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Real World NP — Business
Real World NP

Hi, I’m Liz Rohr: family nurse practitioner, wife, parent, and founder of Real World NP, a continuing 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.

Hosted on Acast. See acast.com/privacy for more information.

Copyright: © Liz Rohr

Latest Episodes:

Pap Screening in Primary Care Aug 02, 2022

Show notes

Paps. How can such a common primary care intervention cause so much confusion? How often to screen, how to understand any findings that are not black and white, how to advise your patient about next steps – you would not be the first NP to feel overwhelmed with abnormal pap results in your inbox.

This week, we’ll take some of the mystery out of this challenging clinical topic, and help you understand the main points that will guide your treatment. We’ll talk about:

✅ Current guidelines, and how they apply to your patient, (and our favorite plug-and-play tool to make interpreting pap results super easy!)

✅ The role of HPV in understanding pap results

✅ Next steps for the patient with an abnormal pap result

✅ Colposcopies, LEEPs, advanced sampling – what they are and how to explain them to your patient

✅ Pro tips for interpreting results and guiding your patient

It’s true that even seasoned providers get stumped trying to navigate abnormal pap results. With time, practice, and a few tools in your toolbox, you will get more clarity on interpreting abnormal pap results and knowing the right next steps for your patient.

If you liked this post, also check out:

✨ Interview with a Women's Health Nurse Practitioner

✨ Diagnostic Approach to Abnormal Uterine Bleeding

✨ IUD Counseling for New Nurse Practitioners

Read the blog post here.

Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide

Sign 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

Hosted on Acast. See acast.com/privacy for more information.

AANP President Interview Jul 26, 2022

Show notes

Whether you are a brand-new NP or you have been practicing for a while, the AANP has likely done something that has made your job easier.

But what does the AANP actually do and how does it work?

In this special one-on-one interview with Stephen Ferrara, President-elect of the AANP, we got the opportunity to ask him questions from the Real World NP community.

We talked about:

✅ What AANP is (and what it isn’t)

✅ How the NP educational system works

✅ Key differences between medical and NP education and how it’s related to AANP

✅ Current issues facing our profession

✅ The goals Stephen has as the new president-elect of AANP

Join us and learn about the AANP’s current and upcoming initiatives; some of their possible solutions to the challenge of finding a preceptor; some of the barriers to NP practice that are on their radar, and – maybe most importantly – how you can get involved, how the AANP can help you as an NP, and how you can help others in our profession.

If You Liked This Post, Also Check Out:

Read the blog post here.

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Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide

Sign 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

Hosted on Acast. See acast.com/privacy for more information.

Managing Depression In The Primary Care Setting Jul 19, 2022

Show notes

Depression in the primary care setting – super common. With a shortage of mental health providers and increasing numbers of patients with symptoms, depression is becoming a leading primary care health concern. If you feel unsure or unprepared for these patient encounters, you are in the right place.

This week, we’re taking some of the mystery out of working with patients with depression in the primary care setting. We’ll cover:

✅ Red flags of depression assessment, and how to handle them when you find them

✅ Key resources you need to know out at your clinic (and outside your clinic)

✅ What differentials to watch out for

✅ Approach to medications, and important factors to consider

There is an entire specialty track within the Nurse Practitioner world (PMHNP) that is designed to treat patients with mental health concerns. As Family Nurse Practitioners, there are limits to what is appropriate for us to treat – but we can certainly help our primary care patients experiencing this very common concern.

SI assessment tool here: https://www.counseling.org/docs/trauma-disaster/fact-sheet-6---suicide-assessment.pdf?sfvrsn=2

PHQ-9 screening here: https://www.mdcalc.com/calc/1725/phq-9-patient-health-questionnaire-9

Mood disorder questionnaire (MDQ): https://www.ohsu.edu/sites/default/files/2019-06/cms-quality-bipolar_disorder_mdq_screener.pdf

Read the blog post here.

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Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide

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© 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.

Treating Patients With Insomnia Jul 12, 2022

Show notes

By the time the patient with insomnia makes it to primary care, they have probably been struggling with sleep for a while, and have probably tried some things on their own – without luck. And now they’re hoping YOU can fix it, preferably…tonight?

Insomnia is a murky clinical topic; it’s not always as simple as not getting enough sleep. If you aren’t sure where to start with the patient with insomnia, let’s get you sure. This week, we’ll talk about:

✅ Sleep hygiene – what it is and why it’s important in patients with insomnia

✅ The role of substances (alcohol, caffeine, nicotine) in sleep issues

✅ Getting an insomnia/sleep history

✅ Comorbidities that can be causing or contributing to their insomnia

✅ Pharmacological approach to treating insomnia

✅ Non-pharmacological approach to treating insomnia

There aren’t any tests or labs for diagnosing insomnia. Digging deep and getting a very good history is the biggest part of understanding what is going on and developing the best plan to get your patient the relief they need.

Read the blog post here.

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Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide

Sign 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

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© 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.

Does it Get Better as a Nurse Practitioner? Jul 05, 2022

Show notes

Let’s be real: the first few years of practice as an NP can be TOUGH. Not only do you have this vast amount of new clinical knowledge to put into practice, you’re also learning the ins and outs of how a clinic runs (for better or worse), and adjusting to being the place where the buck stops. Is it really surprising that you are wondering if it gets better?

