Hi, I’m Liz Rohr: family nurse practitioner, wife, mama and founder of Real World NP, a medical education company for new nurse practitioners in primary care. I’m on a mission to equip and guide new nurse practitioners so they can feel confident and capable through comprehensive, concise, and hyper-relevant educational resources, without the fluff. We’re also here to provide an approachable, supportive community in order to bring about a new generation of healthcare providers who know that they can make an impact & inevitably disrupt the healthcare industry. Each week you’ll hear a mix of clinical pearls and practice tips, guest interviews with specialists and allied health professionals, and guidance on navigating the role transition from RN to NP. Make sure you subscribe and leave a review so you won’t miss an episode. Plus, you’ll find links to all the episodes, plus extra goodies over at realworldnp.com/podcast. See acast.com/privacy for privacy and opt-out information.
The Real World NP podcast is a fantastic resource for nurse practitioners, whether they are students or experienced professionals. Liz Rohr, the host and educator, provides valuable information in a concise and easy-to-understand manner. The podcast covers a wide range of topics tailored specifically to NPs, offering helpful insights and resources that many have been searching for. As a listener, I am grateful for the time and effort Liz puts into teaching us.
One of the best aspects of this podcast is the wealth of knowledge Liz brings to each episode. She is incredibly knowledgeable and shares information in a way that is accessible to all listeners. Her expertise shines through as she covers various topics, providing helpful tips, advice, and resources. This makes the podcast an invaluable tool for learning and staying current in the field.
However, one slight drawback to the podcast is Liz's frequent interjections during interviews. While her enthusiasm is admirable, phrases like "I love that," "hmmms," and "yeahhhhhh" can become repetitive and distracting. It would be beneficial if these interjections were reduced or used more sparingly to maintain focus on the interviewee's comments.
In conclusion, The Real World NP podcast is an excellent resource for nurse practitioners seeking valuable information tailored to their profession. Despite minor distractions during interviews with frequent interjections from Liz, the overall content is informative and presented in a concise manner that is easily absorbed by listeners. I highly recommend this podcast to all NPs who want to expand their knowledge base and stay updated in their field.
Hey! We're taking a hiatus from the podcast while the team focuses on becoming an accredited organization for continuing education. We're developing new courses to bridge the gap between graduate education and real-world practice.In the meantime, we're inviting clinicians to contribute to paid blog posts and articles— we want to build a community dedicated to quality education and patient care.Stay informed of upcoming content by subscribing to our email list at www.realworldnp.com/guide.Apply to become a blog post writer here!For a full transcript and conversation chapters, visit the blog http://www.realworldnp.com/blog/podcast-break Hosted on Acast. See acast.com/privacy for more information.
This episode focuses on leadership and role transition questions, specifically addressing a scenario where a new nurse practitioner is struggling with confrontational conversations with nursing staff. The host provides advice on how to navigate these situations using a framework called nonviolent communication. The framework involves expressing observations, feelings, needs, and requests in a clear and non-confrontational manner. The host also emphasizes the importance of building rapport and facilitating open communication within the team. Additional resources and episodes on leadership are recommended.Key Takeaways:-Leadership is a challenging skill to navigate, especially in the healthcare field where there is often a lack of training.-Using the nonviolent communication framework can help facilitate difficult conversations by expressing observations, feelings, needs, and requests.-Building rapport and open communication within the team is crucial for effective collaboration and patient care.-Seeking support and additional resources on leadership can further enhance leadership skills and strategies.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/confrontation© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Rebecca Arnold, a holistic leadership coach, discusses the challenges of disillusionment and burnout in mission-driven professions like nursing and medicine. She emphasizes the importance of addressing emotions and processing them in a safe and titrated manner. Rebecca highlights the concept of the window of tolerance and suggests practices like meditation and mindfulness to expand it. She also emphasizes the value of emotions as sources of information and intuition. The path from disillusionment to fulfillment involves sitting with emotions, seeking support from professionals, and making small changes within the system. In this conversation, Rebecca and Liz discuss the path to overcoming disillusionment in the medical field. They explore the importance of addressing emotions, internal mechanisms, and finding opportunities for wins. They also discuss the role of grief and the need for self-compassion. Rebecca shares examples of clients who have transformed their experiences and found fulfillment in their work. They also discuss Rebecca's book, 'The Rooted Renegade,' which offers practical tools and strategies for navigating disillusionment and finding alignment in life and work.TakeawaysAddressing and processing emotions is crucial in combating disillusionment and burnout.Expanding the window of tolerance through practices like meditation and mindfulness can help handle emotions.Emotions provide valuable information and intuition that should not be ignored.Seeking support from professionals is important, especially when dealing with trauma or intense emotions.Making small changes within the system can contribute to a sense of fulfillment and well-being. Addressing emotions and internal mechanisms is crucial in overcoming disillusionment in the medical field.Finding opportunities for wins and recognizing moments of success can help combat feelings of disillusionment.Grief is a common experience in the medical field, and it's important to acknowledge and process it.Self-compassion and self-care are essential in navigating disillusionment and finding fulfillment.Rebecca's book, 'The Rooted Renegade,' offers practical tools and strategies for overcoming disillusionment and finding alignment in life and work.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/burnout-in-nursing. ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this conversation, Liz Rohr and Amanda Guarniere discuss negotiating a raise as a nurse practitioner. They emphasize the importance of collecting data about your job performance and your value to the organization. They also highlight the need to consider the employer's perspective and understand what matters to them. The conversation covers productivity metrics, RVUs (Relative Value Units), and the importance of building a case for a raise. They also discuss the different factors to consider in a compensation package and how to approach the conversation with your employer. In this conversation, Liz Rohr and Amanda Guarniere discuss negotiation strategies for healthcare professionals seeking salary increases. They emphasize the importance of preparation, including researching market rates and determining one's value. They also discuss the dynamics of negotiation and the need to disarm the other person and maintain a positive, collegial tone. They provide tips for requesting a meeting, presenting a case, and handling non-committal answers. They also address the challenges of negotiating within a group or tier system and offer advice for advocating for oneself while maintaining a collaborative approach. They discuss the importance of follow-up and provide strategies for handling requests for additional data or delaying decisions. They also mention the NP Salary Report, a resource for healthcare professionals to anonymously submit and access salary data.Takeaways- Collect data about your job performance and the value you bring to the organization when asking for a raise.- Consider the employer's perspective and understand what matters to them.- Build a case for a raise by highlighting your productivity metrics, such as patient volume and revenue generated.- Take into account the different factors in a compensation package, including salary, bonuses, benefits, and work schedule.- Approach the conversation with a partnership mindset, focusing on achieving mutual goals. Research market rates and determine your value before negotiating a salary increase.- Disarm the other person and maintain a positive, collegial tone during the negotiation.- Request a meeting without disclosing the purpose, and present your case in a positive and data-driven manner.- Be prepared for non-committal answers and follow up to close the loop.- Advocate for yourself within a group or tier system by discussing the issue individually with the lead NP and going through the proper chain of command.- Be open to alternative forms of compensation or recognition if a salary increase is not immediately possible.- Use the NP Salary Report to access salary data and support your negotiation efforts.