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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:

Workup for Syncope in Primary Care May 24, 2022

Show notes

If even thinking about a patient with syncope makes you feel a little lightheaded yourself, you are in the right place.

Your patient passed out, so their family insisted that they see their PCP. Now they’re in your exam room, and you need a roadmap to see what happened, what is going on, and how we got here.

Let’s talk about how to approach the visit for the patient with syncope in primary care, why you will want to work backward to assess them, the four main categories of syncope, and more.

✅ Things that can look like syncope – but aren’t

✅ Specific, targeted questions to ask the patient with syncope

✅ Medications that can play a role in a syncopal episode

✅ Why family history is important in syncope, and which questions to ask

✅ Red flags in a patient with syncope

Syncope can seem like a huge problem to solve as a new grad, but with some guidance and plenty of practice, it gets easier to narrow down. Having a framework to approach the visit will boost your confidence and make these visits more manageable.

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

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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.

How to Give Feedback to Your Medical Assistant May 17, 2022

Show notes

Have you found yourself needing to give feedback to your MA or support staff – with no idea where to start? You are not alone. As an NP, your role is unique; you’re not the boss, yet you are expected to give some level of guidance and leadership. And when what a staff member is doing isn’t working, that message usually needs to come from you.

Let’s talk about how to give feedback to your MA or support staff in a way that is constructive, positive, and won’t leave either of you feeling like you want to crawl under a rock.

In this episode, we have a real-world example of a tough conversation with an MA – and a step-by-step approach for how to handle it.

We’re covering:

A framework that will give you confidence when giving feedback
The right time to have these conversations
What to do when the conversation doesn’t go so well
When to involve other team members

Being prepared is a major part of any delicate conversation. Learn these actionable tips before you need to have this talk so you can take away a lot of the stress – and get to the good stuff, coming up with a solution without feeling any of the cringe.

Read the blog post here.

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

Decreased Appetite in Children May 10, 2022

Show notes

Context is key for the pediatric patient with decreased appetite. Getting a sense of what is normal for the patient and their overall health goes a long way in deciding how to approach the visit.

This week, let’s talk about where to start when you see these patients, and how to get the context that is so essential for these visits.

✅ What to know about the patient before you even walk into the exam room

✅ When to ask broad questions, when to ask targeted questions – and why

✅ Which body systems you must assess

✅ Considering the behavioral and social context

✅ The use of medication for children with decreased appetite

✅ Red flags and worst-case scenarios

Decreased appetite can seem like a scary chief complaint for a pediatric patient, but it doesn’t have to be. A good handle on what is normal, what is urgent, and when to send these patients to a specialist, will take a lot of the pressure off and increase your confidence in the visit.

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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Come follow along for even more tips and inspiration:

Instagram: https://instagram.com/realworldnp

Facebook: https://facebook.com/realworldnp

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

If 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.

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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.

Well Child Check Hacks for Nurse Practitioners May 03, 2022

Show notes

Well child visits can be very intimidating for new Nurse Practitioners, even if you love working with children. There are so many questions to ask, so many developmental elements to consider – it’s easy to feel a lot of pressure not to miss anything in these visits.

This week, let’s talk about ways to come into these visits with tools to make it easier for you and to set your mind at ease.

✅ Top things to know for well child visits

✅ My favorite resources for pedi milestones

✅ How to plan your well child visit so that you don’t miss anything

✅ How to involve staff to help these visits go more smoothly

✅ A few simple questions to ask at any pediatric visit that will give you tons of information

Don’t feel like you need to know everything perfectly right away. Instead, prepare yourself, develop a strategy, and practice, practice, practice. These are visits that take a lot of practice and a lot of time to get comfortable with. Don’t give up!

PS. Here’s the link from Natalie PNP! : https://www.nursenat.com/shop-1

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Read the blog here: https://www.realworldnp.com/blog

Watch the video of this episode here: https://www.realworldnp.com/videos

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 resource is intended only for medical providers and students learning to be medical providers.

