Hey and Peas, let's talk about a partner that supports both your
practice and you, Gobi Meds. If you offer weight management,
Gobi Meds is a powerful telehealth resource for
compounded GLP ones and Wellness options like NAD.
Plus, they handle the heavy lifting with smooth clinician
LED onboarding and transparent pricing.
You can even earn revenue by joining their medical affiliate
program. Just look for the link at the
bottom of gobiemeds.com. But let's be real, you spend all
day taking care of others. And if you're looking into
prioritizing your own metabolic health or energy, Gobie Meds is
here for you too. Whether you're patients or for
yourself, go to gobiemeds.com and use code SUCCESS and PS to
get $50 off. Take care of your practice and
yourself with Gobi Meds. Disclaimer Gobi Meds facilitates
access to compounded medications.
Prescriptions required online medical consultation results may
vary. At the Success NP podcast, we
talk a lot about professional growth, but personal health is
just as important as career advancement.
For women navigating hormonal changes, Lacera's Harmonized
Hormone Program offers personalized hormone replacement
through an easy, fully telehealth process.
Their approach combines comprehensive lab testing,
one-on-one provider consultation, and customized
treatment plans designed around each woman's goals, lifestyles,
and biology. Many women experience
improvements in focus, energy, sleep and mood, and overall
quality of life, which makes a real difference both inside and
outside the clinic. If you're ready to take control
of your home run health, visit Lacera dot com slash HRT and
schedule your free consultation with LA Sarah today.
Because when you feel aligned, everything you do improves.
Hello everyone, and welcome back to the Success NP podcast.
I hope each one of you had a wonderful Christmas.
We sure did at the Bagenta household.
And since becoming a mom, Christmas is a whole different
energy. This year I was that mom,
sipping coffee in my jammies, maybe plus or minus a robe,
enjoying the surprise on my kids faces and finally getting to
rest. I also can't believe that 2026
is right around the corner. How this year has flown.
I am one of those people that write goals every year I try to
review them at the end of the year.
Some years are better than others, but just looking forward
to reflecting on 2025, what we've done, and then moving
forward with 2026 and what's to come.
If you aren't someone that writes goals, no pressure, but I
do believe there is some magic in writing down what you're
hoping for the year. So if you are on the fence,
maybe I can nudge you a little bit just to go ahead and write
them down just so that at some point you can look back and go,
wow, I wrote this thing down and I put it to my mind and I was
able to get it done. So just think about it.
Last podcast of the year 2025. And if you are new to the
Success NP podcast, we are here to help new and and
transitioning NPS nurse practitioners build confidence,
competency and clarity as they enter the workforce.
My name is Sandra. I'm one of the nurse
practitioners here, and today we are going to be talking about
something every new NP faces but no one really prepares you for,
which is your first 90 days as a real provider.
We're going to go through the big four things that I really
want you guys to start wrapping your head around as you start
your new job as an NP. So let's dive in.
All right, so for the first topic, we're going to discuss
the mindset shift. So the biggest shift is going
from the student slash nurse to being a provider.
This is where we expect to automatically or magically feel
confident just because we graduated.
And that's really The funny thing that we were noticing as
we became MPs was that you get thrown onto the stage and
there's really nobody there to help you.
The confidence doesn't just instantly appear on day one.
You're still learning workflows, how to chart, how to talk like a
provider, how to manage your time.
And all this is normal. Your first 90 days, or maybe
even the first year, aren't about perfection.
They're about orientating to your new identity.
Now, my first nurse practitioner job, I had no idea what I was
doing. I seriously went from being a
nurse to just feeling like a nurse 1.5, like it was just the
next step, but I didn't even know really what that entailed.
I had some, of course, clinical experience, but in my first job,
it was really far removed from anything that I had experienced
as a nurse practitioner student. I was really green.
I remember even down to my office space, I had no idea what
to expect. Do I get my own office?
Because as a nurse, you share the floor, you share all the
different rotating chairs. There was not even a space that
I thought I could occupy. And I just remember being so out
of sorts. Do I request my own office
space? It's just a whole different
energy that you've got to walk into your job with that I
definitely know I didn't have. My role at the time was new,
meaning that they had just been developing it and they were
going to kind of trial it with me.