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/how-to-negotiate-a-raise/. ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this conversation, Liz Rohr and Kara Pesola discuss the challenges and common experiences of new nurse practitioners (NPs). They highlight the importance of support and mentorship for new grads and address the imposter syndrome many NPs experience. They also discuss the common questions and concerns that new NPs have, such as managing complex conditions and navigating controlled substances. The conversation emphasizes the need for new NPs to trust their judgment, seek guidance when needed, and prioritize patient safety. In this conversation, Liz Rohr and Kara Pesola discuss the challenges and considerations in primary care practice. They touch on topics such as bias in medication management, the importance of safety assessments, and the need for patient-centered care. They also highlight the significance of long-term patient-provider relationships and the stages of change in healthcare decision-making. The conversation emphasizes the importance of meeting patients where they are and supporting their well-being.Takeaways- New nurse practitioners often experience imposter syndrome and may feel unprepared for the challenges of practice.- Support and mentorship are crucial for new grads to navigate the transition to practice.- Common questions and concerns for new NPs include managing complex conditions and navigating controlled substances.- It is crucial for new NPs to trust their judgment, seek guidance when needed, and prioritize patient safety. Bias exists in medication management, and it is essential to address it in primary care practice.- Safety assessments and goals of care conversations are crucial in patient-centered care.- Long-term patient-provider relationships are valuable in managing chronic conditions.- Understanding the stages of change can help guide healthcare decision-making.- Meeting patients where they are and supporting their well-being is essential in primary care.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/mentorship-questions ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this episode, I share my experiences and insights on starting a mentorship program, drawing from my own journey as a nurse practitioner and founder of Real World NP. I discussed the context of mentorship, the structure of one-on-one and group mentorship programs, the frequency and duration of mentorship meetings, and the topics to cover. Additionally, I covered the importance of creating a safe psychological space for mentees and the value of peer support in mentorship programs.Takeaways- The importance of creating a safe psychological space for mentees in a mentorship program- The value of peer support and not feeling alone in a mentorship program- Considerations for mentorship frequency, duration, and topics to cover in a mentorship programFor a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/mentorship-programs______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Michelle, a board-certified family nurse practitioner with experience in urgent care, shares her journey and insights into the field. She discusses the differences between urgent care and primary care, the challenges of not having access to medical records in urgent care, and the importance of collaboration between the two. Michelle also provides advice for those interested in working in urgent care and recommends resources for further learning.Takeaways- Urgent care is a bridge between primary care and the emergency room, providing care for acute conditions that can't wait for a primary care appointment.- There is a disconnect between urgent care and primary care, with urgent care often lacking access to patients' medical records.- It is important for urgent care and primary care to have a better partnership to ensure continuity of care for patients.- New grads interested in urgent care should work with another provider and have a ramp-up program to ensure success.- Being able to determine if a patient is sick or stable is a crucial skill in urgent care.- Resources for learning about urgent care include Hippo Education's Urgent Care Bootcamp, EKG resources by Jen at Cardiology Made Easy, and Michelle's own Instagram account for urgent care resources.For a full transcript and conversation chapters, visit the blog https://www.realworldnp.com/blog/urgent-care-nurse-practitioner______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this conversation, Liz Rohr interviews Jennifer Carlquist, a physician assistant with extensive experience in cardiology, who discusses the assessment and management of chest pain.They covered: - Assessing cardiac versus noncardiac chest pain- Assessing risk for MI and when to send patients to the ED or not- What EKG findings to watch out for, and how to learn more to build your ekg reading confidence (and what's new!)- What we can do for patients to assess and manage heart disease risk, including labs and tests to check in primary care (including the coronary calcium score, LPa, and homocysteine)- How to communicate and collaborate effectively with ER providers- Further resources to learn if you're in cardiology or interested in making the switch from primary careTakeaways- Consider both cardiac and non-cardiac causes of chest pain, especially in female patients with atypical symptoms.- Take a detailed history, including risk factors and family history, and be aware of red flags that may indicate a more serious condition.- Recognize the limitations of certain diagnostic tests, such as EKGs and troponin levels, and consider a CTA with FFR for outpatient testing.- Collaboration between primary care providers and the ER is crucial, and concise reporting of findings is key to effective communication.- Differentiating between hyperkalemia T-waves and hyperacute T-waves can be challenging, but hyperkalemia T-waves are pointy and hyperacute T-waves are more blunted and broad-based.- Inverted T-waves in leads other than AVR and V1, especially if they are symmetric, can indicate the need for urgent evaluation.- Q-waves can form within an hour of an infarction, and a small Q-wave in lead III without other abnormalities may be a normal finding.- When learning EKG interpretation, it is important to start with understanding what a normal EKG should look like and then focus on high-risk findings.- Inflammation is a significant risk factor for heart disease, and non-traditional risk factors such as psoriasis and early menses should be considered.- Lab tests such as the coronary calcium score, LPa, and homocysteine can provide valuable information in assessing heart disease risk.- Magnesium supplementation can be beneficial for patients with palpitations and hypertension, but the specific type and dose should be tailored to the individual.- Primary care providers play a crucial role in assessing heart disease risk and can collaborate with cardiologists to order appropriate tests and make informed decisions.- The three-day EKG challenge and the Cardiology Fundamentals Mentorship program are valuable resources for learning and advancing in cardiology.- The importance of fostering a supportive and collaborative environment in healthcare to provide the best care for patients.For a full transcript and conversation chapters, visit the blog https://www.realworldnp.com/blog/assessing-chest-pain______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this conversation, Liz Rohr and Shelby Pope discuss the importance of taking a comprehensive history of substance use, and how to assess and treat stimulant use disorder. They cover the challenges healthcare providers face in asking the right questions, and emphasize the need for open conversations and non-judgmental approaches.They cover screening for addiction, how to elicit a substance use history, including types and routes of substance use. Shelby covers the mechanism of action of cocaine and methamphetamine in the brain, the withdrawal symptoms associated with stimulant use disorder, and the next steps for primary care providers in managing patients with stimulant use disorder. They also explore the use of psychosocial interventions and off-label pharmacologic treatments for stimulant use disorder.TakeawaysOpen and non-judgmental conversations are essential when discussing substance use with patients.Screening practices, such as using screeners like PHQ-2, SBIRT, and DAST, can help identify substance misuse or struggles.Taking a comprehensive history of substance use, including the type, amount, frequency, and motivation, is crucial for providing appropriate care.Healthcare providers should be aware of the different routes of administration and the potential risks associated with each.Stimulant use disorder, particularly cocaine and methamphetamine use, can have significant adverse effects and poor outcomes. Cocaine and methamphetamine are both monoamine neurotransmitter reuptake inhibitors, increasing serotonin, norepinephrine, and dopamine levels in the brain.There is a withdrawal syndrome associated with stimulant use disorder, characterized by depression, fatigue, and sleep disturbances.In managing patients with stimulant use disorder, primary care providers should consider triage based on severity and acuity, and refer patients to appropriate resources such as rehab or the ER.Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the mainstay of treatment for stimulant use disorder.Off-label pharmacologic treatments for stimulant use disorder include mirtazapine, bupropion, injectable naltrexone, topiramate, and psychostimulants.It is important for healthcare providers to be aware of state regulations and their own comfort level in prescribing off-label medications for stimulant use disorder.For a full transcript and conversation chapters, visit the blog: https://www.realworldnp.com/blog/treating-substance-use-disorder ______________________________© 2024 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this episode, Liz Rohr interviews Shelby Pope, DNP, APRN, FNP-BC, they discuss the stigma around addiction, the importance of supporting patients with opiate use disorder while exploring Shelby's journey into addiction medicine and impacts of this field. This episode includes discussion of various treatment options for opiate use disorder, including naltrexone and buprenorphine, including the importance of medication-assisted treatment (MAT) for opioid use disorder, while emphasizing the effectiveness of methadone and buprenorphine in reducing the risk of overdose and mortality. Liz and Shelby explore the process of induction and the importance of assessing withdrawal symptoms, ongoing monitoring and support for patients on MAT, including addressing cravings and harm reduction strategies. Key takeaways: Exploring the stigma around addiction, and the importance of supporting patients with opiate use disorder.Addiction medicine is a beautiful and impactful field that can be accessible in primary care.Naltrexone and buprenorphine are two treatment options for opiate use disorder.Open conversations with patients and providing support and resources are crucial in primary care.Methadone may be necessary for some patients with extreme cases of opiate use disorder. Medication-assisted treatment (MAT) with methadone and buprenorphine is highly effective in reducing the risk of overdose and mortality in individuals with opioid use disorder.Assessing withdrawal symptoms is crucial before starting buprenorphine to avoid precipitated withdrawal.Ongoing monitoring and support are essential for patients on MAT, including addressing cravings and providing harm reduction strategies.Tapering off medication should be done slowly and on an individualized basis, considering the patient's stability and goals.Individualized care and empathetic communication are key in building trust and supporting patients on their recovery journey.For a full transcript and conversation chapters, visit the blog: https://realworldnp.com/blog/opiate-use-disorder. ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
We're expanding our course catalog at Real World NP! This time, we're collaborating with specialists, making courses tailored for primary care providers. Our goal is to provide comprehensive and practical courses for nurse practitioners and PAs, and to bridge the gap between primary care and specialty care. We want NPs to have the knowledge and resources to provide the best care within their scope of practice.Share your input about what courses you want to see first! Head over to realworldnp.com/blog/courses-nurse-practitioner to share your thoughtsFor a full transcript, check out the blog.-----------------------Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guideSign up for the Lab Interpretation Crash Course: https://www.realworldnp.com/labs Grab your copy of the Digital NP Binder: https://www.realworldnp.com/binder------------------------Come follow along for even more tips and inspiration:Instagram: https://instagram.com/realworldnpFacebook: https://facebook.com/realworldnp______________________________Please note: This episode is intended only for medical providers and students learning to be medical providers. While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.If you're a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at https://www.realworldnp.com/mentoring. _______________________________© 2024 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Welcome back to Season 3 of the Real World NP Podcast! his episode is an interview with yours truly - I want to share a bit of a “reset” with what's going on with Real World NP, where we started, where we're going, and how you can be involved. I also want to share a bit that has changed behind the scenes, and how we're incorporating more of a social justice and equity lens— not just inside the clinical teaching, but overall practices inside the company. One of the core reasons behind the company is not just to make the transition to practice for nurse practitioners easier, but also make an impact on the healthcare and education industries. We want to do continuing education for nurse practitioners differently than the status quo.Some real talk: I feel like I repeat myself a lot, and part of me is like “they know this already.” They know that it's important to be a whole human, and that they get to do that in their personal and work lives. That they're not just a machine in the cog of healthcare, and things are starting to change. That they deserve to be supported and held in safe spaces while they learn this extremely important and difficult field of medicine. It's old news.But I'm reminded of the number of times I've counseled patients on their medications - at LENGTH and REPEATEDLY - and they still need to hear it again.Like the time my patient with new-onset afib needing anticoagulation still ended up in the ER for overdosing his meds. Or after three visits for my patient with diabetes, they still did not understand their diagnosis and what it meant.I truly, truly believe that even when things feel daunting and overwhelming, whether it's the clinic day ahead, the severity of illness of the patient in front of you, or the state of the healthcare industry, individual actions make a big difference.I'd love for you to be a part of the movement of change to make healthcare and education better — listen in to this episode to get a sense of where we're going and what you can expect from us going forward. It's also a helpful introduction to the backstory behind the company if you're new here!More from Louiza “Weeze” Doran:https://www.instagram.com/accordingtoweeze/?hl=enhttps://louizadoran.com/https://louizadoran.com/podcast-----------------------Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guideSign up for the Lab Interpretation Crash Course: https://www.realworldnp.com/labs Grab your copy of the Digital NP Binder: https://www.realworldnp.com/binderFor the full transcript, and for this conversation's topic chapters, see the blog. Hosted on Acast. See acast.com/privacy for more information.
On this week's episode I want to give you some permission if you feel like you need it—To be a whole human with needs, feelings, desires, and cares. To do what feels authentically right to you.We're plopped into a healthcare system that is specifically NOT set up for humans to be humans, and is designed for us to operate like machines.And it takes a LOT of courage to stay true to ourselves and what we want and need when we're also trying to stay safe— financially, emotionally, physically.Sometimes it's helpful to see and hear from others doing the same so we can see what's possible for us.Here's this week's episode, sharing a bit of permission to give yourself, some highlights from this season's podcast if you want to peruse previous topics, and upcoming plans for what's next. Hosted on Acast. See acast.com/privacy for more information.
In this week's episode, I'm thrilled to share my conversation with Lauryn Williams, an extraordinary individual who has not only achieved greatness on the athletic track but also in the realm of financial planning. Lauryn's story is a powerful example of how discipline, dedication, and a willingness to learn can lead to success in multiple arenas of life. Her transition from an Olympic athlete to a certified financial planner is not just inspiring; it's a lesson in reinventing oneself and finding purpose beyond one's initial calling.Lauryn opens up about her journey, revealing the pivotal moments that led her from winning medals to advising clients on financial health. We explore the mindset shifts required to excel in two vastly different fields and the common threads of discipline and perseverance that link them. Lauryn's candidness about the challenges and triumphs along her path offers invaluable lessons on adapting to life's changes and seizing new opportunities with courage and enthusiasm.One of the most enlightening parts of our discussion revolves around Lauryn's passion for financial literacy. She shares her vision of a world where financial knowledge is accessible to everyone, empowering individuals to make informed decisions about their money. Through her work, Lauryn is breaking down the complex world of finance into understandable and actionable advice, showing that it's possible to achieve financial wellness with the right guidance and mindset.Lauryn provides listeners with practical strategies for managing their finances, from budgeting and saving to investing and planning for the future. Her advice is for anyone looking to improve their financial situation and build a more secure future.Lauryn also discusses how her experiences have fueled her desire to give back and make a difference in the lives of others. Whether it's through her financial planning practice or her involvement in community initiatives, Lauryn is committed to contributing to a better, more financially savvy world.Don't miss this incredible episode filled with lessons sure to support you on your financial journey.In today's episode, we talk about:Lauryn's seamless transition from an Olympic athlete to a certified financial planner, and the motivations behind her career change.How Lauryn is making financial planning accessible and empowering for everyone, regardless