The Real Deal Nurse Practitioner Club is the most inclusive exclusive hangout for nurse practitioners and aspiring nurse practitioners. Join your host Sarah Michelle MSN, APRN, FNP-C, FNP-BC, and co-host, Anna, as they and their guests dive deep into what you need to know before taking your exam, passing your exam, and becoming a real deal nurse practitioner! Each week they’ll cover topics such as how to pass your nurse practitioner exam the first time, overcoming test anxiety, writing your ...
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125: The Truth About Body Mass Index
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Have you ever questioned the accuracy and usefulness of BMI as a measure of health? In this eye-opening episode, we dive deep into the history and limitations of the body mass index, exploring why relying solely on BMI can be problematic and misleading. Tune in this week as we challenge some common assumptions about BMI and its correlation with chr…
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124: DEI in Healthcare: Why Diversity, Equity, and Inclusion Matter for Nurse Practitioners
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Have you heard the buzzword “DEI” thrown around a lot lately? DEI is about so much more than just checking boxes or meeting quotas. It's about seeking out and embracing different viewpoints, valuing the contributions of people from all backgrounds, and creating an environment where everyone feels welcomed and respected. Anna and I explore simple wa…
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123: Trauma-Informed Care: Key Principles and Practical Applications
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Have you heard the term "trauma-informed care" being used more frequently lately? In the wake of the COVID-19 pandemic, this approach to healthcare has gained significant attention as a way to better support patients who have experienced trauma. Anna and I dive into the concept of trauma-informed care, exploring its key principles and the steps we …
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122: How Implicit Bias Impacts Patient Care (And What to Do About It)
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In this episode, we dive deep into the concept of implicit bias: those unconscious judgments and assumptions we make about others based on characteristics like age, race, gender, and more. As healthcare providers, our implicit biases can have real consequences for our patients' experiences and outcomes. We explore what implicit bias looks like in h…
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121: 3 Pediatric Case Studies: Diagnostic Tests and Management Strategies for Nurse Practitioners
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Have you ever wondered what causes chest pain in adolescents or how to handle frequent ear infections in under-vaccinated infants? In today's episode, Anna and I dive into some fascinating pediatric case studies that highlight important clinical concepts for nurse practitioners, discussing conditions like precordial catch syndrome, febrile seizures…
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120: How to Approach Cognitive Changes in the Elderly
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Have you ever wondered how to tell the difference between dementia and delirium in older patients? In today's episode, Anna and I dive into two fascinating case studies that highlight the key clinical reasoning skills needed to properly diagnose and treat cognitive changes in the elderly. Sharpen your clinical acumen and feel more confident the nex…
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119: Empathy and Clarity: A Nurse Practitioner's Guide to Supporting Patients Through Tough Times
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As real-deal Nurse Practitioners, delivering bad news to patients is an inevitable part of the job that we must be prepared for. But how can we have these difficult conversations in a way that provides clarity and compassion to our patients? Anna and I are here this week to share tips on how to prepare yourself before the conversation, create a sup…
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118: Employment Contract: Don't Sign Until You Hear This
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If the legal jargon in your contract leaves you feeling scared and intimidated, you’re not alone. Sure, you want to make sure you’re being adequately compensated through your salary, but what about work-life balance or the goals you want to achieve in your new position? Having your own back through this process is challenging, and that’s why Anna a…
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117: When Patient Vignettes Reveal Hidden Challenges
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Anna and I are doing something new this week that we think you’ll love. We’re taking a slightly different approach to highlighting important clinical practice by sharing two patient vignettes we've encountered in our own clinical practice. We hope these scenarios help you become the best Nurse Practitioner possible. Join us on this episode as we sh…
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116: Vaccination Updates: RSV, COVID, Pneumococcal & Meningococcal
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There have been quite a few updates to certain vaccinations over the past several years, so Anna and I are here this week to review these important updates with you. Regardless of the population you care for, these vaccines are ones you’ll see in your clinical rotations or in practice, and you’ll probably be asked about them by your patients. Tune …
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115: LGBTQIA+ Principles in Healthcare
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In honor of Pride Month this June, Anna is here this week to talk about inclusivity and how to exemplify that for the LGBTQIA+ community in healthcare. The LGBTQIA+ community is twice as likely to report discrimination by a healthcare provider than non-LGBTQIA+ people, among other chronic stressors that lead to stigmatization. As real-deal NPs, you…
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114: Everything You Need to Know About Advanced Care Planning
