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Welcome to my NP blog where I help new NPs survive their first year of practice.

Practical tips, clinical guidance, and encouragement for nurse practitioners starting their journey.

Clinical Thinking

Posts on developing your clinical reasoning and decision-making skills

Reading, tablet and thinking with doctor in hospital for healthcare report, research grant and reflection. Medical case idea, clinical guidelines and telehealth app with mature person for vision

Clinical Thinking

The biggest mistake new NPs make when treating hypertension

As a primary care NP — and someone who mentors new NPs — I see the same pattern over and over again. New NPs hesitate. A patient comes in with elevated blood pressure...

NP Survival Guide

Practical tips and strategies for thriving in your first year and beyond

Hospital chief, teamwork and planning with doctor and woman for documents, schedule and feedback

NP Survival Guide

I'm a Residency Director — Here Are the Real Benefits of an NP Residency Program

As a residency director, I've had the opportunity to observe—closely and consistently—what truly accelerates a new Nurse Practitioner's transition into confident, competent clinical practice...

A doctor uses a laptop to analyze patient data

NP Survival Guide

From Expert RN to Uncertain NP: The Transition Shock and Advice on How to Deal With It

Having been an FNP for over 8 years, I know firsthand that the first year is rough. In this quick read, I will share 3 of my top suggestions for new NPs for a smoother transition...

Real Talk for NPs

Honest conversations about the challenges and rewards of being a nurse practitioner

Tired female doctor or nurse with stethoscope looking out window, thinking in cafe.

Real Talk for NPs

"Patients come to me for answers… and I don't have all of them."

These thoughts don't come once. They repeat. Quietly… but consistently. This is impostor syndrome. And if you let it — it will keep talking...