DiscoverReal World NP
Real World NP
Claim Ownership

Real World NP

Author: Liz Rohr

Subscribed: 37Played: 303
Share

Description

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.

15 Episodes
Reverse
Resistant hypertension is a common chief complaint in primary care clinics. But for new nurse practitioners, there’s a lot to sort through. In this video, I walk through the thought processes and approaches to managing resistant hypertension in primary care. ✅ How to talk about medication adherence with patients✅ The role of ongoing blood pressure checks — both in clinic and at home✅ Considerations for current medications and dosing✅ How to investigate the secondary causes of hypertensionStressed about labs? Watch our free Top Three Mistakes Even Smart NPs Make Interpreting Labs training at https://realworldnp.com/training See acast.com/privacy for privacy and opt-out information.
Dizziness alone accounts for about 5% of all primary care office visits in the US. 5%! That's a huge number. But as a chief complaint, dizziness is somewhat nebulous. The causes of dizziness can run the gamut from annoying-but-benign to yikes-let's-get-you-to-the-ER. So how do you sift through all the possibilities and uncover what’s really going on with your patient? In Diagnostic Approach to Dizziness, we walk NPs through the basics of assessing patients who are experiencing dizziness. We talk about:✅ The four buckets of ideologies that your patient’s dizziness might fall into ✅ The critical patient history questions. (And why it's important to drill down on what patients mean when they say they're CONSTANTLY dizzy.) ✅ The diagnostic steps and key physical tests to run (and how to do them in a not-scary way for your patients!)🚩And the red flags you absolutely need to watch out for Stressed about labs? Watch our free Top Three Mistakes New NPs Make Interpreting Labs training at realworldnp.com/training See acast.com/privacy for privacy and opt-out information.
Back pain — it’s truly one of the most common issues you come across in primary care. That’s why you need to have your diagnostic approach to it down pat as a nurse practitioner. And the sooner you get comfortable diagnosing back pain in primary care, the sooner you’ll feel confident helping your patients on their road to recovery. In this week’s episode, we talk about why you should really take a triage-based approach to back pain — among other chief complaints — plus other hot takes on assessing back pain such as:✅ Red flags that are critical — if sometimes tricky — to uncover when taking a patient history ✅ Key tests to consider when you're doing a physical exam ✅ Should you order imaging or further testing?  ✅ And how to advise patients and set expectations for recoveryStressed about labs? Watch our free training: 3 Mistakes New NPs Make Interpreting Labs for what to avoid and do instead at realworldnp.com/training See acast.com/privacy for privacy and opt-out information.
It’s super common for new NPs — and experienced ones — to get anxious when encountering orthopedic complaints. It’s a conundrum — on one hand, it seems like it should be simple. After all, you can feel all the musculoskeletal body structures right there. But at the same time, there are so many (SO MANY!) nuances to each body part. And there’s a lot of ortho lingo to wrap your head around. That’s why it’s helpful to understand exactly what an orthopedic nurse practitioner does — and what that means for working in primary care.So sit back and enjoy — this week, orthopedic nurse practitioner, Yessica Salazar, has stopped by to talk ortho with us...and left behind so many great clinical pearls that I just know will help you in your daily practice: ✅ How to order knee X-rays the right way✅ Her approach to medications for orthopedic complaints✅ Non-invasive treatment options for patients  See acast.com/privacy for privacy and opt-out information.
Do you ever find yourself spending an ENTIRE 20-minute visit just getting a history?And even with all that time, do you still leave the room feeling like you didn't even get the info you needed?In this episode, I'm sharing my top tips for not only a FASTER history, but also a more accurate one — so you can take great care of your patients while saving time and, quite honestly, health care dollars.You'll learn:My top tip to keep your patient visits movingPitfalls of where you could be missing info (and how to ask questions to get the answers you're looking for)The most important question to ask to save you TONS of time in each visitNeed more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners See acast.com/privacy for privacy and opt-out information.
Seeing "lower leg swelling" as the chief complaint for patients as a new nurse practitioner was incredibly stressful. What’s the best course of action? Should you give diuretics for symptom control? Is this something serious...or something totally ordinary?I had a super interesting case the other week and knew immediately that I had to share it with you — and it was one that I actually got a double-check from my colleague on!In this episode, you'll learn:The top DDXs - most common and red flagsWhat important history questions to askTwo clinical pearls of patient historiesDifferential diagnosesHow to manage patients in this common scenario - re: testing & treatmentNeed more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners See acast.com/privacy for privacy and opt-out information.
Urine microalbumin: you need to check it once a year for patients with diabetes. But interpreting the results — and knowing what to do with them! — can be tricky. In this episode, you’ll learn:When to order urine microalbumin labsHow to interpret the results and what to do with themHow to treat abnormal levels4 steps to elevated microalbumin managementNeed more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners See acast.com/privacy for privacy and opt-out information.