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Advanced care planning is about your patients planning for the care they want in advance, just in case they become so seriously ill that they’re unable to advocate for themselves. While it’s vital for you to have these conversations with your patients, it often feels overwhelming and intimidating, especially if you’re getting ready to head out into…
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113: A Clinician’s Guide to Weight Loss Medications
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Over the past couple of years, weight loss medications like Ozempic have skyrocketed in popularity, having gained the attention of celebrities and social media influencers for their seemingly magical weight loss powers. As a real-deal Nurse Practitioner, you must understand how these medications work in the body and how to safely prescribe them, an…
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112: How to Boost Your Confidence in Clinical Rotations
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You can probably remember how intimidating and overwhelming it was in your very first job as a new nurse, and starting out in your Nurse Practitioner career is no different. You’re learning new skills with a higher level of responsibility and liability, so if you’re not yet walking around with the confidence of a seasoned NP, you’re not alone. Anna…
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111: How NPHub Is Saving Healthcare with Founder, Krish Chopra
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This week, Anna is speaking with the founder and CEO of NPHub, Krish Chopra. They are the best in the industry when it comes to finding Nurse Practitioner clinical placements, and they have a quality control process in place that prioritizes the well-being of both students and preceptors. That's why we’ve launched a partnership with them. Learn how…
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110: 3 Steps for Better Diagnostic Reasoning
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Diagnostic reasoning is an essential skill for Real Deal Nurse Practitioners. A misdiagnosis can lead to unnecessary treatments, delayed treatment, and ultimately cause undue harm and stress to our patients. A major part of our role as NPs is diagnosing conditions, so we need to ensure our diagnoses are accurate. Tune in this week for a vital overv…
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109: How to Conquer NCLEX Anxiety and Pass on Your First Try
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If you’re currently a future real-deal Registered Nurse, this is a must-listen episode. After studying, going through courses, clinical work, and approaching graduation, prepping for the NCLEX can often feel like you’re starting right back at the beginning. That’s why feeling supported throughout your journey is essential, and we’re here to share h…
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Start Here: Become a Confident Real Deal Nurse Practitioner
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I'm Sarah Michelle, a host of the Real Deal Nurse Practitioner Club and I'm on a mission to get more nurse practitioners licensed and practicing in the field than ever before. We created this podcast for students and new nurse practitioners who have struggled with the pressure and the anxiety, preparing for their board exams and then entering into …
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108: Heart Month: Congenital Heart Disease & Being a Heart Mom
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For those of you who aren’t familiar, my daughter Meadow was born with a severe congenital heart defect last year. Being an advocate for congenital heart disease feels like the most special and important thing I can do as a Heart Mom, and sharing more about this is exactly what I felt called to do this Heart Month. I share some statistics on congen…
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107: Global Nursing: How Nurse Practitioners Can Make a Positive Impact
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There are many unique and amazing opportunities out there for Nurse Practitioners when it comes to global health. The great news is that because global health is a top priority, there are several resources available for exploration. Anna and I are here this week to guide you through the ins and outs of your global health journey. Hear how Nurse Pra…
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106: How to Succeed on Your First Day as a New NP
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Transitioning from nurse to Nurse Practitioner is a big deal. It’s truly a whole new career. You’ve passed your boards, graduated from school, and now, you’re a real-deal NP. However, you’re not alone if self-doubt and fear are coming up for you. That’s why Anna and I are here this week to share our top tips on how to succeed on your first day as a…
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105: Why Interdisciplinary Teamwork Matters
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No matter what kind of Nurse Practitioner you are, you likely work alongside hospitalists, nurses, case managers, social workers, specialists, and ancillary staff. The unifying thread between all of you is to create a positive patient experience and to provide excellent care. How can we, as real-deal Nurse Practitioners, contribute to the ever-evol…
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104: Time Management Tips for Creating School-Life Balance
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Ensuring you excel in Nurse Practitioner school while also making time for the things you enjoy, that recharge you and that give you energy for other areas of your life, is easier said than done. That’s why Anna is taking over the show this week to share her top tips. Tune in this week to hear Anna’s tangible tips for striking a balance between Nur…
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103: How to Save Time as a New Nurse Practitioner
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If you want to balance seeing your loved ones with this busy period at work during the Holidays, you're in the perfect place. The holiday season is a jam-packed time when all Nurse Practitioners want to give their full attention to patients as well as friends and family. But how do we do that without being completely stretched thin? Tune in to disc…
