5 Steps to Make Your Plan of Care for New Nurse Practitioners (Plus 2 Real World Tips)

Whether you feel like a rock star generating your differential diagnosis list, or if you're still feeling shaky-- trying to come up with a plan of care as a new nurse practitioner may make you draw a blank.
In this video, I share my 5 steps to making your plan of care you can use every time -- to make sure you're not missing anything, and to provide the safest and best care to your patients.
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Centor criteria (this is the 5 point criteria, not the 4 I referenced): www.mdcalc.com/centor-score-m...
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Don't forget to grab your free Ultimate Resource Guide for the New NP at www.realworldnp.com/guide
More Resources:
Lab Interpretation Crash Course: www.realworldnp.com/labs
Digital NP Binder: www.realworldnp.com/binder
Diabetes Medication Workshop: www.realworldnp.com/diabetes
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Come follow along for even more tips and inspiration:
Instagram: / realworldnp
Facebook: / realworldnpp

[@franceskipfer5356]

Loved this video. I am a new grad PA-C working in family medicine. I just got done talking to friends from school about a pt who had not seen a provider in ~10 years, had a laundry list of problems, and how I felt bad that I could not address all of them. I will implement your approach!! Also loved your plan of care steps. Thanks!

[@RealWorldNP]

Thank you - I am glad it gave you some ideas for your practice!

[@lourdesrivera8372]

I am an FNP student in my second clinical rotation. I really appreciate your advice. You're a Godsend. I have moments of hope and moments that I'm discouraged and doubt myself. My background is labor and delivery for the past 22 years. I'm just eager to be the best FNP for my patients. Thank you for being a beacon of light.

[@RealWorldNP]

Lourdes you are SO very welcome. It is an incredibly humbling transition, but especially so being an expert RN after so many years!! It's a true roller coaster of feeling like you're rocking it and the next feeling like a total imposter. Here for you!

[@queenaura1]

I especially liked your real world tips. I'm going to try your approach! Trying to address multiple problems can be very overwhelming for the patient as well as the provider, which does a disservice to both. Thanks!

[@RealWorldNP]

You're so welcome!

[@danilightfoot4783]

I really appreciate that insight of it's not realistic to address all the problems when patients come in not having been in in several years. Hearing that and your perspective takes a little bit of the pressure off and helped me understand that while you want to address all their needs, reasonably you may only be able to thoroughly tackle a few issues in one appointment. Thank you, your videos are so helpful. I found them when I was looking for help with history intake assessments. I am currently in Advanced Health Assessment (FNP) and I am struggling with my simulation assessments. I understand the OLDCARTS logic and feel comfortable with that, but the initial questions and follow up question I struggle with as well completing unnecessary assessments. Your videos are very insightful, thank you!

[@RealWorldNP]

Thank you, Dani! I am glad you are getting something out of the videos - I do hope you are taking advantage of our free cheat sheets in our other videos. Hang in there - you got this!!

[@KafkameetsPlath]

I’m in Candyland going through your videos, I’m so excited to dive deep and I’m so thankful to God I came across your channel! I love the clarity, reinforcing evidenced based practice, this is a TREAT! Love it! Thanks for sharing! 💕

[@RealWorldNP]

Wonderful!

[@angelaburns9972]

Thanks! All good info

[@RealWorldNP]

Glad it was helpful!

[@Vethier410]

Thank you!

[@RealWorldNP]

You're welcome! Thank you for watching!

[@LuminosoDePuebla]

Thank you.

[@RealWorldNP]

You're welcome!

[@sofiak7778]

Awesome video 👍

[@RealWorldNP]

Thank you!

[@leroij1]

OMG! that was simplistic and really helpful. I am an NP student and will start clinicals soon. Thank you for the information.

[@RealWorldNP]

You are so welcome!

[@NurseJane91]

Such good tips I’m close to graduating with my AGNP! I’m hoping to ease the transition with all of the tips I come across.

[@RealWorldNP]

Oh I'm so glad! And congratulations!! Such a HUGE accomplishment. Definitely let me know if there are questions or topics you want me to talk about. I'm also planing to start some live videos on instagram/facebook in a few weeks with Q&A too if you'd like to join over there!

[@orlandodamiangarciafonseca8175]

❤Espectacular, appreciate it !!!

[@RealWorldNP]

Glad you like it!

[@amandapittman493]

Loved your video! I'm about to graduate in May. I'm also an oncology nurse so I suspect cancer a lot of the time too! Thank you for your videos! Great tips and information.

[@RealWorldNP]

Thank you!

[@lynnhicks1040]

Liz, I'm getting ready to start at a Family Practice soon. This video was great! Thanks so much! I find myself getting sucked in, so I have to learn how to not only take care of my patients but myself as well...by not overwhelming them or myself. Thankfully, I'm joining a practice with a very well known and reputable doctor that loves to teach! He also has two other NPs one is fairly new as well. I'll keep you posted, and will definitely be listening and hitting the like button on all your videos. Once I start getting some income rolling in, I'd love to take the Lab course and Kim's diabetes course. Thanks so much for all you do! (Lynn)

[@RealWorldNP]

So great to hear Lynn. All the best at the new practice.

[@FeleciaVictoria618]

How do you chart against the extra problem if you don’t address it?

[@RealWorldNP]

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

[@robinday2153]

I can't find the resources you talked about.

[@RealWorldNP]

They are usually listed in the description - here's the link I referred to: www.mdcalc.com/centor-score-modified-mcisaac-strep-pharyngitis

[@andreadouglas8581]

Hi Liz I would like to have you as a mentor. How can you be reached

[@RealWorldNP]

Hello! We have a waiting list right now, but you can definitely fill out this application: forms.gle/Fp1vyub5Wo2VJ4n77 Thanks!