surgery). &nbsp;Last March I made a major change and moved into dermatology, specializing in Mohs surgery. &nbsp;On slow days, I work in the dermatology out patient clinic. &nbsp;My question and concern is, does it make any difference in outcome where clean technique is used instead of sterile technique? &nbsp;I'm having a difficult time finding any &nbsp;research and &nbsp;documentation that says anything definitive. &nbsp;My gut feeling is that clean technique is fine. &nbsp;I've read that in some Mohs clinics non sterile boxed gloves &nbsp;are used instead of sterile gloves with no significant increase in infection rates. &nbsp;I realize that the skin is much more vascular and on the surface, both of which cut down on infection rates but if there are any studies or articles that could help clarify this point, I'd love to read them. &nbsp;Any assisstance would be appreciated.&nbsp;</p> http://community.dnanurse.org/node/228#comments Sat, 01 Nov 2014 14:25:31 EDT shuttlepusher Dilemma of whether to practice in Primary Care or switch to specialty Dermatology with challenges facing in trying to give my clients the best holistic care! http://community.dnanurse.org/node/227 <p>Hello everyone reading, &nbsp;</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;I am a FNP also, who took a job in Primary Care, a practice owned by an ARNP! I can say that I love it, as NPs are surely forward thinking. I see client's in the office on Friday's who want their suspicious lesions looked at or who want a skin tag or bothersome Nevi removed. I use a dermatoscope and take pictures with the DL3 model with my iPhone 4s (Awaiting my iPhone 6 Plus to arrive). Deciphering skin lesions is a passion of mine! I am so thrilled that we are offering our client's the option of a one stop shop without having to refer client's out to dermatologists for a second co-pay and long wait times.Additionally, we may offer Botox soon, as I have been trained in that also. I precepted at a derm office and was leary of specializing in just skin as I enjoy treating my clients holistically. As an FNP and previous pediatric experience, rashes are not new to me...in fact 1/2 of the questions for the board seemed to be on skin complaints or dermatological diagnosis and treatment of such. It is very difficult to get into a derm office in Florida with the new Dermatology DNP program at USF, many dermatologists require more than an MSN/FNP. When I attended the 2014 National Association of Dermatology Nurse Practitioner Symposium (which is a great forum for furthering skills and knowledge), I spoke to several Family NPs from around the country who experienced similar difficulty in trying to transition into a dermatology practice. I hope to get some good pointers from the posts, as I my see patients in rehab centers also - where the facility has consulted an organization of NPs who have no further training (as wound care consults) who prescribe my patients the wrong pharmacological treatment in misdiagnosis. I am very frustrated with this, as no one in my office consulted them, and they are not limiting themselves to wound care (e.g., pressure ulcers). Any ideas? Trying not to step on toes, but, the LPNs should not be able to order the consults without the Primary Care Practitioner authorizing it, correct? The company has a dozen NPs with Protocols as FNPs or NPs doing gynecological and other exams and primary care type protocols without any other certifications listed. In Florida it is required NPs practice under the supervision of a physician. Their supervising physician is a primary care physician (Adult). Many of these so called "wound care" NPs are prescribing steroid creams for everything calling it Psychogenic pruritis (diabetic patient with an Hgb A1c of 10.4) when it was Folliculitis and candidal intertrigo- where topical corticosteroids made it worse. Had to d/c their script and write for econizole 1% topical with rash gone in 3 days. Yet, they billed for 2 visits in one month consulting on the patient, which no practitioner of the patient's ordered. How is the Medicare $$$'s going to last? Seems like greed, as well as bad politics/ethics going on! Would love to hear your thoughts ... everyone! Am I alone on this bad feeling... is it so bad out there...this kind of bad business is creeping up? I look forward to your advice!</p><p>In Shock,&nbsp; Diane</p><p>&nbsp;</p><p>&nbsp;</p> http://community.dnanurse.org/node/227#comments Sun, 21 Sep 2014 16:13:26 EDT driggleman Derm Practice Ownership http://community.dnanurse.org/node/226 <p>Does anyone own their own Derm practice?</p> http://community.dnanurse.org/node/226#comments Sat, 05 Apr 2014 15:32:18 EDT ragan Laser education http://community.dnanurse.org/node/225 Looking for recommendations regarding education with laser procedures. Classes/lectures etc positive and negative feedback would be helpful http://community.dnanurse.org/node/225#comments Wed, 19 Mar 2014 22:06:02 EDT khauserman Calling All Medical Assistants! http://community.dnanurse.org/node/224 <p>We are currently seeking authors to submit articles for publication&nbsp;<span style="line-height: 20.799999237060547px;">in our Medical Assistant Column. Your area of expertise may be conventional to you,&nbsp;</span><span style="line-height: 20.799999237060547px;">but to many of your colleagues, it may be quite unconventional. Share your&nbsp;</span><span style="line-height: 20.799999237060547px;">knowledge today by writing for the Journal.</span></p><p>Don’t know what to write or where to start?&nbsp;<span style="line-height: 20.799999237060547px;">Contact Sarah Neider, MA, JDNA Associate Editor at <a href="mailto:sarah.neider@yahoo.com">sarah.neider@yahoo.com</a></span></p><p><strong>Register today for the JDNA “Writer’s Workshop” at the&nbsp;<br><span style="display: none;">&nbsp;</span><span style="line-height: 20.799999237060547px;">2014 DNA Convention in Orlando<br>Saturday, May 3rd&nbsp;from 7:00 am to 8:30 am</span></strong><span style="display: none;">&nbsp;</span></p><p>Board Members will be on hand to review your manuscripts, answer your questions&nbsp;<span style="line-height: 20.799999237060547px;">and guide you through the submission process.</span></p> http://community.dnanurse.org/node/224#comments Tue, 18 Mar 2014 15:48:31 EDT jking Intraoffice Phone Triage http://community.dnanurse.org/node/221 <p>The MD I am currently working with is trying to implement a more structured intraoffice phone triage system to avoid patient's not being seen that reall should be. Please share your intraoffice phone triage policy/format of questions that your office uses? Thank you</p> http://community.dnanurse.org/node/221#comments Tue, 07 Jan 2014 9:05:10 EST vit9109