of their background.Practical financial advice from Lauryn, including strategies for debt management, savings, and investment.Understanding the value and impact a certified financial planner can have on your financial health and long-term goals.Lauryn's personal and professional growth, and how she uses her platform to advocate for financial literacy and freedom.Read the blog post here._______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Welcome to our latest podcast episode, where I had the immense pleasure of sitting down with the incredible Dr. Omolara Uwemedimo. Today's conversation is a testament to the power of resilience, innovation, and community in healthcare.Dr. Omolara shares her journey from being a pediatrician to founding two revolutionary organizations aimed at transforming healthcare for under-resourced communities. Through Strong Children Wellness and Melanin and Medicine, she is not just treating patients but also addressing systemic barriers to access and sustainability in healthcare for BIPOC communities.Our dialogue covers the challenges of funding in primary care, the importance of community partnerships, and the innovative business models that can empower healthcare professionals to serve better and more sustainably. Dr. Omolara's story is one of overcoming personal and professional hurdles, including a diagnosis that led her to reevaluate her approach to work and life, underscoring the importance of self-care in our mission to care for others.For those inspired by Dr. Omolara's vision, she shares valuable advice on building interprofessional collaborations and leveraging community resources to create impactful healthcare solutions. Whether you're a student, a new grad, or a seasoned clinician, there's much to learn from Dr. Omolara's approach to making healthcare more equitable and accessible.Connect with Dr. Omolara on LinkedIn for more insights and resources on building a more inclusive healthcare system. To learn more about her work, visit Melanin and Medicine and Strong Children Wellness. Let's continue to support each other in our journeys, fostering a healthcare community that's not just about treating illness but building a healthier, more just world.Let's keep the conversation going and work together towards a brighter, healthier future for all communities.In today's episode, we talk about:Dr. Omolara's transition from pediatrician to healthcare revolutionary.Strategies for building interprofessional collaborations and leveraging community resources.Efforts through her organizations to overcome healthcare access and sustainability challenges.The crucial role of community collaborations and innovative business models in enhancing healthcare delivery.Dr. Omolara's personal challenges highlighting the importance of self-care for healthcare professionals.Read the blog post here._______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this episode, I had the pleasure of sitting down with Brooke Nielsen to explore a topic that is both fascinating and incredibly relevant to our work as healthcare professionals—the Drama Triangle. We've all seen it, whether we recognized it at the time or not. Those moments when interactions with colleagues or patients suddenly feel like a scene straight out of a play, with clear roles of victim, rescuer, and persecutor taking shape.Brooke and I explored how these roles influence our work environment, especially for nurse practitioners. We shared stories, insights, and, most importantly, practical strategies for stepping out of these roles. The goal? To foster a more supportive, healthy work environment where we can all thrive, professionally and personally.Understanding the Drama Triangle isn't just academic; it's about making real changes in how we interact every day. From recognizing when we're slipping into one of these roles to setting boundaries that protect our well-being and the quality of care we provide, this conversation is a stepping stone to more effective, fulfilling professional relationships.Tune in to find out how you can start recognizing and changing these dynamics in your own clinical setting. It's an episode packed with insights for nurse practitioners and anyone keen on creating a healthier workplace culture.In today's episode, we talk about:Understanding the Drama TriangleImpact of the Drama Triangle in clinical settingsStrategies for recognizing and changing dysfunctional dynamicsThe importance of boundary management for healthcare professionalsRead the blog post here._______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this episode, I explore a crucial topic shaping healthcare today - caretaker fatigue. Join me as I delve into an enlightening conversation with my dear friend and Executive Coach, Catherine Wood. Cat shares invaluable insights about balancing work-life commitments and the importance of recognizing and meeting our personal needs for sustainable career longevity. Even if you feel like you've heard all there is about burnout, I promise this conversation brings fresh perspectives and tangible steps you can incorporate in your daily life. In today's episode, we talk about:How to caretake without losing yourselfThe sneaky patterns in caretakingHow to stop putting yourself lastSetting boundaries that take care of YOUIf you liked this video, also check out:Navigating NP Burnout with Cait DonovanNurse Practitioner Stress, Burnout and Compassion FatigueWhen You Want To Give Up as a Nurse PractitionerTimestamps:00:00 Intro00:43 Discussing Caretaker Fatigue01:18 Meet Catherine Wood02:32 The Impact of the Pandemic on Caregivers03:41 Caregiving and Burnout05:16 Burnout Prevention05:56 Caretaking and Codependency06:53 Caretaking in Relationships07:56 Meeting Your Own Needs13:41 Overcoming Caretaking Habits28:45 Understanding Your Needs29:41 The Impact of Ignoring Your Needs31:21 The Journey of Self-Discovery34:36 Boundaries34:54 Building Self-Trust38:26 Nonviolent Communication44:50 The Challenge of Change in Relationships54:29 Transparency in CommunicationRead the blog post here._______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Are you a nurse practitioner feeling lost, uncertain, or unfulfilled in your career? This raw, honest, and needed conversation with Amanda Guarniere, the founder of Resume RX, explores:The career challenges NPs are facingAlternative career paths many NPs are consideringChanging power dynamics between employers and employeesHow to think about career changes and honor YOURSELF in the processWe dive into the growing concerns among NPs regarding stagnant wages, shifting power dynamics between employers and employees, and the desire for personal fulfillment beyond traditional clinical settings.We chat about the rise of entrepreneurship, side hustles, and non-clinical roles that allow NPs to leverage their expertise and pursue their passions.We encourage NPs to challenge societal expectations and professional scripts that may stop them from doing what they love.If you liked this post, also check out:New Nurse Practitioner Survival Guide New NP: Q&A - Is This Normal?Primary Care Nurse Practitioner Roundtable: How Are We Doing After Covid?Timestamps:00:00 - Introduction02:45 - Practical Strategies on Navigating NP Clinical and Job Search03:55 - Are Nurse Practitioners Okay?05:25 - Dissatisfaction and Desperation Among NPs07:55 - How Can ResumeRX and Real World NP Support NPs12:39 - Personal Reflection on the Impact of COVID13:29 - Challenges Faced By Nurse Practitioners17:04 - Evolving Career Landscape for NPs25:29 - NP Burnout28:36 - Self-Judgment and Criticism 34:35 - What's The Next Best ThingRead the blog post here._______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this video, I sit down with two incredible NP colleagues and friends, Kara and Heather, for a candid conversation about the rollercoaster ride of being a nurse practitioner.We delved deep into our shared experiences, tackling everything from the highs of fulfilling our calling to the challenges that can sometimes leave our compassionate hearts feeling a bit weary. Burnout, boundary setting, and the beautiful power of teamwork — it's all on the table.
I am thrilled to introduce you to Midge Bowers.Not only is Midge a Clinical Professor and Director of the cardiovascular specialty at Duke University School of Nursing, she practices as a nurse practitioner in a Heart Failure Access Clinic.She's an expert in cardiology, a seasoned healthcare educator, and shares so much incredible knowledge in this jam-packed episode.In this episode, we covered:The importance of looking beyond creatinine levelsHow to focus on practical aspects of echosDemystifying anticoagulation choicesPractical tips on adjusting Warfarin dosagesReversal agents and safety measuresThis barely scratches the surface of the wealth of information Midge provides.0:00 - 3:35 - Introduction and Overview3:36 - 8:39 - Importance of Monitoring Creatinine and GFR 8:40 - 15:06 - Impact of New Medications on Kidney Function15:07 - 20:30 - Understanding Echo Results: Akinesia, Hypokinesia, and EF20:31 - 25:01 - Interpreting Trends in Echo Reports25:02 - 31:17 - Anticoagulation Choices: Warfarin vs. DOACs 31:18 - 38:15 - Adjusting Warfarin Dosages and INR Monitoring38:16 - 42:42 - Assessing Bleeding Risks with CHADS-VASc and HAS-BLED 42:43 - 46:03 - Reversal Agents and Safety in Anticoagulation46:04 - 53:41 - Managing DOACs in Different Clinical Scenarios Read the full blog here.______________________________Please note: This episode is intended only for medical providers and students learning to be medical providers. Hosted on Acast. See acast.com/privacy for more information.