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102: A Step-By-Step Guide to the Credentialing Process
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You’ve graduated, passed your boards, and the next critical step is licensing and credentialing. This can feel like a huge time-consuming hurdle you have to overcome on your journey to becoming a real-deal Nurse Practitioner. Although it seems complicated, NP certification and licensure are essential. Join us on this episode as Anna and I review th…
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101: Your Clinical Experience: From Dread to Excitement
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If you’re ready to look forward to going to clinical instead of dreading it, you’re in the right place. Anna and I are here today to share some of our own personal experiences of navigating clinical rotations and to show you how to take control of your clinical experience so it sets you up for future career opportunities. Learn the importance of fo…
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100: SOAP Notes: Do’s and Don’ts for Clinical Documentation
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The most common and widely accepted format of clinical documentation is the SOAP note. It addresses the legal aspect of documenting the care you provide, but it also allows for consistency across providers, which is essential in healthcare. With all providers using the same format, it allows anyone reading it to follow along with your patient’s dia…
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This week, Anna and I are here to discuss a topic that is near and dear to our hearts: mental health and self-care for Nurse Practitioners. If you’ve taken any of our classes, you’ll know that we focus on stress and anxiety management as you prepare for boards, but prioritizing your mental health is vital throughout your career as a healthcare prov…
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What is telemedicine, what are its benefits, and what are the factors that lead to success in the telemedicine field? There are some common challenges, legal considerations, and best practices for Nurse Practitioners moving into the virtual realm, and we’re discussing all of them on today’s show. Join me and Anna today to discover everything you ne…
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97: Physical Assessment and Examination Skills
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Anna and I are talking about a topic that is at the very heart of nursing practice this week: physical assessment and examination skills. These skills are the cornerstone of effective patient care, diagnosis, decision making, and all the important things we do as Nurse Practitioners. Learn how to get proficient in the physical assessment and examin…
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The role of Nurse Practitioners have grown, both in complexity and in significance within the healthcare system. As a result, there has been a growing need for more formalized training programs that bridge the gap between your education at school and preparing for actual practice. This is where NP residency programs can be a great first step in you…
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95: Continuing Education: Staying Current as a Nurse Practitioner
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Staying up to date with evidence-based practice becomes way easier when you have a deep passion for learning and knowledge. To learn why you need continuing education and how to choose what CEs are right for you, listen up. Anna walks us through her favorite ways to get continuing education as a healthcare provider. She’s sharing how to stay up to …
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94: From Registered Nurse to Nurse Practitioner: How to Shift Your Mindset
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I'm sharing my thoughts on making the leap from a registered nurse to a student Nurse Practitioner to a real-deal NP. You're not alone if you're having a tough time adjusting to the mentality of a Nurse Practitioner, and this week, I’m showing you how to make it a little easier. I offer my insights into shifting your mindset from the role of a nurs…
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93: Your Guide to Medical Billing & Coding with Anna
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Medical billing and coding are two core factors that impact how you get paid as a Nurse Practitioner, which means understanding the "why" and "how" of them is vital. Join Anna and me in this episode as we share the basics when it comes to medical billing and coding as a Nurse Practitioner. We're exploring what to consider regarding billing and codi…
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92: “What Should I Be Doing When?” with Anna
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One question that we receive all the time in our community and on every platform with which we engage with our students is, "What should I be doing and when?" This question tends to come up no matter what phase of the Nurse Practitioner journey someone is in. Anna and I highlight all the ways we can support you, no matter where you are on your Nurs…
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91: 2023 AANP National Conference Highlights
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Anna and I have just returned from this year's AANP National Conference in New Orleans, and we can't wait to share our thoughts on it. Whether you work remotely or in a clinic setting, being able to network is an opportunity you never want to miss, and this conference provided a great avenue to connect with genuine NPs, students, and faculty. We're…
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90: Starting Nurse Practitioner School: What We Wish We’d Known with Anna
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Anna joins me again to discuss everything we wish we had known before starting Nurse Practitioner school. We look back on our paths to becoming NPs and shed light on some of the biggest lessons we have learned from pursuing Nurse Practitioner school. If you currently feel lost, you are definitely not alone, and we hope our insights help you feel co…