I remember feeling like we were building it as we flew it and
this is a problem. It's something that I look back
on and cringe. I should have been more
proactive about exactly what I was going to be generating
revenue wise and how my productivity was going to be
measured. I just let the job happened to
me. So reflection, don't be like
Sandra. Go in with a plan or at least a
clear picture of what's going to be expected from you from your
first job. All right, so the next topic
that we're going to talk about are what no one tells you when
you start your job as an NP. Hey and Peas, let's talk about a
partner that supports both your practice and you, Gobi Meds.
If you offer weight management, Gobi Meds is a powerful
telehealth resource for compounded GLP ones and Wellness
options like NAD. Plus, they handle the heavy
lifting with smooth clinician LED onboarding and transparent
pricing. You can even earn revenue by
joining their medical affiliate program.
Just look for the link at the bottom of gobiemeds.com.
But let's be real, you spend all day taking care of others.
And if you're looking into prioritizing your own metabolic
health or energy, Gobie Meds is here for you too.
Whether you're patients or for yourself, go to gobiemeds.com
and use code SUCCESS and PS to get $50 off.
Take care of your practice and yourself with disclaimer.
Copied Meds facilitates access to compounded medications.
Prescriptions required online medical consultation results may
vary. At the Success NP Podcast, we
talk a lot about professional growth, but personal health is
just as important as career advancement.
For women navigating hormonal changes, Lacera's Harmonized
Hormone Program offers personalized hormone replacement
through an easy, fully telehealth process.
Their approach combines comprehensive lab testing,
one-on-one provider consultation, and customized
treatment plans designed around each woman's goals, lifestyles,
and biology. Many women experience
improvements in focus, energy, sleep and mood, and overall
quality of life, which makes a real difference both inside and
outside the clinic. If you're ready to take control
of your home run health, visit lacera.com/HRT and schedule your
free consultation with Lacera today.
Because when you feel aligned, everything you do improves.
Hey, NP student or NP graduate, Yes, you ever freeze when it's
time to present your patient case to your preceptor.
Suddenly you're rambling about the thing that happened and the
preceptor gives you a puzzled look.
Winging it is no longer an option.
Introducing the Case Presentation Guide, a free step
by step framework made by experienced NPS for NP students
and new grads. Learn what to say and what to
skip, how to keep it concise, and how to sound like you
actually know what you're doing. Nail your assessments with
clarity, move through the history, and plan like a pro.
The best part of the Case Presentation module is that it's
free 99, so make sure to click the link in the show notes.
This is all a part of our course launching January of 2026 called
the Success NP Academy. It is your step by step guide to
launching your MP career with confidence.
We'll help you go from overwhelmed to organized with
lessons on charting, case presentation, job hunting, and
actually feeling ready for day one in practice.
Because let's be honest, they taught you how to diagnose
pneumonia, not how to negotiate a contract or figure out
malpractice insurance. You've got the degree.
We'll help you get the direction.
Now let's get back to the conversation.
Some of the things that no one told me but really became
apparent was that you might feel like you're slowing everyone
down at first. If you're lucky enough that you
get to Orient with another provider or a physician before
you start your job, you might be feeling like because you're
there, they're not able to fly at their normal speed.
You're going to be questioning yourself multiple times a day.
Am I doing this right? Am I doing this right?
Documentation is going to be taking you longer than expected,
especially coming from nursing documentation, which is a
different vain, short, quick little notes, a longer daily
assessment. But whenever you're the
provider, you're not doing that. We'll continue to monitor and
assess. You will be writing the
assessment and writing plan, which is very different, and
you'll be surprised with how much autonomy you're given,
sometimes more than you might be ready for.
The comforting part is that all this is normal and none of it
means that you're not good enough.
We've all been in this exact space, all of us, and everyone
has to go through this learning curve and so relax because
everyone's been here. Sometimes we forget because it's
been 15 years, but we were all in that same place.
And even just talking about it brings me back to that space and
I remember the feelings. Also, something that I thought
about as I was writing this was because you're new.
Take advantage of that and ask really good and thoughtful
questions. Sometimes you ask questions that
you think I don't really know if that was the best question, but
you know, I still ask a ton of questions because today medicine
is always changing. And honestly, sometimes from,
and as you guys know, I work part time and from the time that
I'll leave until the time that I've come back within the week,
something has changed. And I'm learning every single
week something new, something I didn't know the week prior
that's changed in practice. So give yourself grace.