This week, I have an episode for you that I think is even MORE important than the clinical knowledge that I share — navigating NP burnout.Meet Cait Donovan, an International Keynote Speaker, host of “Fried – The Burnout Podcast,” author of the book "The Bouncebackability Factor", and an acupuncturist with a master's degree in Chinese medicine. Her creative burnout recovery solutions have been featured on podcasts and online magazines such as “Forbes”, “NPR,” and “The New York Post.”We chat not only about recognizing NP burnout but also about understanding, navigating, and bouncing back stronger than ever.In this episode, we cover:How Burnout Impacts Your Brain: Unveiling the neurological aspects of burnout and how it affects our cognitive functions.The Surprising Factors Causing Burnout: Exploring the unexpected factors that contribute to burnout, both for seasoned professionals and new grads.The Role of Trauma in Burnout: Recognizing the impact of trauma on burnout and understanding how it influences us.The Burnout Recovery Process: Providing actionable steps for recovery and discussing how embracing self-compassion can transform your experience as an NP.I hope this episode can provide a little comfort, knowing that you're not alone, and maybe a little permission to take the best care possible of YOU, not just your patients.Resources mentioned in this episode:Adverse Childhood Events (ACE) questionnaireFried the Burnout PodcastIf you liked this post, also check out:Nurse Practitioner Stress, Burnout and Compassion FatigueRead the blog here_______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Whether you're a recent NP graduate or someone transitioning between specialties, this video will help ease that overwhelming feeling and help you discover your unique approach to practice.If you liked this post, also check out:Pillars of NP PracticeLeukocytosis Case StudyTimestamps:00:00 - Introduction01:22 - Purpose of the Episode02:35 - Understanding Philosophies of Practice04:23 - Evolution of Practice08:21 - Navigating the TransitionRead the blog post here._______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
If you're a new NP grad making your way into practice, I think you'll find today's video super helpful.(And even if you're not a new grad, it's still worth the watch — both to understand what we've been through and to help us mentor students and new grads ourselves.)In this episode, I talk about the challenges new grads face — from sneaky imposter syndrome to the overwhelming clinical knowledge demands.It can feel like an absolute rollercoaster from one moment to the next.It wasn't until I started to mentor new grads myself that I understood what was so challenging and why.It seems obvious in one way — learning medicine is endless. But there are some other sneaky things that make it SO much more intense.If we can orient ourselves to what is actually happening, we can:Make a plan to get supportHelp our NP mentees and students adjust better, andUnderstand the role transition challenge on a high level.I truly believe we can all contribute to making this profession better and it starts on an individual then interpersonal level.Which is why in this video, I talk about the three pillars of practice that can help you:Tackle the fear of the unknown and build a foundation for continuous learning in real-world practice.Navigate the system beyond diagnosing and treating illnesses.Embrace the unexpected leadership role and the skills you need.And remember, you're not alone - we see you and we're cheering you on!Timestamps:00:00 - Introduction00:46 - Pillars of Nurse Practitioner01:30 - First Pillar: Clinical Knowledge02:30 - Second Pillar: Navigating the HealthCare System04:40 - Third Pillar: Role Transition & Stepping Into Leadership06:31 - card link: Challenges of Primary Care playlist08:39 - Recap10:38 - RWNP Mentorship (card link: mentorship waitlist)_______________________________© 2023 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Welcome to our brand new podcast season! We're absolutely pumped to bring you a fresh wave of episodes that will be a game-changer for Nurse Practitioners (NPs) on their journey. Whether you're a seasoned pro or just starting out, we've got you covered.In this season, we're introducing some exciting changes behind the scenes to make your listening experience even more rewarding. Expect enhanced content, engaging interviews with healthcare experts, and an interactive community that fosters connection and learning.Timestamps:00:00 - Intro00:47 - Seasons01:42 - Life of A Nurse Practitioner02:58 - Specialist InterviewsRead the blog post here._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Hello there, we are actually going to be taking a season break on the Real World NP Podcast. But don't worry, we're coming back! We're taking some time to do some regrouping, work on some things behind the scenes, and get ready for a whole new season of episodes for you. If you want to be involved with us, in the meantime, myself and the Real World NP team, I definitely recommend that you head over to the Real World NP email list. And you can join over at realworldnp.com/guide.What we're going to be doing because we don't want to leave you hanging, and we love to give support and connect with you. We're actually going to be sending out weekly emails of a Tip Of The Week instead of a podcast episode. If you'd like to join us for that, definitely head over to that site, realworldnp.com/guide. And then also know that we're still around for all of our products and services – the Lab Interpretation Crash Course, the Diabetes, Hypertension and CKD Course Management course, as well as Mentorship Programme. We are doing all of those things while the podcast is on its little season pause. If you want to check out any of those things, head over to realworldnp.com/shop and you can find all of those products. And then when it comes to the mentorship, you can join our waitlist, if you'd like to and if you're interested in that and if you'd like to be a part of that – it's realworldnp.com/mentoring. And so as we form new group, small group cohorts, we can definitely let you know about that as well as any one-on-one mentorship opportunities that we have.Thank you so much for being a Real World NP podcast listener. I so appreciate you, the team so appreciates you, and I'm definitely looking forward to releasing some new episodes in a couple of weeks._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
It's hard not to worry about malpractice when you're taking on new levels of responsibility as a new nurse practitioner.Irnise Williams is not only a health law lawyer, she now focuses on the education and legal work to help prevent malpractice cases in the first place.AAAAAND she's a nurse herself! Still taking care of patients as a covid float nurse while also running her legal practice, she's truly a unicorn.She and I sat down and discussed the questions nurse practitioners and students had in the Real World NP community!(PS. if you want the chance to submit questions for future interviews, join the email list at https://www.realworldnp.com/guide)We covered so many things, including:Most common reasons for malpractice casesHow to document appropriatelyShould I have my own malpractice insurance?Scope of NP Practice and moreNote, some of the audio came out uneven, so apologies about that. Read the full blog post here._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
One of the biggest fears I hear from new nurse practitioners and students is not knowing the answers when you're in the room with a patient.In this video, I'll tell you the many reasons why this is actually okay (and why we should probably even celebrate it), and the simple strategies I use to handle it.Leave me a comment below, what is a strategy that you use to handle these situations? Or, what is one of the major insights you took away from this video?-----------------------Timestamps:00:00 - Intro00:42 - Reason 101:57 - Reason 203:20 - Reason 303:56 - Simple StrategyRead the full blog post here. _______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
If you're feeling like you don't know enough, and still have to see patients with ortho complaints (especially in telemedicine) -- here are the "hacks" of primary care ortho management.You'll learn:The main 4 steps to managing almost all ortho complaints in primary careThe top red flags overarching most ortho complaintsHow to triage ortho complaintsWhen to send to ortho (and what to do first)If you liked this post, also check out:Diagnostic Approach To Back PainInterview with an Orthopedic Nurse PractitionerInterview with a Physical TherapistRead the full blog post here._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
As a new nurse practitioner, I used to find shoulder pain pretty overwhelming. While you can *see* all the musculoskeletal structures and how they work together, there's a lot more going on beneath the surface and dealing with orthopedics can require a real depth of knowledge. But I'm going to help give you a jump start on that! In this week's video, I'm taking a high-level view of diagnosing and managing shoulder pain for new nurse practitioners. We'll talk about:Which history questions are most valuable to askWhy traumatic vs. non-traumatic presentation differentiates treatmentThe four steps to treatment used to treat *most* musculoskeletal issues in primary care (and why you might to reconsider them)And one clinical pearl that blew my mind when I learned it!Want to follow up on the resources I mentioned? Find them