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89: Tips for Navigating Clinicals with Anna
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One of my favorite instructors, Anna, joins me in sharing our experience in our clinical sites. From preceptors not knowing our names to not knowing what to bring, we reflect on the joys and intimidating moments of starting out. We discuss all we wished we had known before we started our clinicals. We share common practices, our experiences, and ou…
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88: The Power of Business Coaching with Becca Pike
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I’m excited to introduce you to my favorite honorary Nurse Practitioner, Becca Pike. Becca is the owner of a seven-figure service-based business and the founder of Hell Yes Coaching, a thriving online business coaching company that has generated multiple six-figures. Listen in this week to get a sneak peek into the world of business coaching. Becca…
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87: Graduating Nurse Practitioner School: What We Wish We’d Known with Anna
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I’m back this week with the one and only Anna! As we’re in graduation season right now, we’re here to have a conversation about some of the things we wish we had known before we graduated Nurse Practitioner school. We offer some of the things we wish we had known about boards before graduating, our insights on why perfecting your exam isn’t necessa…
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86: AANP & ANCC Updates [NP STUDENT]
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In the name of being at the forefront of all that is new in the Nurse Practitioner world, I am retiring our older episode on the differences between AANP and ANCC. We are cataloging that and giving you a fresh look at what the updates entail, and I’m touching on some of the most common questions I get from students. Whether you’re deciding which ex…
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85: How to Study Intentionally and Effectively with Anna [NP STUDENT]
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I’m bringing on my right-hand woman Anna to the show. Anna is one of my best instructors and if you’ve been a long-time listener, you’ll already be very familiar with her. We’re here to share our unpopular opinions about studying, which I think will be an interesting conversation to wrap your head around as you prepare for boards. Anna and I share …
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As Nurse Practitioners, we know how large of a role we play in the healthcare setting, but advocating for ourselves and our profession is a vital part of continuing to grow in our role. Discover the history of NP advocacy and some of the changes Nurse Practitioners want to see in the industry. I’m sharing what advocacy involves for Nurse Practition…
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We’re casting some light on the grey areas of pap smears so you’re prepared for any related questions that might come up on your Nurse Practitioner journey. I’m discussing the history of paps, why it’s unusual that two out of three authoritative bodies have changed their guidelines while the third has remained the same, and I’m sharing some importa…
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After decades since true concrete changes were made to the GINA asthma guidelines, we’ve seen two major changes in a span of just a few years which has resulted in a shakeup in the world of asthma. Whether you’re studying for your exam or actually entering into practice, listen in this week to hear a full rundown of the GINA asthma guideline update…
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February is the month we celebrate and bring awareness to all the beautiful babies out there with congenital heart defects. My baby, Meadow, was born with a congenital heart defect called Tetralogy of Fallot, and I felt called to talk about not only Meadow’s story, but what it’s been like as a heart mom and a Nurse Practitioner. In this episode, I’…
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80: How to Supercharge Your Studying in 2023
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Discover everything you need to know to go into 2023 with a great study plan. You’ll hear the revamped features in our course and how the material in there will set you up for success, and answers to some of the most common questions about time spent studying, study schedules, and how many practice questions to get in before you test. Get full show…
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79: When You Fail Both AANP and ANCC [NP STUDENT]
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Hear what happens if you fail both AANP and ANCC and Anna’s top tips for what you can do in this situation. Even though it can be hard to remember, it’s not the end of your journey if you fail one or both exams, and Anna is sharing her expertise on how to navigate this uncertainty and showing you why you can and will pass. Get full show notes and m…
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78: How to Answer Tricky Exam Questions [NP STUDENT]
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If you’re taking the AANP, you’ll know it is notorious for longer, information-filled questions. You might not know where to start or how to cut out the fluff, but Anna is providing some example questions today and walking you through them so you can fly through these questions on your exam. Get full show notes and more information here: http://www…
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77: Holiday Season Time-Saving Hacks for New Nurse Practitioners [NEW NP]
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The Holiday season is a time when we all want to be at home with our family and friends as much as possible. Saving time here doesn’t mean rushing through your patients to get home but rather optimizing your time so you don’t end up burning yourself out. You want to be your best self for those around you at work and your most present self when you’…
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