The third topic I want to talk about are some of the common new
NP mistakes. Some of the biggest mistakes new
NPS make in their first 90 days is going back to questions, not
asking enough, trying to see a full schedule early, too early.
And I've had this happen to me. It's super scary because you are
seeing things you're not comfortable with, you are
missing things because you are moving too quickly and this is
to be avoided. Especially in the beginning,
some MPs are afraid to look and experienced.
So yeah, they're just faking it so that they look like they know
what they're doing. Not clarifying expectations on
productivity, which I spoke about earlier, was a mistake
that I made in my career. But understanding clearly when
you first get started in your job, what is going to be the
expectation on my productivity as I ramp up and your new role?
And then again, not being prepared, not having templates
in advance. Those things are critical as you
start your new NP job. So your first sunny days are not
the time to fake it, they're the time to build safe habits.
OK, now this is the scary NP to me.
If you are one that's faking it, everyone is going to know, OK?
Trust me. And if you're the lone NP in
your practice, there's nobody else.
You might be able to get away with it for a while, but
eventually everything comes into the light that you were wildly
unprepared or making improper calls.
So patients and other providers appreciate a provider that is
more cautious than careless and is asking questions or asking
for help. People will respect that heck of
a whole lot more than a provider who's faking it and making
mistakes. Those are some of the new common
NP mistakes that you can be making as you're starting your
practice to be mindful of. The last thing in the last topic
I want to talk about is how to prepare before you get into your
first MP job. And these are things that you
walk in with a professional portfolio, a working knowledge
of coding, a list of protocols and resources, and an example of
documentation samples. And these things are going to
help you feel more confident and make your employer feel like
you're ready. And these are things that you
can either get from other MPs or other providers, especially
depending on your EMR or whatever electronic medical
record you're going to be using. You could have template that
help you guide the visit a little bit better.
I did not do this at my first job and again because it was a
build it as we fly it type position, it put me at a
disadvantage because there was nobody else to really get them
to help me because there was no other.
This was a new role and so because of the fact this role
was being developed as I was in it, there was no other template
to follow, which is something that I should have been pushing
for. The learning curve is so much
higher and longer and steeper when you aren't prepared and
there's no other provider to follow.
But there's hope because if you want step by step support with
your portfolio, coding basics, interview help, and how to
prepare for your first NP job, I want you to check out the
Success N PS brand new course launching in January of 2026.
It will give you everything I wish I had during my first 90
days. We've put together 30 modules,
tons of content. We've put our soul into this
course so that you can go into your first NP job prepared.
And if you're struggling at your current NP job and you're new
and you're like, gosh, I need a freaking life raft, we've got
you. I really will hope that you guys
at least download our free course.
We talked about it in one of our sponsorship ads for the podcast
to just get a taste of what it is that we're creating.
We are literally helping you through every single area of
becoming a competent nurse practitioner In practice.
We talk about all the different body systems.
We talk about treatment, putting plans together, charting.
It's so comprehensive, such a great help.
You will be confident, you will be aware.
I feel like sometimes when I reflect back, I was just
floating through and maybe that's not you.
I pray it's not you, but that was definitely me.
I hope that today's episode was helpful that you at least are
walking away with. All right.
Maybe I need to do a couple things better, or maybe I need
to not be so hard on myself. I hope you guys have a wonderful
rest of 2025 and hope that you are back in 2026.
And as always, thanks for listening.
We're going to do a success in Peak Quote of the Day by Henry
Ford. Success usually comes to those
who are too busy to be looking for it.
Be well, my friends. Thanks for tuning into another
episode of Success and P. We hope today's discussion has
shed some light on the diverse career options or taught you how
to improve your clinical practice as a nurse
practitioner. Remember, whether you're
considering a specialization, pursuing advanced
certifications, or exploring non traditional roles, there's a
wealth of opportunities out there waiting for you.
Be sure to subscribe to the show so you don't miss an episode and
leave us a five star review. It helps the podcast grow.
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updates on new podcast episodes and other information to help
you on your own NP journey. You can always message us at
successandpeacepodcast@gmail.com with any NP podcast episodes or
topics you'd like us to discuss. Until next time, take care, stay
curious, and keep advancing your careers as a nurse practitioner.
And just a friendly reminder, the information on this podcast
is for educational purposes only.
The information should not be used and substitute for
professional care by a medical provider.
The information on this podcast does not represent medical or
professional advice or services. Bye for now.