Atopic dermatitis may not be the most glamorous topic in medicine, but you've got an enormous opportunity to change lives for the better in primary care.It can feel frustrating for both the patients and providers when they keep coming back without getting any better.I got to chat with a pediatric dermatologist and added a TON of clinical pearls to my arsenal of "real world" NP knowledge-- which I'm sharing with you in this week's video.You'll learn:What treatment ACTUALLY works, especially when they've told you they've "tried everything"What skincare to recommend, which steroids, and what unconventional treatments can help keep flares at bayAnswers to popular questions these days: who actually need food allergy testing, to bathe or not to bathe, and more.Download the cheat sheet here: https://www.realworldnp.com/pl/237660Read the full blog post here._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Walking into an examination room and seeing a patient hunched over with labored breathing, audible wheezing, and an oxygen tank can be intimidating for any nurse practitioner.And if you're a nurse practitioner in primary care, it is essential to understand the management of COPD exacerbations to provide the best care you can to patients.COPD exacerbation can look scary, but the management is fairly straightforward. So is the choice of whether or not to prescribe antibiotics (and which ones!)This week, we're sharing a case study about the management of COPD exacerbation in primary care. We'll cover:How to know who should go to the ERWhen to give antibiotics (and which one, for how long)The general management you should be doing in primary care as a PCP for someone with COPDPLUS! You can also download the COPD Management Cheat Sheet that you can keep at your desk to help you in your clinical practice! Read the full blog post here._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Some people feel really uncomfortable talking about anything that has to do with reproductive health. Some of these people are patients, and some of them are healthcare professionals. Are you one of them?If you thought that you might be off the hook because you work in primary care - you're not. It's a part of taking care of the entire patient. When you know and understand your patients' goals for family planning a lot of other pieces of the clinical picture can become more clear.Having a plan for the conversation is a good way to get more comfortable. If you get stuck just trying to think of where to start, there are tips in this week's video that will help with the conversation. Imagine having just three questions to ask that not only guide the whole conversation, but that make the whole thing easier and less awkward for both you and the patient. In this video, we will cover easy-to-use strategies for contraceptive counseling in primary care. Including:How to actually talk with primary care patients about contraceptivesQuestions to ask the patient about contraceptive methodsHow to match contraceptive options with the patient's preferencesHow having this conversation actually empowers patientsYou don't have to know the perfect thing to say when it comes to contraceptive counseling. But having a roadmap for the conversation will make a big difference for you and your patients.
It's easy to think the worst when your patient mentions abnormal bleeding. It can mean so many things! Context is everything for the patient with abnormal uterine bleeding. Their age, their history, when it started, how long it lasted, their other diagnoses, even their other medications. These are all factors to consider in the patient with abnormal uterine bleeding, and will point you in a starting direction for your assessment and help you to build your differential.Abnormal uterine bleeding often doesn't mean the same thing for a young person in their twenties compared to someone who is past menopause. Do you know when people tend to start having periods (menarche)? Do you know when people tend to stop having periods (menopause)? Are you solid on what stopping having periods even means? Once you are solid on what is normal, you will get up to speed with abnormal things much faster. This week, we will cover the history questions to ask, the labs to order, and the imaging to order - and we will go even deeper. We'll also talk about: Normal versus abnormal uterine bleedingThe anatomical factors that are key to your assessmentPotential causes of abnormal uterine bleedingOther conditions that could cause or contribute to abnormal uterine bleedingPearls related to imaging (what to order, and how)Like so many other concerns in healthcare, abnormal uterine bleeding can be scary, for patients as well as providers. Increasing your knowledge level will increase your comfort level. This will help you to build a strong differential, guide your patients, and address their concerns effectively. If you liked this post, also check out:Discussing Sexual Health With Your Patients - An Interview With A Sexual Health Educator Pap Screening In Primary Care Pelvic Floor Dysfunction for New Nurse Practitioners Read the full blog post here._______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this week's video, I'm interviewing Diana from Catalyst for Self Care. She's been a nurse practitioner for 10 years, and after going through her own experience with burnout, she now helps nurses and nurse practitioners both prevent and manage their own burnout.She's done extensive reading, and research and walks her talk. She's got so much insight to share, and resources and also works with people one-on-one through mentoring in a step-by-step process to help them on their own path to career fulfillment and avoiding burnout.We're talking about new nurse practitioner anxiety, what we wish we could tell ourselves as new nurse practitioners, and what we can do to help ourselves stay connected to our big visions of impact in the world despite a challenging period of transition from RN to NP.We'd love to hear your thoughts about what you're doing to take good care of yourself right now! Or if this video made you realize that area is a bit lacking, what one thing you can start doing now to help yourself in that area.-----------------------Don't forget to grab your free Ultimate Resource Guide for the New NPMore Resources:Lab Interpretation Crash Course Digital NP Binder-----------------------© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
⭐️ CME Opportunity for this episode below ⭐️Have you ever wondered how best to manage your patients with pulmonary diagnoses? How much steroid use is too much for these patients? What happens after you refer your patients to pulmonology? How do we bridge the gap between primary care and pulmonology? You gave us all the questions that you have for pulmonology – and we have answers. In this high yield interview, we will go over the answers to all of your questions and a lot more. We talk in depth with pulmonologist Dr. Daniel Seifer about your questions and more. From what to be thinking about when referring your patient to pulmonology to patient teaching techniques, we cover a lot in this interview. We talk about:What your patient's steroid use can tell you about the status of their chronic conditionWhich tests to order for your patients, and what they mean for your patientThe right way to use inhalers, and common mistakes many patients makeInhalers versus nebulizers – which is right for my patient?What to be thinking about when you refer your patient to pulmonologyThis interview is like a crash course in next-level care for your patients with a pulmonary diagnosis. If you have felt pulmonology is a growth area for you, this interview should help. If you want to have better strategies for patient teaching, this interview should help. Grab a notebook and get ready to learn a lot in a little time – and improve the care that you give to your pulmonology patients in primary care.If you liked this post, also check out:Interview With A Pharmacist Ask A Cardiology Nurse Practitioner Your Urology Questions - AnsweredRead the full blog here.-----------------------
Have you had to give a patient bad news? Did you feel prepared or scared? It is a necessary part of being a Nurse Practitioner, and it's always going to be challenging, but it is better if you are prepared. Not all bad news is created the same. In some cases, bad news is life changing information, but in other cases, it might be life limiting information. What we might consider serious news, like a new diagnosis of diabetes, might be catastrophic to the patient. Doing our best to understand and anticipate the patient's perspective will benefit us both.This week, we have a video that covers so much of the ins and outs of delivering bad news to your patient. We will talk about all of the things to consider when you have these conversations with your patient. We'll cover: How to prepare yourselfHow to prepare the settingHow to have the actual conversation with the patientThe difference that trauma-informed care can make in having these difficult conversations with patientsA framework to guide the experience for you and the patientSome specific language to use in these conversations Getting and giving bad news is always tough; having a plan for the visit will make a big difference. Develop a plan for follow up and next steps with the patient before you give them the news will also make a big difference. Using as much empathy as you can, keep the patient at the center of the conversation and give space for any emotions that might show up.If you liked this post, also check out:How To Make A Plan of Care For New Nurse PractitionerChronic Care Conversations Medical Decision Making and Referral for New Nurse Practitioners Read the full blog here.