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PODCAST

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

education courses

All Episodes

9:58

How To Know When To Change Jobs As A Nurse Practitioner

Real World NP ·

2023/01/03

The thought of your Nurse Practitioner job not being the right fit can be scary. You’ve invested a lot of time, money, and energy – not to mention all the things that you have sacrificed – to get to this point, and now?You may have spent a lot of time imagining what it would look like to be working as an NP, and this isn’t it. Whether you are working with a collaborator or on your own, whether you are in primary care or a specialty, whether you have your own panel of patients or not – sometimes it’s

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10:42

Diagnosing Wrist Pain for New Nurse Practitioners

Real World NP ·

2022/12/27

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

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7:33

The Right (and Wrong) Way to Ask Questions as a New...

Real World NP ·

2022/12/20

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,

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13:30

Syphilis Laboratory Diagnosis for New Nurse...

Real World NP ·

2022/12/13

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!!):

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8:51

How To Choose Which Oral Contraceptive Pill for New...

Real World NP ·

2022/12/06

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

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18:20

When to use antibiotics Persistent Cough Case Study...

Real World NP ·

2022/11/29

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

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11:56

Treating Anticoagulated Patients

Real World NP ·

2022/11/15

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

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10:57

Determining The Cause Of Microscopic Hematuria

Real World NP ·

2022/11/08

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

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45:04

Talking About Disability Rights - An Interview with...

Real World NP ·

2022/11/01

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

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44:12

Discussing Sexual Health With Your Patients - An...

Real World NP ·

2022/10/25

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

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14:43

What I Wish I Asked At My Job Interview As A Nurse...

Real World NP ·

2022/10/18

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

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15:39

Understanding New Grad Nurse Practitioner Job Offers

Real World NP ·

2022/10/11

You knew some things would be different when you decided to become a Nurse Practitioner. You would need more education; you’d have a whole host of new job-related responsibilities; you would probably even have different work hours. But did you expect the job search process would also be drastically different as an NP?This week, we’ll talk about some of the differences between RN and NP job searches, how to navigate the differences, and find the job (and job offer) that is best for you.·What to do if

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38:21

Managing Diabetes, Hypertension & CKD Course Q&A:...

Real World NP ·

2022/10/06

In this Livestream, I share about our newest course Managing Diabetes, Hypertension & CKD over at https://www.realworldnp.com/courses.After lab interpretation, the three main topics that new NPs struggle with managing are DM, HTN & CKD-- so I decided to review the 100+ page guidelines cover to cover, do a deep dive on all the meds, cold-call specialists with my questions and report back with all the info I wish I could have had as a new NP.It's got 10.35 hours of continuing education

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52:23

Your Urology Questions - Answered!

Real World NP ·

2022/10/04

How much did you learn about urology in school? If your answer was “not a whole lot,” welcome. Most Nurse Practitioner programs do not cover urology concerns in great depth, which can contribute to a real lack of clarity once you start practicing. You may double or triple your knowledge of common urology concerns today.This week, we talk with Dr. Joseph Acquaye, who answers all of the questions that you submitted about urology. In this interview, we talk about:When to refer your patient to urology,

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58:13

Time Management Tips: An Interview With The World's...

Real World NP ·

2022/09/27

Ever find yourself at work until all hours finishing your charting – or, even worse, taking charting home with you? Wondering how you might possibly get a handle on all of this stuff before you drown? You are most definitely not alone; time management challenges are super common (especially in primary care) for new grads, seasoned NPs, and almost everyone in a patient-facing position.This week, we talk with Jessica Reeves, a Nurse Practitioner with a knack for time management (and author of Secrets

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1:22:36

Ask A Diabetic Educator Nurse Practitioner

Real World NP ·

2022/09/20

Why can’t diabetes management be like we learned in school? That was complicated enough.Now you’re on your own, and there are so many questions with your patients to manage diabetes. Symptoms that don’t necessarily follow a straight line. All of the elements of managing diabetes that are beyond your control – patient’s motivation, cost of medications, how realistic a plan may be, how long until they can be seen by the specialist that you referred them to –it gets more complex by the minute.[Spoiler

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22:54

Heart Failure Management In Primary Care

Real World NP ·

2022/09/13

Heart failure is, without a doubt, one of the more complex topics that you will encounter in primary care. Two types, four stages, four classes, evolving guidelines for treatment, and a host of medications – it’s a lot to wrap your head around. Especially in a 15-minute visit. Let’s talk about the core concepts of heart failure and increase your confidence. We’ll cover:✅ The two types of heart failure, and how the different types impact the approach to treatment✅ Diagnostics – which labs, which

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16:06

Treating Patients With Symptoms Of Recurrent UTI

Real World NP ·

2022/09/06

For patients and providers, few things are more frustrating than recurrent UTIs.This week, let’s talk about recurrent UTIs and how to get real results for your patients.Gender - and how to approach all patients in an inclusive wayThe difference between recurrent and relapsing UTIEvidence-based versus anecdotal risk factorsLabs to order, what to look for (and how to look)Strategies for managementAdding to the tools in your toolkit will lead to strategies for success, which will make it MUCH easier to

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15:00

Managing Chronic Cough In Adults

Real World NP ·

2022/08/30

You have a patient who has been coughing for weeks, maybe even a couple of months. You’ve already ruled out COVID; where do you turn next?This week, let’s talk about chronic cough – what it is, how it differs from acute cough, when to refer the patient, and more:✅ Common causes – things like GERD, asthma, allergies✅ The special history questions to ask and how they will help with your differentials✅ What to watch for in the physical exam✅ Labs and other tests to order✅ Red flagsCoughs are common in

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16:28

Managing Lower Limb Numbness In Primary Care

Real World NP ·

2022/08/23

What could be causing your patient’s lower limb numbness? And more importantly – how do you figure it out?This week, we’ll talk about some strategies to help narrow down the cause of your patient’s symptoms, share some clinical pearls, some assessment techniques that can point you in the right direction (FAST), and more:✅ The most essential history questions to ask✅ Special questions just for lower limb numbness✅ A quick assessment that will rule in or rule out a variety of causes✅ Where to focus

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121 results

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