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@wcholla1391 10 күн бұрын
❤
@RealWorldNP 8 күн бұрын
❤️
@kimberlycaceres6136 13 күн бұрын
thank you very much. so high calcium, confirm its high and if high draw intact pth. 90% of high calcium is hyperparathyroid and cancer.
@RealWorldNP 8 күн бұрын
Up-to-Date has a great algorithm to print out!
@gtb200 14 күн бұрын
good to know. I am stuck between acute care NP vs FNP, I would like to be a cardiac or heart failure NP
@RealWorldNP 13 күн бұрын
Glad this was helpful! Good luck on your journey 🍀
@smithajose2183 17 күн бұрын
Just wondering whether this information based on UK or US?
@RealWorldNP 8 күн бұрын
US based primarily! I always recommend double checking what the guidelines are outside the US - a lot of guidelines we follow here are also international guidelines but I haven't practiced outside the US so I can't speak to practice specifically in the UK/elsewhere
@estherrono3289 22 күн бұрын
That was great presentation! Thank you
@RealWorldNP 20 күн бұрын
Glad you enjoyed it!
@AkratiGupta-fz1sz Ай бұрын
What about varicocele?
@RealWorldNP Ай бұрын
You know I haven't seen that myself and I don't see anything on my resources that suggest that varicocele can cause hematuria. That would be something to look into futher!
@marcmarlonnewyork Ай бұрын
How about if the micro-albumin is 63?
@RealWorldNP Ай бұрын
Yes, 63mg/day would be in considered in the "microalbuminuria" category
@nadiamohamed-gi9or Ай бұрын
This!
@teresatarango3992 Ай бұрын
I think your videos are perfect ty for what you do
@RealWorldNP Ай бұрын
Thank you for watching!
@rebeccasigari4025 Ай бұрын
This was so helpful! Thank you ❤
@RealWorldNP Ай бұрын
Glad it was helpful!
@nicholegraeber2590 Ай бұрын
Thank you
@RealWorldNP Ай бұрын
You're welcome!
@Michael-bt6ht Ай бұрын
Ty
@RealWorldNP Ай бұрын
You are so welcome! Thanks for watching ❤️
@AmericanWoman4567 2 ай бұрын
I have this 😢
@RealWorldNP 2 ай бұрын
I'm sorry to hear that. I hope this video helps you. ❤️
@teresatarango3992 2 ай бұрын
Thank you so much I’m so glad I found you because you have been so helpful I was getting so discouraged I’m in my seventh month of practice and it has been a huge challenge thank you so much for all your encouraging videos and all your education
@RealWorldNP 2 ай бұрын
You are so welcome! I'm glad this is helpful to you.
@bolanleogunsanwo393 2 ай бұрын
Can you do a redo of this video as it applies to current situation in the job market
@RealWorldNP Ай бұрын
Great suggestion! We'll add it onto our list of possible topics :)
@jinsu0504 2 ай бұрын
thank you. It was very informative.
@RealWorldNP 2 ай бұрын
Glad it was helpful!
@ceciliahaffnerjatta3071 2 ай бұрын
What an impressive individual 👏 🙌. I am inspired!
@RealWorldNP 2 ай бұрын
Thank you for the kind words!
@m.j.gonzalez6281 2 ай бұрын
This video is too late for me. After 4 years and a lot of burn out I decided to quit as FNP and return to be a nurse. Im currently working as a Public Health Nurse and hapier than ever. As a NP I had too much responsibility, few support and worked as crazy. Sad but true. A vacation didn't fix anything.
@RealWorldNP Ай бұрын
I'm so glad to hear that you are happier than ever! I'm sorry you didn't receive the support you deserved as an FNP. I hope your journey continues to be a happy one. ❤️
@hudiefatahat4964 2 ай бұрын
Your video so interesting and you appear very kind
@RealWorldNP 2 ай бұрын
I'm glad you found it interesting. Thanks for the kind words!
@garethcostanza4698 2 ай бұрын
Would it be possible to get a mental health professional interview?
@RealWorldNP 2 ай бұрын
We will keep that in mind for the future. Thanks for asking!
@bluefamily3937 2 ай бұрын
The NUMBER ONE time suck for me is the technology. I spend more time rebooting the computer, waiting for the server to come back on, logging in, verifying my identity..on the phone with IT Support....at least an hour and a half just this morning...drives me nuts!!!