-----------------------Timestamps:00:00 - Introduction01:06 - Establish Framework (SPIKES)02:12 - Setting Up04:41 - Perception05:56 - Invitation07:48 - Knowledge13:12 - Emotions and Empathy13:41 - Strategy/Summary15:32 - PEARL of Practice-----------------------© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Diabetes might be one of the most challenging chronic conditions to manage. It definitely requires a lot of partnership between provider and patient; you may find yourself spending more time with your diabetic patient than any other group of patients in your practice.We talked with Nurse Practitioner and Registered Dietitian, Meghan Kavanaugh, about her work with diabetic patients. The interview was such a hit that we brought her back again to answer all of your questions about the nutritional aspects of helping your patients with diabetes. This week, we get answers to your questions, and more, including:Where to start with nutritional counseling for diabetic patientsHow motivational interviewing can help with nutrition counselingRealistic strategies that patients can start using as soon as they leave your visitThe importance of understanding the patient's lifestyle in order to optimize their diabetes managementDiabetes can be a tough condition to manage; nutrition is at the foundation of good management, but not all patients have the same experience when it comes to food. Patients that travel, patients that have limited access to certain foods, patients who have religious reasons for eating or not eating certain foods, patients who simply have preferences for certain foods over others – all of these things must be kept in mind as we create strategies to help our patients manage their diet and their diabetes.If you liked this post, also check out:
As a nurse practitioner in primary care, there are SO many things I've wanted to ask a cardiology nurse practitioner. This week, I had the lovely pleasure of interviewing Scott Pasquale, FNP and cardiology nurse practitioner, with questions from the RWNP community. In this episode, we covered:What cardiologists wish primary care providers knewA breakdown of common cardiovascular tests, how to explain them to patients, and how to choose between each one!Review of how to order holter monitors the right way!Common cardiovascular topics like atrial fibrillation, anticoagulation, and heart failureResources for nurse practitioners interested into going into cardiovascular medicineIf you liked this post, also check out:Heart Failure in Primary CareApproach to Resistant Hypertension Part 1Approach to Resistant Hypertension Part 2Read the full blog post hereTimestamps:00:00 - Introduction03:13 - How Scott Pasquale choose Cardiology04:14 - What NP Cardiologist Wish That Primary Care Providers Knew06:51 - Ordering a Stress Test11:57 - Other Names for Nuclear Scans12:54 - Example Situation18:57 - Type of Monitor to Use 24:45 - EKG Learning Resources29:14 - A-Fibrillation31:14 - Anticoagulation33:56 - Cold Calling35:20 - Coronary Calcium Score/Scan36:54 - Hypertension Management and Their Side Effects39:55 - Resources/Recommendations for New Nurse Practitioners Getting into Cardiology41:32 - Heart Failure44:24 - Diuresis Management48:20 - Time in Specialty Practice vs Primary Care© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
⭐️ CME Opportunity for this episode below ⭐️Feeling comfortable with treating type 2 diabetes can be overwhelming as a new grad Nurse Practitioner – and even as a seasoned Nurse Practitioner, especially if you don't have a lot of diabetic patients in your practice. Some patients will be able to improve their diabetes and get their A1C down with lifestyle changes alone; others will need to add oral medication; others will need to add insulin to get optimal control of their diabetes.When the time comes to have a conversation with your patient about starting insulin, they are likely to have lots of questions. If you want to be sure that you have answers, you have come to the right place. This week, we will walk through what you need to know when you have a patient who will be starting insulin for diabetes management. We'll talk about:✅ The other options for treating type 2 diabetes before you start insulin✅ How much improvement you can expect with various approaches to diabetes treatment✅ A framework for when to start insulin, and how to adjust the dose✅ Managing hypoglycemia after starting insulin✅ Why in-person visits are so beneficial for managing diabetesDiabetes is a complex diagnosis for providers and patients. When you feel confused and overloaded with information, imagine how your patient feels. Being prepared for these conversations and clinical scenarios will help you to feel more confident, which will help you to be an even better resource for your patients.✨ If you'd like support learning about how to manage Diabetes, including medication management, most recent guidelines, when to refer and examples of real-life patient cases, join us for the Managing Diabetes, Hypertension & CKD Review Course. Comes with 10.35 hours of continuing education, including 2.8 pharmacology hours, downloadable cheat sheets and lifetime access! Click here------------------------
⭐️ CME Opportunity for this podcast below ⭐️ If you're overwhelmed and intimidated by preoperative exams, you're not alone.Even a healthy patient undergoing a low-risk surgery can be stressful, but knowing the guidelines and tools can help you feel more confident in your practice.In this episode, you'll learn:Why we need to stop saying "preoperative clearance" and what to say insteadThe step-by-step approach to evaluating cardiac and pulmonary risksWhat tools can help you decide the risk and if they should have surgery (especially for the complicated patients)Link to free cheat sheet: https://www.realworldnp.com/016-opt-in________________
⭐️ CME Opportunity for this podcast below ⭐️ Becoming a nurse practitioner feels like becoming a nurse all over again - having questions like:What did I get myself into?Is it normal to feel like this?How do I know if this job is the right fit? Or if it's time to change?This week's episode is mixing it up, answering these questions from the community, #realtalk-------------------
⭐️ CME Opportunity for this podcast below ⭐️ Wrist pain is a SUPER common chief complaint in primary care. Most of the time, luckily, it's chronic wrist pain that's from overuse (versus the more acute, dangerous differential diagnoses with injuries), but it's still a lot to work through as a new nurse practitioner.In this week's episode, I'm covering the overview approach to diagnosing wrist pain in primary care for new nurse practitioners:✅ What first triage questions to ask✅ Red flags to watch out for✅ History questions, physical exam and special tests to perform✅ When to refer and when to consider getting imaging-----------------------
⭐️ CME Opportunity for this podcast below ⭐️ When you're a new nurse practitioner, you need to make thousands of decisions a day.(Which usually translates to thousands of questions).I made mistakes as a new grad, and luckily for me, I had a very patient colleague who was there to help guide me.In this video, I'll share:Some of my mistakes (I'm a little embarrassed)Three easy steps to make sure you ask questions the right way (so you get the answers you're looking for and build and maintain your colleague relationships)Leave me a comment below, what are some of the strategies you use to collaborate with your colleagues and supervisor?--------------------
⭐️ CME Opportunity for this podcast below ⭐️ Syphilis lab interpretation can be confusing, and it's a BIG topic, but in this episode, I review the most common scenario that I see in primary care.I cover treponemal and non-treponemal tests, how to interpret them most specifically in the context of slightly abnormal, asymptomatic patients (the most common scenario in primary care), as well as the treatment and follow up, and when to refer to a specialist.How to cold call a specialist (you can do it!!): https://www.youtube.com/watch?v=xoFAYS0YN_U-----------------------
⭐️ CME Opportunity for this podcast below ⭐️ When it comes to choosing which oral contraceptive pill to prescribe, there are SO many options. How do you know which one is the right one? As a new nurse practitioner, you'll usually get different recommendations from different providers. In this video I'll be covering:The first step to prescribing that's easy to forgetWhat criteria to consider when choosingThe two main routes to follow (and how to know which one to go down)Plus, check out the resources I reference in this video to help you decide:CDC Medical Eligibility CriteriaList of Progestins by Androgen activity---------------------
⭐️ CME Opportunity for this podcast episode below ⭐️ It's 2 p.m., the medical assistant comes to your office and lets you know your next patient is ready, and they're here because they "need antibiotics"...... But do they? Or don't they?They've "had a cold" or "a nasty cough" for over three weeks now.... they've "tried everything," and "got an antibiotic last time."Are you seeing this every day now, too? 'Tis the season. This week's case study is all about that sticky situation--✔️ Productive cough for over 3 weeks ("subacute")✔️ What the differentials are, and ✔️ What to do about it (and who actually needs antibiotics).Please note that this case study was made pre-Covid pandemic so does NOT include Covid/long Covid as a differential.---------------------
