Real World NP

Liz Rohr
  • 0.0 (0)
  • COURSES
  • UPDATED WEEKLY
Real World NP Podcast

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.

  1. 1 DAY AGO

    Advice for Creating New NP Mentorship Programs

    In this episode, I share my experiences and insights on starting a mentorship program, drawing from my own journey as a nurse practitioner and founder of Real World NP. I discussed the context of mentorship, the structure of one-on-one and group mentorship programs, the frequency and duration of mentorship meetings, and the topics to cover. Additionally, I covered the importance of creating a safe psychological space for mentees and the value of peer support in mentorship programs. Takeaways - The importance of creating a safe psychological space for mentees in a mentorship program - The value of peer support and not feeling alone in a mentorship program - Considerations for mentorship frequency, duration, and topics to cover in a mentorship program For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/mentorship-programs ______________________________ © 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.

    18 min

  2. 12 SEPT

    Advice for New Grads Interested in Urgent Care with Michelle Lew, NP

    Michelle, a board-certified family nurse practitioner with experience in urgent care, shares her journey and insights into the field. She discusses the differences between urgent care and primary care, the challenges of not having access to medical records in urgent care, and the importance of collaboration between the two. Michelle also provides advice for those interested in working in urgent care and recommends resources for further learning. Takeaways - Urgent care is a bridge between primary care and the emergency room, providing care for acute conditions that can't wait for a primary care appointment. - There is a disconnect between urgent care and primary care, with urgent care often lacking access to patients' medical records. - It is important for urgent care and primary care to have a better partnership to ensure continuity of care for patients. - New grads interested in urgent care should work with another provider and have a ramp-up program to ensure success. - Being able to determine if a patient is sick or stable is a crucial skill in urgent care. - Resources for learning about urgent care include Hippo Education's Urgent Care Bootcamp, EKG resources by Jen at Cardiology Made Easy, and Michelle's own Instagram account for urgent care resources. For a full transcript and conversation chapters, visit the blog https://www.realworldnp.com/blog/urgent-care-nurse-practitioner ______________________________ © 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.

    41 min

  3. 22 AUG

    Assessing Chest Pain: New Red Flags & Risk Factors - Interview with Jennifer Carlquist, PA

    In this conversation, Liz Rohr interviews Jennifer Carlquist, a physician assistant with extensive experience in cardiology, who discusses the assessment and management of chest pain. They covered:  - Assessing cardiac versus noncardiac chest pain - Assessing risk for MI and when to send patients to the ED or not - What EKG findings to watch out for, and how to learn more to build your ekg reading confidence (and what’s new!) - What we can do for patients to assess and manage heart disease risk, including labs and tests to check in primary care (including the coronary calcium score, LPa, and homocysteine) - How to communicate and collaborate effectively with ER providers - Further resources to learn if you’re in cardiology or interested in making the switch from primary care Takeaways - Consider both cardiac and non-cardiac causes of chest pain, especially in female patients with atypical symptoms. - Take a detailed history, including risk factors and family history, and be aware of red flags that may indicate a more serious condition. - Recognize the limitations of certain diagnostic tests, such as EKGs and troponin levels, and consider a CTA with FFR for outpatient testing. - Collaboration between primary care providers and the ER is crucial, and concise reporting of findings is key to effective communication. - Differentiating between hyperkalemia T-waves and hyperacute T-waves can be challenging, but hyperkalemia T-waves are pointy and hyperacute T-waves are more blunted and broad-based. - Inverted T-waves in leads other than AVR and V1, especially if they are symmetric, can indicate the need for urgent evaluation. - Q-waves can form within an hour of an infarction, and a small Q-wave in lead III without other abnormalities may be a normal finding. - When learning EKG interpretation, it is important to start with understanding what a normal EKG should look like and then focus on high-risk findings. - Inflammation is a significant risk factor for heart disease, and non-traditional risk factors such as psoriasis and early menses should be considered. - Lab tests such as the coronary calcium score, LPa, and homocysteine can provide valuable information in assessing heart disease risk. - Magnesium supplementation can be beneficial for patients with palpitations and hypertension, but the specific type and dose should be tailored to the individual. - Primary care providers play a crucial role in assessing heart disease risk and can collaborate with cardiologists to order appropriate tests and make informed decisions. - The three-day EKG challenge and the Cardiology Fundamentals Mentorship program are valuable resources for learning and advancing in cardiology. - The importance of fostering a supportive and collaborative environment in healthcare to provide the best care for patients. For a full transcript and conversation chapters, visit the blog https://www.realworldnp.com/blog/assessing-chest-pain ______________________________ © 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.