@RealWorldNP 2 ай бұрын
It's SO tough - that used to happen to me at my first job all the time. Usually when it comes to systematic change (tech upgrades, etc) I usually recommend collaborating with colleagues and making a written case (like "paper trail" with emails) to management to let them know how big of a challenge it is, so there's more impetus to change where they can/make it a priority
@hudiefatahat4964 2 ай бұрын
Lovely lecture
@RealWorldNP 2 ай бұрын
Thanks a lot!
@ruthramirez7430 2 ай бұрын
Amazing 👍
@RealWorldNP 2 ай бұрын
Glad you enjoyed! Thanks for watching.
@bluefamily3937 2 ай бұрын
How do I set my day up ina systematic way?
@RealWorldNP 2 ай бұрын
Everyone is different - I think there's a trial and error/practice that needs to happen for everyone. I tend to structure my days with coming in a bit early to look at who's on the schedule, reviewing labs/documents/phone notes/refills that need addressing, then only checking back in at lunch time and the end of the day so I can stay focused on visits/charting. For me it's about finding a rhythm, and trying to stay as focused as I can and not get pulled in a million directions (not always possible). Any other things that have helped you so far?
@bluefamily3937 2 ай бұрын
How do you know what measure requirements are due?..mine always show up at rhe end after I've seen the patient, then i have to backtrack...any pointers to prevent the backtracking??
@RealWorldNP 2 ай бұрын
It's nice when EHRs let us know ahead of time - it may be helpful to have a quick text reminder for yourself to check the metrics/measurements needed to chart at the start of the visit, and/or letting your management/IT people know that that would be a helpful adjustment of the EHR to get those prompts at the beginning. Some offices, the medical assistants are trained to ask those sorts of questions - PHQ2, tobacco use, etc.
@bluefamily3937 2 ай бұрын
@@RealWorldNP thank you for that suggestion. Practicing at the nursing home, I am my own staff. Your tips are valuable. This transition has been ..... difficult to say the least.
@bluefamily3937 2 ай бұрын
I feel soooooo slooooow with all my charting...and time management is awful!! How do I improve?
@RealWorldNP 2 ай бұрын
It's so tough - a lot of it is practice over time. I love quick texts to help with common chief complaints. It looks like you saw the time management video, hopefully that one helped! Her book is also great if you want to check that one out
@duke01000 2 ай бұрын
Thank you , great video
@RealWorldNP 2 ай бұрын
Glad you enjoyed it!
@raveenar1613 2 ай бұрын
Helped a lot! Thank you!
@RealWorldNP 2 ай бұрын
Glad it helped! Thanks for watching.
@FeleciaVictoria618 2 ай бұрын
How do you chart against the extra problem if you don’t address it?
@RealWorldNP 2 ай бұрын
This is tricky - if it's something that has a plan that's substantial and needs to be followed up on, it should be charted. But some things are conversations and you have to use your judgment there, because not all things like "quick questions" need addressing each visit. I definitely struggled with that at the beginning but I think over time you develop that clinical judgment to discern what needs comprehensive addressing versus is sort of just a conversation
@lightworker4429 2 ай бұрын
Can you explain + vs ++ etc?
@RealWorldNP 2 ай бұрын
Overall it correlates with the amount of blood present in the sample but it's dependent on a few factors! Tricky to answer in the comments here, but we definitely go into depth with interpretation inside the Lab Crash Course if that's something you'd like support with! www.realworldnp.com/labs
@Practitionher 3 ай бұрын
This has me so excited to take my CNM boards and start working 👩🏽⚕️ going into private practice (OBGYN) as a new FNP/CNM in a few weeks . 🍀 🤞🏾🫶🏽
@RealWorldNP 2 ай бұрын
So exciting! Good luck on your journey. Thanks for watching!
@PinayNanayNP 3 ай бұрын
I truly love this episode. I can really relate to it. Thank you for being an inspiration. 💕
@RealWorldNP 3 ай бұрын
Glad you enjoyed it! Thank you for watching! 😊
@lisaalward6832 3 ай бұрын
Great info to understand the big picture!
@RealWorldNP 3 ай бұрын
Glad it was helpful!
@amora5085 3 ай бұрын
What would neurological causes be?
