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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

15:20

Acute Diarrhea Diagnosis for New Nurse Practitioners:...

Real World NP ·

2022/04/07

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:

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14:34

Acute Diarrhea Diagnosis for New Nurse Practitioners

Real World NP ·

2022/04/05

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 diagnosisWhat “doorways” to keep track ofThe most important history questionsTriaging the most dangerous presentationsWhether to order labs or not! Hosted on Acast. See acast.com/privacy for more information.

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17:20

How to Manage Nurse Practitioner Stress, Burnout and...

Real World NP ·

2022/03/29

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

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13:46

Weight Management Part 2- Medication Management

Real World NP ·

2022/03/24

Prescribing weight loss medications in primary care is SUCH a common challenge for new nurse practitioners. It feels like there are so many options and things to keep track of.This week’s episode is a follow up from the last episode about weight management counseling-- all about weight loss medications in primary care.This week I cover:✅ Which patients are candidates for weight loss medication✅ The three main types of medications, side effects to watch out for✅ Goal setting and what to expect with

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14:42

Weight Management Part 1- Lifestyle Intervention and...

Real World NP ·

2022/03/22

Weight management counseling in primary care is such an important skill, and it’s truly the foundation that patients need before we can start addressing weight loss medications.In this week’s episode, I’m covering my approach to weight management counseling in primary care, that will hopefully help you feel more confident in your visits.I cover:✅ How to talk to patients, including actual easy scripted phrases to use so you get the information you need and they feel supported✅ Special considerations

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40:47

Pelvic Floor Dysfunction for New Nurse Practitioners

Real World NP ·

2022/03/17

I’m SO excited to share this interview with you. I’m interviewing two pelvic floor therapists -- a family nurse practitioner who has gotten additional training, and a physical therapist with a specialty in pelvic floor therapy.This is SO IMPORTANT. It seems like a hidden corner of medicine that we don’t learn about in school, or maybe it’s touched on when it comes to dyspareunia or urinary incontinence, but it’s so much more than that and we have the power to be so helpful for patients.In this

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54:27

Interview with a Physical Therapist

Real World NP ·

2022/03/15

Interdisciplinary collaboration is SO important in primary care. It’s a tragedy when we’re each rockstars in our own bubble of a profession, but aren’t collaborating or communicating enough to fully understand what each profession actually does.I’m absolutely obsessed with physical therapy, and it’s a HUGE key to success for patients with musculoskeletal complaints in primary care-- but I didn’t really see how it worked on the other side until I was a patient myself.In this week’s episode, I’m

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55:05

How to Delegate Effectively as a Nurse Practitioner

Real World NP ·

2022/03/10

When we’re nurse practitioner students, we’re so focused on the clinical aspects of our jobs that most of the time when we graduate, we’ve caught by surprise.There’s an entirely new role we need to step into as well: delegating, supervising and managing staff members.It’s especially tricky when you’re supervising someone, but you’re not technically their boss-- like medical assistants and nurses.And it’s also difficult because as nurses, we’re so used to working as a team, pitching in, and it feels

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16:17

How to Navigate Scheduling Issues for Nurse...

Real World NP ·

2022/03/08

When I became a new nurse practitioner, I was so focused on learning the clinical pieces that it never occurred to me to learn more about the business of primary care.Once I was on the job, I realized how crucial it is to understand those pieces and how I fit as a clinician in the primary care office ecosystem.This is particularly relevant when it comes to scheduling patients. It seems like a minor thing, but it causes a lot of nurse practitioners painful headaches, and can be tricky to both

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14:28

How Primary Care Offices Work for New Nurse...

Real World NP ·

2022/03/03

As nurse practitioners, we primarily learn the clinical aspects of practice. For good reason-- we’re taking care of real patients’ lives. But there’s a whole lot more to learn on the job, from delegation and leadership, to navigating day-to-day challenges in the ecosystem of a clinic.I was SO focused on learning the clinical parts as a new NP, that I was caught by surprise at my first job. I didn’t realize how primary care offices work-- the business of running a clinic -- and the role I now

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51:26

Interview with a Women's Health Nurse Practitioner

Real World NP ·

2022/03/01

One of the struggles for new nurse practitioners in primary care is managing women’s health topics, and knowing if and when to refer to an OBGYN specialist. We want to do things the right way and use resources we can trust.In this week’s episode, I’m interviewing Monica Carter, who is a family nurse practitioner who has practiced in the women’s health setting for the last 13 years. She dropped SO many pearls and pitfalls of practice, and is truly a gem of a human. We answered questions from the