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

Diagnostic Approach to Fatigue in Primary Care Apr 26, 2022

Show notes

Fatigue is a tricky clinical topic that can seem overwhelming in a primary care visit – sometimes even for the seasoned NP. Having a game plan can help with the stress of these visits and increase your confidence when you see these patients.

In this week’s episode, let’s talk about what you need to know to be prepared for the patient with fatigue.

✅ Strategies to approaching diagnosis

✅ How to get the history you need

✅ The body systems you MUST assess

✅ Chronic causes to rule in/out

✅ Top questions to ask to be both comprehensive and efficient in the visit

✅ Which labs to order

What to do when the assessment is inconclusive

You will be able to develop a strong plan for the patient without overwhelming yourself - or missing any red flags.

Read the blog post here.

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

Pancreatitis Diagnosis for New Nurse Practitioners Apr 19, 2022

Show notes

Epigastric pain as a chief complaint happens ALL the time in primary care. And we all order labs to help rule out pancreatitis, but most clinicians feel uncomfortable with diagnosing pancreatitis in primary care. Even though it’s not that common, it’s certainly a red flag diagnosis to watch out for.

In this episode I cover:

✅ The main causes of pancreatitis

✅ What labs to order and what to look out for

✅ The criteria for diagnosing pancreatitis

✅ The next steps to take when you suspect it

Read the blog post here.

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

Diagnosing Abdominal Pain for New Nurse Practitioners Apr 12, 2022

Show notes

Some chief complaints are more stressful than others. Abdominal pain is CERTAINLY one of them, especially for new nurse practitioners.

In this episode, I give my top systematic hacks for diagnosing abdominal pain in the primary care setting to make sure you’re not missing anything and are providing safe care.

Read the blog post here.

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Download the FREE Ultimate Resource Guide for NP

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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.

Acute Diarrhea Diagnosis for New Nurse Practitioners: Part 2 Apr 07, 2022

Show notes

Patients presenting with an acute diarrheal illness is one of the MOST common chief complaints in primary care. They’re also typically worried, wondering if they need antibiotics AND usually want some sort of testing.

My last episode was part one of assessing this chief complaint, and I focused on the important history questions, physical assessment and the most important risk factors and triage components. Definitely go back and check that out if you haven’t already here: https://www.realworldnp.com/podcast

In this week’s episode though, I’m covering:

The most common presentation to watch out for in primary care
What types of stool testing there are, and why you’d order them
The most common pathogens you’re looking for, and how to order them
Guidance for patients looking for antibiotics (and if they’re appropriate or not)

Here’s the reference I mentioned with the printable table! It’s a few years old but it’s free! Up-to-Date also has a great table resource but I don’t have rights to share unfortunately :) https://www.aafp.org/afp/2014/0201/p180.html#afp20140201p180-t1

Read the blog post here.

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

Acute Diarrhea Diagnosis for New Nurse Practitioners Apr 05, 2022

Show notes

Acute diarrhea is SUCH a common chief complaint in primary care. In this week’s episode I’m covering acute diarrhea diagnosis for new nurse practitioners in primary care.

Including:

The approach to diagnosis
What “doorways” to keep track of
The most important history questions
Triaging the most dangerous presentations
Whether to order labs or not!

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

How to Manage Nurse Practitioner Stress, Burnout and Compassion Fatigue Mar 29, 2022

Show notes

The transition from RN to NP is TOUGH. It's exhausting, stressful, but oh so worth it.

We need to be careful, though, because too much stress and not enough strategic prevention can lead to burnout and something called compassion fatigue, which can fizzle out our drive and passion-- and worse, may even lead to leaving the profession altogether.

In this episode, I'm covering:

- The risk factors, signs and symptoms of stress, burnout and compassion fatigue (it's not necessarily what you think)

- How to know if you're having any of these (or all three)

- And what to do about it (prevention AND treatment).

Take your ProQuol self assessment here: https://www.proqol.org/ProQol_Test.html

Definitely check out the book To Weep for A Stranger: Compassion Fatigue in Caregiving by Patricia Smith if any of this is resonating with you: https://www.amazon.com/Weep-Stranger-Compassion-Fatigue-Caregiving/dp/1448658691 (not an affiliate link)

Read the blog post here.

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

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