    1h 7m

  4. 8 AUG

    Treating Substance Use Disorder: Stimulants & How to get Addiction Histories - Interview with Shelby Pope

    In this conversation, Liz Rohr and Shelby Pope discuss the importance of taking a comprehensive history of substance use, and how to assess and treat stimulant use disorder. They cover the challenges healthcare providers face in asking the right questions, and emphasize the need for open conversations and non-judgmental approaches. They cover screening for addiction, how to elicit a substance use history, including types and routes of substance use. Shelby covers the mechanism of action of cocaine and methamphetamine in the brain, the withdrawal symptoms associated with stimulant use disorder, and the next steps for primary care providers in managing patients with stimulant use disorder. They also explore the use of psychosocial interventions and off-label pharmacologic treatments for stimulant use disorder. Takeaways Open and non-judgmental conversations are essential when discussing substance use with patients.Screening practices, such as using screeners like PHQ-2, SBIRT, and DAST, can help identify substance misuse or struggles.Taking a comprehensive history of substance use, including the type, amount, frequency, and motivation, is crucial for providing appropriate care.Healthcare providers should be aware of the different routes of administration and the potential risks associated with each.Stimulant use disorder, particularly cocaine and methamphetamine use, can have significant adverse effects and poor outcomes. Cocaine and methamphetamine are both monoamine neurotransmitter reuptake inhibitors, increasing serotonin, norepinephrine, and dopamine levels in the brain.There is a withdrawal syndrome associated with stimulant use disorder, characterized by depression, fatigue, and sleep disturbances.In managing patients with stimulant use disorder, primary care providers should consider triage based on severity and acuity, and refer patients to appropriate resources such as rehab or the ER.Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the mainstay of treatment for stimulant use disorder.Off-label pharmacologic treatments for stimulant use disorder include mirtazapine, bupropion, injectable naltrexone, topiramate, and psychostimulants.It is important for healthcare providers to be aware of state regulations and their own comfort level in prescribing off-label medications for stimulant use disorder. For a full transcript and conversation chapters, visit the blog: https://www.realworldnp.com/blog/treating-substance-use-disorder  ______________________________ © 2024 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.

    52 min

  5. 25 JUL

    Treating Opiate Use Disorder in Primary Care - Interview with Shelby Pope, NP

    In this episode, Liz Rohr interviews Shelby Pope, DNP, APRN, FNP-BC, they discuss the stigma around addiction, the importance of supporting patients with opiate use disorder while exploring Shelby’s journey into addiction medicine and impacts of this field.  This episode includes discussion of various treatment options for opiate use disorder, including naltrexone and buprenorphine, including the importance of medication-assisted treatment (MAT) for opioid use disorder, while emphasizing the effectiveness of methadone and buprenorphine in reducing the risk of overdose and mortality.  Liz and Shelby explore the process of induction and the importance of assessing withdrawal symptoms, ongoing monitoring and support for patients on MAT, including addressing cravings and harm reduction strategies.  Key takeaways:  Exploring the stigma around addiction, and the importance of supporting patients with opiate use disorder.Addiction medicine is a beautiful and impactful field that can be accessible in primary care.Naltrexone and buprenorphine are two treatment options for opiate use disorder.Open conversations with patients and providing support and resources are crucial in primary care.Methadone may be necessary for some patients with extreme cases of opiate use disorder. Medication-assisted treatment (MAT) with methadone and buprenorphine is highly effective in reducing the risk of overdose and mortality in individuals with opioid use disorder.Assessing withdrawal symptoms is crucial before starting buprenorphine to avoid precipitated withdrawal.Ongoing monitoring and support are essential for patients on MAT, including addressing cravings and providing harm reduction strategies.Tapering off medication should be done slowly and on an individualized basis, considering the patient's stability and goals.Individualized care and empathetic communication are key in building trust and supporting patients on their recovery journey. For a full transcript and conversation chapters, visit the blog: https://www.realworldnp.com/blog/opiate-use-disorder.  ______________________________ © 2024 Real World NP. For educational and informational purposes only, see https://realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.

    1h 11m

  6. 11 JUL

    Bridging the Gap: Primary Care and Specialty Care Courses for Nurse Practitioners - Need Your Input!