I saw a meme recently that compared hyponatremia to folding a fitted sheet— you can watch a million videos on how to do it, but in the end you'll probably just crumple it up and hope you never have to deal with it again. 🤯Luckily in primary care low sodium is easier to deal with outpatient, and doesn't have to be super complicated. In this episode, I talk about low sodium, which is one of the top abnormal labs in primary care.Hyponatremia involves understanding kidney function, but I've broken it down into the simplest, clearest, most digestible way to give you the most helpful insight to take into your practice. I'll bring you through the step-by-step process to implement for the vast majority of patients you'll see, and if you need to go down the rabbit hole of workup further, you'll have the tools to do so!You'll learn:How to know when your patient needs to go to the ER, and when you can work them up outpatientThe simplest way to remember low sodiumThe #1 lab you should always think of when you see low sodiumHow to know if your patient needs IV fluid (or if that'd be the worst possible thing to do for them)Want more lab goodies? Check out the Lab Interpretation Crash Course for Nurse Practitioners See acast.com/privacy for privacy and opt-out information.
Feeling uncertain about referring a patient? That’s super common. You might wonder things like:  Are there other tests you could do first?Should you wait it out?At what point can you be sure?In this episode I will answer ALL of these questions. I will also walk you through my 3-step process, the pitfalls and mistakes to avoid (that I learned from experience!). Plus, I’ll give you my NUMBER ONE resource to help you:Feel more confident with your referralsDeepen and broaden your knowledge baseTake excellent care of your patientsNeed more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners See acast.com/privacy for privacy and opt-out information.
You've seen high WBC counts as a nurse, but what about leukocytosis that's only 13 or 15? And it's chronic? And what about peripheral smears? How do you know if it's urgent?In this episode we are going to talk about this super interesting case study to give you the step by step approach to interpreting these labs, and teach you how to manage a high WBC count safely and confidently.Together, we will cover:Knowing when to order what labsThree main components of working up a high WBCThe differential and the peripheral smear Absolute lymphocyte count The Flow Cytometry TestCheck out the Lab Interpretation Crash Course for Nurse Practitioners See acast.com/privacy for privacy and opt-out information.
There are many facets when it comes to interpreting Elevated Liver Enzymes (LFTs). In this episode we will be going through the most common presentation and primary care so that you will feel confident in knowing what steps to take when you come across these abnormal labs, and as a result, put your mind at ease and keep you from freaking out!Together, we will cover:Key anchors of LFTs that you need to rememberTwo main factors to know what labs to order and when Three points to start with during your initial approach to LFTsFour main questions to ask with every labSymptoms, causes, evaluation, and algorithm specifically for mild AST and ALTCheck out the Lab Interpretation Crash Course for Nurse PractitionersDownload FREE Ultimate Resource Guide for the New NP See acast.com/privacy for privacy and opt-out information.
It happens to all of us. Those questions and self doubts we get in the back of our minds, “What did I get myself into? Do I even know what I’m doing? Should I even be in this field?” The list goes on. If you are struggling with these fears, then you need to know a few things. First, you are not alone! And second, you are in the right place, because I’m giving you the strategies I use to deal with imposter syndrome. Imposter syndrome is especially common among New Grad NPs, but in all honesty imposter syndrome is something that many of us experience whenever we move to take that next step in our career or any time we explore something new. (Yes, even I still experience this!) So even if you are not a New Grad NP, you’ll still want to check out this episode because these tips are beneficial to everyone.Download FREE Ultimate Resource Guide for the New NP See acast.com/privacy for privacy and opt-out information.
When you’re a new nurse practitioner, there can be a lot of overwhelming, high-stress situations that you may find yourself in. A big contributing factor are lab interpretation resources — they’re scattered, hard-to-use, and don’t cover enough information. I used to DREAD opening up my lab results, but over time I went from avoiding my inbox to being obsessed with labs. How did I get there? I found the right tools and techniques to use. In this episode, I’m going to help eliminate the overwhelm as we walk step by step through a case study of a patient with high TSH levels. Together, we’ll:Go over the three main steps of hypothyroidism assessment and managementReview components of holistic careTalk about medications that can affect thyroid levelsAnd share pearls of practiceGet out your pen and paper because this episode is jam packed with information, and I know you will walk away feeling more confident and prepared for your next high TSH level patient! Download FREE Ultimate Resource Guide for the New NP See acast.com/privacy for privacy and opt-out information.
Welcome to the first episode of the Real World NP Podcast! Let’s dive right into the good stuff. I’m giving you my top three survival tips to help you get through your first year as a Nurse Practitioner. As a student, you’re always looking to your preceptor for approval and feedback. You have someone to tell you, “Yes, that was right,” and “No, that was wrong.” This relationship sure makes things easier, but we don’t remain students forever! There comes a time when we have to take that leap and make the transition from student to professional. I know that leap can be a scary one filled with anxiety, self doubt, and a lot of questions. That’s why I’m giving you these three tips that I learned from personal experience. I can’t stress enough how important it is to get the adequate support you need from the very beginning so that you can avoid burnout and stay in this career for years to come.Download FREE Ultimate Resource Guide for the New NP See acast.com/privacy for privacy and opt-out information.
Trailer

Trailer

2021-07-2703:01

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 guide and support new nurse practitioners so they can feel confident and capable through comprehensive, concise, and hyper-relevant educational resources, without the fluff. Real World NP is 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 and 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.
Comments 
Download from Google Play
Download from App Store