Real World NP

I am thrilled to introduce you to Midge Bowers.

Not only is Midge a Clinical Professor and Director of the cardiovascular specialty at Duke University School of Nursing, she practices as a nurse practitioner in a Heart Failure Access Clinic.

She’s an expert in cardiology, a seasoned healthcare educator, and shares so much incredible knowledge in this jam-packed episode.

In this episode, we covered:

• The importance of looking beyond creatinine levels
• How to focus on practical aspects of echos
• Demystifying anticoagulation choices
• Practical tips on adjusting Warfarin dosages
• Reversal agents and safety measures

This barely scratches the surface of the wealth of information Midge provides.

• 0:00 - 3:35 - Introduction and Overview
• 3:36 - 8:39 - Importance of Monitoring Creatinine and GFR
• 8:40 - 15:06 - Impact of New Medications on Kidney Function
• 15:07 - 20:30 - Understanding Echo Results: Akinesia, Hypokinesia, and EF
• 20:31 - 25:01 - Interpreting Trends in Echo Reports
• 25:02 - 31:17 - Anticoagulation Choices: Warfarin vs. DOACs
• 31:18 - 38:15 - Adjusting Warfarin Dosages and INR Monitoring
• 38:16 - 42:42 - Assessing Bleeding Risks with CHADS-VASc and HAS-BLED
• 42:43 - 46:03 - Reversal Agents and Safety in Anticoagulation
• 46:04 - 53:41 - Managing DOACs in Different Clinical Scenarios

Read the full blog here.

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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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This week, I have an episode for you that I think is even MORE important than the clinical knowledge that I share — navigating NP burnout.

Meet Cait Donovan, an International Keynote Speaker, host of “Fried – The Burnout Podcast,” author of the book "The Bouncebackability Factor", and an acupuncturist with a master’s degree in Chinese medicine. Her creative burnout recovery solutions have been featured on podcasts and online magazines such as “Forbes”, “NPR,” and “The New York Post.”

We chat not only about recognizing NP burnout but also about understanding, navigating, and bouncing back stronger than ever.

In this episode, we cover:

• How Burnout Impacts Your Brain: Unveiling the neurological aspects of burnout and how it affects our cognitive functions.
• The Surprising Factors Causing Burnout: Exploring the unexpected factors that contribute to burnout, both for seasoned professionals and new grads.
• The Role of Trauma in Burnout: Recognizing the impact of trauma on burnout and understanding how it influences us.
• The Burnout Recovery Process: Providing actionable steps for recovery and discussing how embracing self-compassion can transform your experience as an NP.

I hope this episode can provide a little comfort, knowing that you're not alone, and maybe a little permission to take the best care possible of YOU, not just your patients.

Resources mentioned in this episode:

• Adverse Childhood Events (ACE) questionnaire
• Fried the Burnout Podcast

If you liked this post, also check out:

• Nurse Practitioner Stress, Burnout and Compassion Fatigue

Read the blog here

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© 2023 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.

Whether you're a recent NP graduate or someone transitioning between specialties, this video will help ease that overwhelming feeling and help you discover your unique approach to practice.

If you liked this post, also check out:

• Pillars of NP Practice
• Leukocytosis Case Study

Timestamps:

• 00:00 - Introduction
• 01:22 - Purpose of the Episode
• 02:35 - Understanding Philosophies of Practice
• 04:23 - Evolution of Practice
• 08:21 - Navigating the Transition

Read the blog post here.

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© 2023 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.

If you’re a new NP grad making your way into practice, I think you’ll find today’s video super helpful.

(And even if you’re not a new grad, it’s still worth the watch — both to understand what we’ve been through and to help us mentor students and new grads ourselves.)

In this episode, I talk about the challenges new grads face — from sneaky imposter syndrome to the overwhelming clinical knowledge demands.

It can feel like an absolute rollercoaster from one moment to the next.

It wasn’t until I started to mentor new grads myself that I understood what was so challenging and why.

It seems obvious in one way — learning medicine is endless. But there are some other sneaky things that make it SO much more intense.

If we can orient ourselves to what is actually happening, we can:

• Make a plan to get support
• Help our NP mentees and students adjust better, and
• Understand the role transition challenge on a high level.

I truly believe we can all contribute to making this profession better and it starts on an individual then interpersonal level.

Which is why in this video, I talk about the three pillars of practice that can help you:

• Tackle the fear of the unknown and build a foundation for continuous learning in real-world practice.
• Navigate the system beyond diagnosing and treating illnesses.
• Embrace the unexpected leadership role and the skills you need.

And remember, you're not alone - we see you and we're cheering you on!

Timestamps:

00:00 - Introduction

00:46 - Pillars of Nurse Practitioner

01:30 - First Pillar: Clinical Knowledge

02:30 - Second Pillar: Navigating the HealthCare System

04:40 - Third Pillar: Role Transition & Stepping Into Leadership

06:31 - card link: Challenges of Primary Care playlist

08:39 - Recap

10:38 - RWNP Mentorship (card link: mentorship waitlist)

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© 2023 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.