⭐️ CME Opportunity for this podcast below ⭐️ So many things in primary care are deceptively complex. There may be a few genuinely simple things that we treat, but so many things that come into our exam rooms are complex and sometimes downright confusing. Anticoagulated patients are one of those situations. While the concept itself is pretty simple – medication that thins the blood so that they don't get clots, got it – the reality of managing an anticoagulated patient is something else. In primary care, we are often either inheriting the patient who is on anticoagulation, or we are following up after someone else started them (maybe after a trip to the emergency department).It is completely normal to question yourself with anticoagulated patients. If you have been there, or if you would like to be prepared before you see your first anticoagulated patient, this week's video is for you. We will talk about:✅ Where to start with the anticoagulated patient – and then where to go✅ Different types of anticoagulants✅ Everything you need to consider to prescribe anticoagulants safely✅ How long to keep a patient on anticoagulants✅ How to monitor the anticoagulated patient, and what to watch forAnticoagulation has so many benefits for the patients that need it, but like anything else in medicine, it comes with risks. Building up your knowledge about what to look for (and what to do if you find it) when working with anticoagulated patients will make such a difference in building your confidence as a provider.-----------------------Don't forget to grab your free Ultimate Resource Guide for the New NP
It's not unusual to be taken by surprise when you see microscopic hematuria on urine dip results. The patients who end up with this as part of their presentation are often asymptomatic, and may even be giving you a urine sample for another reason – which can make chasing down the cause even more of a mystery. If you don't know where to start when it comes to determining the cause of microscopic hematuria, you're not alone. In this video, we will cover a high-level approach to investigating a finding of microscopic hematuria. We will go over the workup for microscopic hematuria, and lots more: ✅ What is the difference between microscopic and macroscopic hematuria?✅ When a urine dip is enough, and when you need to send the sample out✅ What white blood cells and protein in the sample can tell you✅ Essential history and symptom questions to ask✅ When to repeat the urine dip at another timeHaving a simple framework for approaching the sometimes mysterious microscopic hematuria will increase your confidence and help you to take the best care of your patients. Getting to the root cause of microscopic hematuria is another critical part of taking great care of the patients you work with. If you liked this post, also check out:Your Urology Questions - Answered!Treating Patients With Symptoms Of Recurrent UTIDysuria in Primary Care for New Nurse Practitioners -----------------------Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guideSign up for the Lab Interpretation Crash Course: https://www.realworldnp.com/labs Grab your copy of the Digital NP Binder: https://www.realworldnp.com/binder------------------------Come follow along for even more tips and inspiration:InstagramFacebook______________________________Please note: This episode is intended only for medical providers and students learning to be medical providers. While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.If you're a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at https://www.realworldnp.com/mentoring. _______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
Getting comfortable talking with patients or other healthcare professionals about disabilities can be challenging. It's not something that is typically covered in school, and if you don't have personal experience with the subject, you may find yourself floundering trying to find the right thing to say – or to avoid saying the wrong thing. And when you don't feel comfortable, how can you expect your patient to feel comfortable? We asked our Real World NP community their questions for working collaboratively with disabled patients. In this week's episode, we got answers from Andrea Dalzell, Disability Rights Influencer to those questions and more. · What is person-first language, and why it is so important· Things that you may not have considered about accessibility· What workplace accommodations are – and are not· How to advocate for people with disabilitiesWords matter. The way that we, as clinicians, receive and interact with our patients with disabilities translates to how they (and their disability) are perceived in so many other aspects of their life. Working to develop an understanding, in a deep way, of how a patient's disability impacts their overall life is a vital part of this. Likewise, improving understanding of how the language we use can positively or negatively impact patients, along with the ways that we interact with those same patients, is an important part of our roles as clinicians. If you liked this post, also check out:Chronic Care ConversationsDiscussing Sexual Health With Your Patients - An InterviewHow to Give Feedback to Your Medical Assistant-----------------------Don't forget to grab your free Ultimate Resource Guide for the New NPSign up for the Lab Interpretation Crash Course Grab your copy of the Digital NP Binder______________________________Please note: This episode is intended only for medical providers and students learning to be medical providers. While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.If you're a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at https://www.realworldnp.com/mentoring. _______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details Hosted on Acast. See acast.com/privacy for more information.
Awkward conversations are common in healthcare settings. Learning how to actually have these conversations (or start these conversations, or navigate these conversations)…that's much more rare. Discussing sexual health doesn't have to be challenging for patients or providers; with some preparation and some practice, it can become as second nature as any other discussion you have in the exam room. Making assumptions, or avoiding the topic altogether, can create missed opportunities and serious gaps in the patient's care. A common misconception is that the patients will bring up anything that you should know – in reality, many patients are hoping that you will start the conversation. This week, we talk with Genesis, a college health Nurse Practitioner and sexual health educator, and get some great strategies for handling these conversations. We'll discuss: ✅ How to obtain a patient's sexual health history✅ The Six P's – what they are and how you can use them to guide your conversation✅ Strategies for getting comfortable discussing sex with patients✅ Which patients are candidates for discussing sexual health While the conversation is important, addressing sexual health with your patients means more than just talk. We also cover strategies for helping your uninsured/underinsured patients, as well as how to increase your effectiveness with STI (sexually transmitted infection) testing and treatment. If you liked this post, also check out:Interview with a Women's Health Nurse Practitioner Pelvic Floor Dysfunction for New Nurse PractitionersChronic Care Conversations-----------------------Don't forget to grab your free Ultimate Resource Guide for the New NPSign up for the Lab Interpretation Crash Course Grab your copy of the Digital NP Binder______________________________Please note: This episode is intended only for medical providers and students learning to be medical providers. While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.If you're a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at https://www.realworldnp.com/mentoring. _______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
You know that moment in the job interview when they ask if you have any questions? Have you ever been totally stumped? Not fun. Even worse is when you get home afterward and think of all the questions that you wish you asked. If you are on the job hunt, or about to be, we have the questions to ask that will give you lots of information about the job and the workplace, and really help you to understand whether it is the right fit for you. This week, we have some secret strategies to set you up for success in your Nurse Practitioner job search. We'll cover: · Outside the box ways of finding a job· Spotting warning signs in the interview· Orientation – and why you want to ask about it· Why you should ask about protocols· What is team-based care, and what does it mean to you as a Nurse Practitioner? Job searches can be exciting and stressful at the same time. Investing the time in advance to gather background information on a prospective employer, asking high-yield interview questions, and then reflecting on what you have learned will put you in the best possible position to pick the job that is right for you. If you liked this post, also check out:New Nurse Practitioner Job Tips with The Resume RX Clinical Interview Questions for New Nurse PractitionersNew Nurse Practitioner Q & A | How to know when to change jobs-----------------------Don't forget to grab your free Ultimate Resource Guide for the New NPSign up for the Lab Interpretation Crash Course Grab your copy of the Digital NP Binder------------------------Come follow along for even more tips and inspiration:InstagramFacebook______________________________Please note: This episode is intended only for medical providers and students learning to be medical providers. While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.If you're a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at https://www.realworldnp.com/mentoring. _______________________________© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
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