Faculty: Melodie Young, MSN, ANP-C, DCNP
Can someone please tell me where to get information for prep books for crtification?
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
Am currently working as an NP in a dermatolgy practice. The transition during my first year as an NP has been tough - mentored initially by a provider that was seeing up to 50 patients a day and was not assisted nor given chance to become familiar with EMR used there, nor with how office worked, or how triages were managed. The assistance with EMR as well as with triages occurred after some missteps and I've since made improvements and continue to consistenly improve. That being said, it has been a hard year for me with a number of missteps. An unsupportive fellow provider adds misery to the mix and has created unfavorable perceptions about me (as well as a few other staff members).
I am stressed. I work mostly on my own and gaining access to other providers for questions is frequently done by calls or text, with a delay in response. The same occurs when I have access to a fellow provider. Recently triaged a preliminary path report. A final path report later came in, changing the diagnosis and hence, the treatment plan. In triaging the preliminary report, I did not see "preliminary." I slip up on occasion. So do others. I've also picked up on others errors (some serious) and while grateful to have noticed the error for the patient's sake, sought to correct it discretely and professionally.
I am learning and improving all the time and am making sense of it all, yet am unsure if it's me lacking the ability or if the environment is making it an overwhelming experience. I also am struggling with the negative perceptions the fellow provider has cast about as the spotlight seems to be focused on me when I slip up.
Anybody with similar experiences? Is this part of the role transition?
Hi, I just joined this organization today. Most of my career in nursing has been in the operating room (general surgery). Last March I made a major change and moved into dermatology, specializing in Mohs surgery. On slow days, I work in the dermatology out patient clinic. My question and concern is, does it make any difference in outcome where clean technique is used instead of sterile technique? I'm having a difficult time finding any research and documentation that says anything definitive. My gut feeling is that clean technique is fine. I've read that in some Mohs clinics non sterile boxed gloves are used instead of sterile gloves with no significant increase in infection rates. 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. Any assisstance would be appreciated.