    We’re expanding our course catalog at Real World NP! This time, we’re collaborating with specialists, making courses tailored for primary care providers. Our goal is to provide comprehensive and practical courses for nurse practitioners and PAs, and to bridge the gap between primary care and specialty care. We want NPs to have the knowledge and resources to provide the best care within their scope of practice. Share your input about what courses you want to see first! Head over to realworldnp.com/blog/courses-nurse-practitioner to share your thoughts For a full transcript, check out the blog. Timestamps: 00:00 Introduction and Background 02:12 Expanding the Course Catalog 03:34 Addressing the Gap: Primary Care and Specialty Care 05:45 Creating Comprehensive and Practical Courses 08:06 Community Input and Feedback ----------------------- 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 ------------------------ Come follow along for even more tips and inspiration: Instagram: https://instagram.com/realworldnp Facebook: https://facebook.com/realworldnp ______________________________ Please note: This episode is intended only for medical providers and students learning to be medical providers.  While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care. If you’re a medical provider or student and have specific patient cases 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. _______________________________ © 2024 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.

    11 min

  7. 27 JUN

    Real World NP: Redefining Continuing Education for Nurse Practitioners

    Welcome back to Season 3 of the Real World NP Podcast! This episode is an interview with yours truly - I want to share a bit of a “reset” with what’s going on with Real World NP, where we started, where we’re going, and how you can be involved. I also want to share a bit that has changed behind the scenes, and how we’re incorporating more of a social justice and equity lens— not just inside the clinical teaching, but overall practices inside the company.  One of the core reasons behind the company is not just to make the transition to practice for nurse practitioners easier, but also make an impact on the healthcare and education industries. We want to do continuing education for nurse practitioners differently than the status quo. Some real talk: I feel like I repeat myself a lot, and part of me is like “they know this already.” They know that it’s important to be a whole human, and that they get to do that in their personal and work lives. That they’re not just a machine in the cog of healthcare, and things are starting to change. That they deserve to be supported and held in safe spaces while they learn this extremely important and difficult field of medicine. It’s old news. But I’m reminded of the number of times I’ve counseled patients on their medications - at LENGTH and REPEATEDLY - and they still need to hear it again. Like the time my patient with new-onset afib needing anticoagulation still ended up in the ER for overdosing his meds. Or after three visits for my patient with diabetes, they still did not understand their diagnosis and what it meant. I truly, truly believe that even when things feel daunting and overwhelming, whether it’s the clinic day ahead, the severity of illness of the patient in front of you, or the state of the healthcare industry, individual actions make a big difference. I’d love for you to be a part of the movement of change to make healthcare and education better — listen in to this episode to get a sense of where we’re going and what you can expect from us going forward. It’s also a helpful introduction to the backstory behind the company if you’re new here! More from Louiza “Weeze” Doran: https://www.instagram.com/accordingtoweeze/?hl=en https://louizadoran.com/ https://louizadoran.com/podcast ----------------------- 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 For the full transcript, and for this conversation’s topic chapters, see the blog. Hosted on Acast. See acast.com/privacy for more information.

    55 min

  8. 27 MAR

    Giving Yourself Permission, Season 2 Recap & What's Next

    On this week’s episode I want to give you some permission if you feel like you need it— To be a whole human with needs, feelings, desires, and cares. To do what feels authentically right to you. We’re plopped into a healthcare system that is specifically NOT set up for humans to be humans, and is designed for us to operate like machines. And it takes a LOT of courage to stay true to ourselves and what we want and need when we’re also trying to stay safe— financially, emotionally, physically. Sometimes it’s helpful to see and hear from others doing the same so we can see what’s possible for us. Here’s this week’s episode, sharing a bit of permission to give yourself, some highlights from this season’s podcast if you want to peruse previous topics, and upcoming plans for what’s next. Hosted on Acast. See acast.com/privacy for more information.

    11 min
See All (116)

About

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.

Information

  • Creator
    Liz Rohr
  • Years Active
    2021 - 2024
  • Episodes
    116
  • Rating
    Clean
  • Copyright
    © Liz Rohr
  • Show Website
    Real World NP

You Might Also Like

To listen to explicit episodes, sign in.

Stay up to date with this show

Sign in or sign up to follow shows, save episodes and get the latest updates.
Select a country or region

Africa, Middle East, and India

Asia Pacific

Europe

Latin America and the Caribbean

The United States and Canada