Real World NP Liz Rohr

Do you ever find yourself spending an ENTIRE 20-minute visit just getting a history?
And even with all that time, do you still leave the room feeling like you didn't even get the info you needed?
In this episode, I'm sharing my top tips for not only a FASTER history, but also a more accurate one — so you can take great care of your patients while saving time and, quite honestly, health care dollars.
You'll learn:
My top tip to keep your patient visits movingPitfalls of where you could be missing info (and how to ask questions to get the answers you're looking for)The most important question to ask to save you TONS of time in each visit
Need more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners


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Seeing "lower leg swelling" as the chief complaint for patients as a new nurse practitioner was incredibly stressful. What’s the best course of action? Should you give diuretics for symptom control? Is this something serious...or something totally ordinary?
I had a super interesting case the other week and knew immediately that I had to share it with you — and it was one that I actually got a double-check from my colleague on!
In this episode, you'll learn:
The top DDXs - most common and red flagsWhat important history questions to askTwo clinical pearls of patient historiesDifferential diagnosesHow to manage patients in this common scenario - re: testing & treatment
Need more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners


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Urine microalbumin: you need to check it once a year for patients with diabetes. But interpreting the results — and knowing what to do with them! — can be tricky. 
In this episode, you’ll learn:
When to order urine microalbumin labsHow to interpret the results and what to do with themHow to treat abnormal levels4 steps to elevated microalbumin management
Need more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners

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I saw a meme recently that compared hyponatremia to folding a fitted sheet— you can watch a million videos on how to do it, but in the end you'll probably just crumple it up and hope you never have to deal with it again. 🤯
Luckily in primary care low sodium is easier to deal with outpatient, and doesn't have to be super complicated. In this episode, I talk about low sodium, which is one of the top abnormal labs in primary care.
Hyponatremia involves understanding kidney function, but I've broken it down into the simplest, clearest, most digestible way to give you the most helpful insight to take into your practice. I'll bring you through the step-by-step process to implement for the vast majority of patients you'll see, and if you need to go down the rabbit hole of workup further, you'll have the tools to do so!
You'll learn:
How to know when your patient needs to go to the ER, and when you can work them up outpatientThe simplest way to remember low sodiumThe #1 lab you should always think of when you see low sodiumHow to know if your patient needs IV fluid (or if that'd be the worst possible thing to do for them)
Want more lab goodies? Check out the Lab Interpretation Crash Course for Nurse Practitioners

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Feeling uncertain about referring a patient? That’s super common. You might wonder things like:  
Are there other tests you could do first?
Should you wait it out?
At what point can you be sure?
In this episode I will answer ALL of these questions. I will also walk you through my 3-step process, the pitfalls and mistakes to avoid (that I learned from experience!). Plus, I’ll give you my NUMBER ONE resource to help you:

Feel more confident with your referralsDeepen and broaden your knowledge baseTake excellent care of your patients
Need more support? Check out the Lab Interpretation Crash Course for Nurse Practitioners

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You've seen high WBC counts as a nurse, but what about leukocytosis that's only 13 or 15? And it's chronic? And what about peripheral smears? How do you know if it's urgent?
In this episode we are going to talk about this super interesting case study to give you the step by step approach to interpreting these labs, and teach you how to manage a high WBC count safely and confidently.
Together, we will cover:
Knowing when to order what labsThree main components of working up a high WBCThe differential and the peripheral smear Absolute lymphocyte count The Flow Cytometry Test
Check out the Lab Interpretation Crash Course for Nurse Practitioners


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