Welcome to our brand new podcast season! We're absolutely pumped to bring you a fresh wave of episodes that will be a game-changer for Nurse Practitioners (NPs) on their journey. Whether you're a seasoned pro or just starting out, we've got you covered.

In this season, we're introducing some exciting changes behind the scenes to make your listening experience even more rewarding. Expect enhanced content, engaging interviews with healthcare experts, and an interactive community that fosters connection and learning.

Timestamps:

00:00 - Intro

00:47 - Seasons

01:42 - Life of A Nurse Practitioner

02:58 - Specialist Interviews

Read the blog post here.

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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.

Hello there, we are actually going to be taking a season break on the Real World NP Podcast. But don’t worry, we’re coming back!

We’re taking some time to do some regrouping, work on some things behind the scenes, and get ready for a whole new season of episodes for you. If you want to be involved with us, in the meantime, myself and the Real World NP team, I definitely recommend that you head over to the Real World NP email list. And you can join over at realworldnp.com/guide.

What we’re going to be doing because we don’t want to leave you hanging, and we love to give support and connect with you. We’re actually going to be sending out weekly emails of a Tip Of The Week instead of a podcast episode. If you’d like to join us for that, definitely head over to that site, realworldnp.com/guide.

And then also know that we’re still around for all of our products and services – the Lab Interpretation Crash Course, the Diabetes, Hypertension and CKD Course Management course, as well as Mentorship Programme. We are doing all of those things while the podcast is on its little season pause. If you want to check out any of those things, head over to realworldnp.com/shop and you can find all of those products. And then when it comes to the mentorship, you can join our waitlist, if you’d like to and if you’re interested in that and if you’d like to be a part of that – it’s realworldnp.com/mentoring. And so as we form new group, small group cohorts, we can definitely let you know about that as well as any one-on-one mentorship opportunities that we have.

Thank you so much for being a Real World NP podcast listener. I so appreciate you, the team so appreciates you, and I’m definitely looking forward to releasing some new episodes in a couple of weeks.

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© 2022 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.

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It’s hard not to worry about malpractice when you’re taking on new levels of responsibility as a new nurse practitioner.

Irnise Williams is not only a health law lawyer, she now focuses on the education and legal work to help prevent malpractice cases in the first place.

AAAAAND she’s a nurse herself! Still taking care of patients as a covid float nurse while also running her legal practice, she’s truly a unicorn.

She and I sat down and discussed the questions nurse practitioners and students had in the Real World NP community!

(PS. if you want the chance to submit questions for future interviews, join the email list at https://www.realworldnp.com/guide)

We covered so many things, including:

• Most common reasons for malpractice cases
• How to document appropriately
• Should I have my own malpractice insurance?
• Scope of NP Practice and more

Note, some of the audio came out uneven, so apologies about that. 

Read the full blog post here.

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.

One of the biggest fears I hear from new nurse practitioners and students is not knowing the answers when you're in the room with a patient.

In this video, I'll tell you the many reasons why this is actually okay (and why we should probably even celebrate it), and the simple strategies I use to handle it.

Leave me a comment below, what is a strategy that you use to handle these situations? Or, what is one of the major insights you took away from this video?

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Timestamps:

00:00 - Intro

00:42 - Reason 1

01:57 - Reason 2

03:20 - Reason 3

03:56 - Simple Strategy

Read the full blog post here.

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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.

If you're feeling like you don't know enough, and still have to see patients with ortho complaints (especially in telemedicine) -- here are the "hacks" of primary care ortho management.

You'll learn:

• The main 4 steps to managing almost all ortho complaints in primary care
• The top red flags overarching most ortho complaints
• How to triage ortho complaints
• When to send to ortho (and what to do first)

If you liked this post, also check out:

• Diagnostic Approach To Back Pain
• Interview with an Orthopedic Nurse Practitioner
• Interview with a Physical Therapist

Read the full blog post here.

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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.

As a new nurse practitioner, I used to find shoulder pain pretty overwhelming. While you can *see* all the musculoskeletal structures and how they work together, there’s a lot more going on beneath the surface and dealing with orthopedics can require a real depth of knowledge. 

But I’m going to help give you a jump start on that! In this week’s video, I’m taking a high-level view of diagnosing and managing shoulder pain for new nurse practitioners. We’ll talk about:

• Which history questions are most valuable to ask
• Why traumatic vs. non-traumatic presentation differentiates treatment
• The four steps to treatment used to treat *most* musculoskeletal issues in primary care (and why you might to reconsider them)
• And one clinical pearl that blew my mind when I learned it!

Want to follow up on the resources I mentioned? Find them 👇

• Shoulder Anatomy Animated Tutorial
• Shoulder Exam Maneuvers

Read the full blog post here.

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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.