It’s a kind of taboo topic, even though it’s a common question that most NPs ask (if only to themselves). It’s also time to put a spotlight on it.

This week, let’s talk about how it gets better as a new NP:

✅ How long does it take to get better?

✅ The role transition from RN to NP

✅ How the complexity of the US healthcare system impacts transition to practice

✅ Examples of what it looks like when it DOES get better

You’re not alone, and you’re doing better than you think. And at some point, the day will come that it will get better – either naturally or because you made the adjustments that you need so that it IS better.

Read the blog post here.

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Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide

Sign 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

______________________________

Please note: This episode is intended only for medical providers and students learning to be medical providers.

_______________________________

© 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.

Simple Hypercalcemia Workup (with Case Study): Lab Interpretation for New Nurse Practitioners Jun 28, 2022

Show notes

Labs interpretation for new nurse practitioners can be confusing, and most new grads don't feel well-prepared by what they learned in NP school.

In this podcast episode, I break it down with a SUPER interesting case study from my first year as an NP, and make the approach super simple with 3 steps, including the top do-not-miss diagnoses.

Join us for the Lab Interpretation Crash Course for Nurse Practitioners here.

Read the full blog post.

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© 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.

Managing Anxiety in Primary Care for New Nurse Practitioners Jun 21, 2022

Show notes

Managing anxiety in primary care is super common, but especially now during the pandemic quarantine.

In this podcast, you'll learn:

✅ When it's anxiety... and when it's not

✅ How to assess symptoms, history and the best tools to make it faster and easier

✅ The step-by-step to manage anxiety, and what to do if it's not working.

There's SO much I could say about anxiety and mental health, let me know what questions you have or topics you want to hear more about.

Grab your cheat sheet here: https://www.realworldnp.com/033-opt-in

Read the blog post here.

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Videos I mentioned:

HOW TO GET A PATIENT HISTORY: https://www.youtube.com/watch?v=UGrDbC3X2oc&t=196s

Hosted on Acast. See acast.com/privacy for more information.

Diagnosing Migraine in Primary Care Jun 14, 2022

Show notes

Your friend, your aunt, your patient in your primary care office - everyone seems to be talking about migraines. But is it a headache or is it a migraine? How do you know the difference?

As a new grad, it’s not unusual to feel like you have been thrown into the deep end when patients present with a migraine or a headache. It’s not a super black and white topic, and patients sometimes have a hard time describing their symptoms, which adds to the challenge.

This week, we’ll talk about what makes a migraine different from a headache, and how to approach your patient who just knows that their head hurts and wants relief.

✅ Differentiating headaches and migraines

✅ Migraine red flags

✅ Other diagnoses that can be mistaken for migraine

✅ A word about auras

✅ The importance of a headache diary for you and your patient

When you have a good handle on the red flags, and what makes a migraine different from a regular headache, managing migraines will get easier for both you and your patient.

Check out the links that I referenced here: https://www.realworldnp.com/blog/diagnosing-migraine

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Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide

Sign 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

_______________________________

© 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.

Diagnosing Headache in Primary Care: Red Flags Jun 07, 2022

Show notes

Patients who come into primary care for a headache are often worried that it’s something very serious - and it’s your job to know whether it is or not. Many headaches are nothing overly serious, but as a new grad, it can be hard to know just how concerned to be and what to do with your concern.

Let’s build your confidence and demystify some of the grey areas of headaches. In this video, we’ll cover:

✅ A simple tool that you can use to guide your visit, assessment, and plan

✅ Specific headache red flags, and what to do if you encounter them

✅ When to worry and what to worry about

✅ When to refer patients out

Headaches in a primary care setting can be confusing when you are getting started, but the more you see and the more you manage, the more clarity that you will gain. Use these tips to prepare for your next headache patient and be confident in your assessment, treatment, and referral.

Read the blog post here.

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Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide

Sign 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

______________________________

Please note: This episode is intended only for medical providers and students learning to be medical providers.

_______________________________

© 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.

LGBTQIA+ Competency for Healthcare Providers: Interview with Terra Anderson May 31, 2022

Show notes

LGBTQIA+ cultural competency helps not only our patients to feel safer, seen, and supported, but it also improves health outcomes. Many providers aren’t sure what that competency looks like, or even where to start. It’s more than the correct pronouns and language – but how much more?

In this week’s episode, we talk with Terra Anderson, who uses they/them pronouns, is a somatic therapist, and LGBTQIA+ educator about how providers can improve their competency when working with LGBTQIA+ patients.

✅ What LGBTQIA+ patients wish their healthcare providers knew

✅ What is affirming care, and why it is important

✅ How to approach sensitive exams

✅ How to frame questions so they feel less awkward for you and your patients

✅ The role of assumptions when working with patients, especially LGBTQIA+ patients

✅ Differentiating biological sex, gender, and sexual orientation – and why we need to

Cultural competency is not about a defined endpoint, but about the journey and the willingness to confront known, unknown, and implicit bias. Let’s talk about starting the journey, and let’s keep working on it for all of our patients.

When you are ready for a deep dive into how to best serve LGBTQIA+ patients, Terra offers a Queer Competency for healthcare providers through their company, Embody Emerge. Check out their courses here: https://embodyemerge.com/online-course-shop/

Read the blog post here.

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Please note: This episode is intended only for medical providers and students learning to be medical providers.

_______________________________

© 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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