Real World NP

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.💖 Join us for a heart-to-heart chat that's raw, relatable, and peppered with a good dose of humor. Because, let's face it, sometimes laughter is the best medicine.🌈 Whether you're a seasoned NP or just starting your journey, this episode is a virtual hug, a reminder that you're not alone.👂 Tune in, share your thoughts, and let's keep the conversation alive. In this community, your story matters, and we’re in this together.Timestamps:00:00 - Introduction07:32 - Kara’s NP Background11:10 - Residency Program13:41 - Heather’s NP Background19:00 - What is it like after Covid?25:02 - New Grads Challenge28:51 - Real-World Experience In Covid36:14 - Changes That Were Advocated43:35 - Funny NP Stories56:51 - Parting Thoughts to New Grads NPsRead 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.

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 GFR8:40 - 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. DOACs31:18 - 38:15 - Adjusting Warfarin Dosages and INR Monitoring38:16 - 42:42 - Assessing Bleeding Risks with CHADS-VASc and HAS-BLED42:43 - 46:03 - Reversal Agents and Safety in Anticoagulation46:04 - 53:41 - Managing DOACs in Different Clinical ScenariosRead 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.Download the FREE Ultimate Resource Guide for NP_______________________________© 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 👇Shoulder Anatomy Animated TutorialShoulder Exam ManeuversRead 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.

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. 💫 A presentation I reference in the video is here: http://www.ctcfp.org/wp-content/uploads/APPROVED_Cason_Patient-Centered-Reproductive-Goals-and-Contraceptive-Counseling-pc-edits.pdf 💫 And here are two other websites to help with patient reference: Reproductive access project: https://www.reproductiveaccess.org/resource/bc-fact-sheet/ 💫 Bedsider.org: https://www.bedsider.org/If you liked this post, also check out:Pap Screening In Primary CareDiscussing Sexual Health With Your Patients - An Interview With A Sexual Health Educator Your Urology Questions - Answered!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.