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13:36

Time Management for Nurse Practitioners: Inbox

Real World NP ·

2022/02/24

There’s SO much to manage as a new nurse practitioner, on top of developing your clinical knowledge, making a thousand decisions a day and becoming a leader in the healthcare space. The better your time management, the more time to get your work done and ACTUALLY rest at the end of the day.In this episode, I’m covering the rest of what we do in a day in the life as nurse practitioners-- inbox management and the time management strategies to make it all easier.I go over:✅ The types of documents and

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11:52

HSV Diagnosis for Nurse Practitioners

Real World NP ·

2022/02/22

So often in primary care, patients come in asking for testing for herpes, whether they have symptoms or not. Sometimes it’s because they “want to be tested for everything,” or are concerned about an exposure from a partner. As a new nurse practitioner, I wasn’t always confident about the best approach.In this week’s episode, I’m covering:✅ When to consider HSV, and the unlikely ways it can present✅ What the difference between primary, non-primary initial and recurrent infections are, and what it

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16:03

Updated Billing and Coding for Nurse Practitioners

Real World NP ·

2022/02/17

Billing and coding clinic office visits are probably not the first thing nurse practitioners think of when they graduate. It's probably more like:Phew! I’m so so so glad that's over.What comes next?!How am I going to find a job?I’m not going to worry about that right now because......I'm finally done with NP school!👩‍⚕️🦄💪But unfortunately, the skill set of medical billing and coding is one of the first major frustrations that new nurse practitioners encounter on the job.And doing it right makes a

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29:23

Billing and Coding for Nurse Practitioners

Real World NP ·

2022/02/15

Billing and coding your office visits for for your office visits can feel overwhelming, tedious and too-hard-to-learn. But, one under-charge here and there may not seem like much, but when you add them all up...In this week's episode, though, I'm breaking it down SUPER simply (with a cheat sheet!)Plug the data in and out pops the right E&M code to use.You'll learn:✅ How to accurately bill for new and established office visits (primary care only!)✅ The key differences between level 3&4 (and

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14:24

When you Want to Give up as a Nurse Practitioner

Real World NP ·

2022/02/08

I recently got the question from a new nurse practitioner, “what do you do when you want to give up as a nurse practitioner?”I’ve definitely been there before myself, and with the stress of this last year and a half, I know a lot of other new nurse practitioners and NP students are feeling that way, too.In this week’s episode, I’m covering what to do when you feel like this, including:The most important questions to ask yourself to help sort through your feelings and get to the root of feeling like

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11:59

Approach to Hair Loss for New Nurse Practitioners

Real World NP ·

2022/01/25

Patients coming into primary care with a chief complaint of hair loss can be so stressful as a new nurse practitioner.First, let’s normalize this. It’s a broad differential and can be tricky to parse out. It can also feel really stressful and emotional for your patient presenting for care, which adds even more pressure.In this week’s episode, I’m covering how to approach hair loss in primary care, the differential diagnoses, history, physical exam and testing highlights for new nurse practitioners

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32:56

Diabetes Case Study in Mentorship for Nurse...

Real World NP ·

2022/01/18

So many new grads are most worried about building their clinical knowledge base-- for good reason!But it’s one thing to prepare for clinical topics-- researching algorithms, choosing the best practice based on the evidence-- but an entirely different experience trying to apply them to the “real world.”Through Real World NP, I have the awesome privilege to work with new grad nurse practitioners on-on-one in mentorship calls.Some of mentorship is reassuring new grad NPs about their clinical judgment

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13:05

New Nurse Practitioner Transition - You're Not Alone

Real World NP ·

2021/12/21

This has been on my heart this week - between working 1 on 1 with mentees and seeing the landscape online of new grad nurse practitioners, I see this ALL the time.Feeling like you're the only one feeling this way. Feeling behind, not knowing enough, and then beating yourself up for it.If this sounds like you, take a listen-- sometimes just naming and acknowledging what's ACTUALLY going on makes a difference in how you're feeling about it.Read the blog post here.-----------------------Don't forget to

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17:50

Time Saving Tips for New Nurse Practitioners

Real World NP ·

2021/12/14

How did your entire visit get eaten up by getting the HPI? What are you supposed to do in a visit with the complicated patients with 17 chronic conditions?I learned many time-management lessons the hard way in my first year of practice, and they're the same patterns I see in my NP students and new grads I've worked with.In this episode you'll learn time-saving tips to help before, during and after your visits so you can be more timely with your patients (and do less charting at home and on the

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