@RealWorldNP 2 ай бұрын
No neurological causes that I'm familiar with - typically renal, urologic, or "mimics" from structures in the area (perineum, anus, etc) or medications/foods/false +
@lisaalward6832 3 ай бұрын
As a NP student this info was so helpful.
@RealWorldNP 3 ай бұрын
So happy to hear this was helpful for you!
@bluefamily3937 3 ай бұрын
" In community with NPs..." there is one? Where? point me to it? I need an NP community
@RealWorldNP 3 ай бұрын
Hey! We don't have a community as it stands right now, but definitely check out the mentorship waitlist page as we investigate options to support NPs- www.realworldnp.com/mentoring
@lisaalward6832 3 ай бұрын
This is great information. Thank you
@RealWorldNP 3 ай бұрын
Glad it was helpful!
@benjaminlew7003 3 ай бұрын
Hi, Liz - I came across this insightful video after a search on hyponatremia. I have a question about when to go to the E.R. If someone receives a sodium value of less than 130 in an outpatient PCP setting, is it always required to go to the E.R. for a recheck (as you discuss at the 7-min:30-sec mark)? Would rechecking via non-E.R. means ever be appropriate (such as returning to the PCP)?
@RealWorldNP 3 ай бұрын
Thanks so much for watching. Unfortunately for safety and liability reasons, I can't answer specific cases here, but it's a complicated answer. I'm familar with VERY rare cases that can be assessed closely outpatient but this has been under strict guidance of a nephrologist and due to a known diagnosis, managed by renal and in a collaboration with a nephrologist & PCP. We talk more about specific patient cases inside the Lab Crash Course, though, if you want to join us there and ask inside the community (www.realworldnp.com/labs).
@Chaitea3800 3 ай бұрын
thanks, so helpful. My professor sent us a link to this video to accompany her lecture. I have more understanding now!
@RealWorldNP 3 ай бұрын
Glad it was helpful!
@ruthramirez7430 3 ай бұрын
Amazing.. thank you 🙏
@RealWorldNP 3 ай бұрын
So glad you liked it! Thanks for watching.
@estherrono3289 3 ай бұрын
That was great! Thank you
@RealWorldNP 3 ай бұрын
Glad you enjoyed it!
@biancadmomof3911 3 ай бұрын
You are a gem. Thank you for being so transparent and loving! Can't wait untl next time!❤
@RealWorldNP 3 ай бұрын
Thank you so much!!
@drreyeswellness3870 3 ай бұрын
examples with videos would be nice
@RealWorldNP 3 ай бұрын
Keeping this in mind for the future. Thanks for watching!
@lillip8419 3 ай бұрын
Thank you. Have a great break and hope you return when you are ready!😊🙏✨✨🦋
@RealWorldNP 3 ай бұрын
Thank you for the kind words!
@asmith8042 4 ай бұрын
Awesome information ❤
@RealWorldNP 4 ай бұрын
Thanks for watching!
@patricetalley7685 4 ай бұрын
Watching in 2024🎉🎉
@RealWorldNP 4 ай бұрын
SO glad to hear it!
@middlesys9180 4 ай бұрын
Such an encouraging interview. I'm not sure where she lives, but a lot of the Ortho jobs go to PAs. Did a lot of ortho in the ED as a tech and RN and have always loved it.
@RealWorldNP 4 ай бұрын
I'm glad you enjoyed this interview! Thanks for watching.
@milenmengistu2402 4 ай бұрын
Hi, can you please state the current guidelines for ASC-US, for age younger that 25 and older than 25? Thanks.
@RealWorldNP 4 ай бұрын
ASCCP guidelines for <25 with ascus is one year follow up and >25 with ascus recommends HPV testing. I highly recommend the ASCCP app for situations like this to use in clinical settings.
@bectiff83 4 ай бұрын
Hi, I am in Australia and have just started my study for transition to NP. I needed this video today thank you 🙏🏼 because I’m already feeling overwhelmed and like I want to give up 😢
@RealWorldNP 4 ай бұрын
I'm so glad this video was helpful! I'm sorry you are feeling overwhelmed.
@jenniferbockrath3791 4 ай бұрын
Liz, you are saving my life. I am a 20 plus year RN who just started my new job as an NP. I am struggling. This helped me tremendously, just knowing what I am experiencing is normal is helpful. Thank you!
@RealWorldNP 4 ай бұрын
I'm so glad!