Advertise on podcast: The Success NP: Clinical Pearls for Nurse Practitioners

After an unexpected eight-month pause, I’m back behind the microphone—and there couldn’t be a more fitting episode to return with than one about confidence. In Part 2 of How to Build Confidence Without Years of Experience as an NP, we’re talking about what confidence actually looks like when you’re still learning, still questioning yourself, and sometimes getting things wrong. But this conversation goes deeper than clinical confidence. Over the last eight months, my own confidence has been challenged through health struggles, career changes, the closing of a business, and the realization that we have far less control over the journey than we sometimes think. So what happens when things don't go according to plan? You keep learning. In this episode, we talk about: ​Why new NPs can strategically borrow confidence while gaining experience​Using mentors, evidence-based resources, checklists, and clinical systems​Why saying “I don’t know—let me look that up” can actually demonstrate confidence​Turning mistakes into data instead of identity​Why confidence comes from action, support, reflection, and repetition—not perfection​Building systems that support you when your confidence feels shaky​Why your NP career is part of your life—but it is not your entire life​Learning to redefine success when life doesn't follow your plan​The difference between controlling the journey and trusting yourself to take the next step​Why sometimes getting back up is success A question for you: What does success look like to you right now? Not what it was supposed to look like. Not what social media says it should look like. Not what someone else chose. What does it look like for you in this season of your life? Because your answer is allowed to change. Mine did. Doctor Nurse Clinical Resources Looking for practical support during your NP clinical journey? The Doctor Nurse Clinical Resources were created to help NP students feel more prepared and supported as they move from the classroom into clinical practice. And through our Buy One, Give Back mission, 10% of booklet proceeds are dedicated to NP scholarships and educational opportunities. When you invest in your own learning, you're helping another future NP continue theirs. Stay Connected Subscribe to the Doctor Nurse Podcast so you don't miss upcoming conversations about clinical practice, career growth, entrepreneurship, and all the different directions your nursing and NP career can take you. Because you don't need to have the entire journey figured out. You just need to keep taking the next step. Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠⁠ Keep learning. Keep asking questions. Keep becoming. And, as my kids would say... “Never stop learning, Mom!”

Confidence doesn’t magically appear with time — especially for Nurse Practitioners early in their careers. In this episode, we break down how NPs can build real clinical confidence without years of experience. You’ll learn why confidence isn’t about knowing everything, how to trust your clinical thinking, and practical ways to reduce self-doubt, imposter syndrome, and anxiety in practice. In this episode, we cover: Why experience alone doesn’t create confidenceWhat clinical confidence actually looks likeHow to build confidence without memorizationStay Tuned for next week to hear about: The role of systems in building confidenceHow new and early-career NPs can grow fasterWhether you’re a new grad NP, NP student, or early-career Nurse Practitioner, this episode will help you feel more grounded, capable, and confident in your role. 🎧 Share this episode with a fellow NP who needs reassurance today. Sponsors: ⁠Goby Meds⁠; SUCCESSNPS to get $50 off. ⁠LaSara⁠ Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

The first year as a Nurse Practitioner can feel overwhelming, isolating, and nothing like what school prepared you for. In this episode, Sandra discusses openly the biggest challenges new NPs face—from confidence and decision-making to documentation, expectations, and burnout—and what actually helps during the transition from NP student to provider. If you’re a new nurse practitioner or preparing to start your first NP job, this episode will give you clarity, reassurance, and a realistic roadmap forward. Absolutely—let’s switch angles so it doesn’t feel repetitive and hits a different emotional + practical nerve. This one leans into career protection, confidence, and long-term success, not just “new NP overwhelm.” Sponsors: ⁠⁠Goby Meds⁠⁠; SUCCESSNPS to get $50 off. ⁠⁠LaSara⁠⁠ Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

In today’s episode, we’re breaking down what your first 90 days as a brand-new NP will really look like, even if it means fighting for an office space. From documentation and coding surprises to the emotional shift of becoming a provider, this episode gives you the roadmap you never got in school. If you want to feel confident and prepared before day one, check out my new course designed specifically for new NPs entering the workforce. Sponsors: ⁠Goby Meds⁠; SUCCESSNPS to get $50 off. ⁠LaSara⁠ Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

In this conversation, Reygan Tawney discusses her journey in nursing education, particularly the decision to pursue a Doctor of Nursing Practice (DNP) over a Master of Science in Nursing (MSN). She reflects on the pressures within the nursing field that influenced her choice and expresses regret for not fully understanding the implications of her decision. Sponsors: Goby Meds LaSara Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

In this conversation, Reygan Tawney discusses her journey in nursing education, particularly the decision to pursue a Doctor of Nursing Practice (DNP) over a Master of Science in Nursing (MSN). She reflects on the pressures within the nursing field that influenced her choice and expresses regret for not fully understanding the implications of her decision. Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

In this episode, Dr. Joel Warsh, a board-certified pediatrician, discusses the complexities surrounding vaccines, informed consent, and the role of healthcare providers in addressing parental concerns. He emphasizes the importance of open dialogue, ongoing research, and the need for healthcare professionals, especially nurse practitioners, to educate themselves and their patients about vaccines. The conversation highlights the significance of understanding both the benefits and risks associated withœ vaccines, as well as the broader issues affecting children's health, such as nutrition and environmental toxins. Dr. Joel Warsh IG: https://www.instagram.com/drjoelgator/ Book: https://a.co/d/2Lds3ce Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠⁠

In this conversation, Sandra Pagenta interviews Heather Wilson, a former bedside nurse turned entrepreneur, who discusses her journey in identifying gaps in foot care services for seniors and how she created successful businesses to address these needs. Heather emphasizes the importance of patient connection, the role of nurse practitioners in foot care, and shares clinical pearls for assessing foot health. She also reflects on the true definition of success, which transcends financial metrics and focuses on personal fulfillment and the ability to care for others. Heather’s Links:  www.footandnailinstitute.com www.everydaydivinity.com https://tiktok.com/@fnifootcarenurse https://www.facebook.com/footandnailinstitute https://www.instagram.com/footandnailinstitute.com https://www.linkedin.com/in/footcarenurse https://www.instagram.com/everydaydivinity.com Check out Epocrates: https://www.epocrates.com/ CODE: SUCCESS Follow me on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠ Go to my website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

In this engaging conversation, Sandra Pagenta speaks with Olivia Gargioni, an RN turned holistic health practitioner, about the challenges of burnout in nursing and the importance of self-care. Olivia shares her journey from feeling overwhelmed in her nursing career to discovering a passion for holistic health. They discuss the pressures within the nursing culture to constantly level up and the need for nurses to prioritize their well-being. The conversation emphasizes the significance of creativity, community, and self-reflection in cultivating a fulfilling career in healthcare. TDC Group Live Webinar Link: https://registration.socio.events/e/apcrisk Olivia's Social: Instagram - https://www.instagram.com/nurse_liv_gargioni/ Tik tok -https://www.tiktok.com/@nurse_liv_gargioni?is_from_webapp=1&sender_device=pc Check out Epocrates: https://www.epocrates.com/ CODE: SUCCESS Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

In this episode, Dr. Sandra Pagenta, DNP APRN interviews Dr. Anne Meneghetti, an MD and physician executive at Epocrates, discussing her journey in medicine and the impact of the Epocrates app on clinical practice. They explore the app's features, its role in reducing medical errors, and how it supports nurse practitioners in making informed decisions at the point of care. The conversation also touches on the importance of patient education, the shift towards individualized care, and the future of technology in healthcare. Anne Meneghetti, MD: https://www.linkedin.com/in/anne-meneghetti-395504195/ Check out Epocrates: https://www.epocrates.com/ CODE: SUCCESS TDC Group Live Webinar Link: ⁠https://registration.socio.events/e/apcrisk⁠ Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠⁠

In this episode, Dr. Pagenta interviews Tina Vasant, a registered nurse and host of the podcast Good Nurse, Bad Nurse. They discuss the evolution of nursing, the impact of true crime on nursing ethics, and the challenges faced by nurse practitioners. Tina shares her experiences in the healthcare system, the importance of advocacy, and the role of humor in coping with the stresses of nursing. They also explore systemic issues in healthcare and the portrayal of nurses in the media, emphasizing the need for awareness and change. Listen to Tina's podcast: https://podcasts.apple.com/us/podcast/good-nurse-bad-nurse/id1386501897 Follow Tina on IG: https://www.instagram.com/goodnursebadnurse/ Check out Picmonic: https://www.picmonic.com/ Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠⁠

Show Notes:  When emergencies strike, the difference between chaos and confidence often comes down to leadership at the bedside. In this episode, a veteran rapid response nurse reveals lessons from real-world critical events that every nurse and nurse practitioner can apply. From communication strategies to handling high-stress acute care moments, this conversation uncovers insights you won’t find in textbooks but that could transform your practice. Listen to Sarah’s podcast: The Rapid Response RN Follow Sarah on IG: @therapidresponsern Check out Picmonic: https://www.picmonic.com/ Check out Epocrates: https://www.epocrates.com/ CODE: SUCCESS Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠ Go to the Doctor Nurse website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠

Chrissy and Anna join Sandra & Jackie to share their very different paths to becoming CRNAs and how they built Confident Care Academy to support ICU nurses and future CRNAs. From night shift burnout to anesthesia independence, they get real about what it takes to make the leap and why the culture of nursing has to evolve. If you’re a nurse, NP, or future CRNA, this episode is packed with insight, career tips, and encouragement you won’t want to miss. Check out Picmonic: https://www.picmonic.com/ Join Chrissy & Anna’s Confident Care Academy: https://www.confidentcareacademy.com/ Listen to the Confident Care Academy Podcast: https://open.spotify.com/show/7bElMXUFr5R3Eyz7FnrTXC Follow Chrissy on IG: https://www.instagram.com/chrissycrna/ Follow Anna on IG: https://www.instagram.com/annajcrna/ Follow Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠⁠⁠⁠⁠⁠ Go to the Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠⁠⁠⁠

At Success NP, we create digital clinical guides to help NPs in clinical practice. This week, we want to help you sharpen your clinical skills with an interesting case where a patient returns from overseas with fever, fatigue, and a few subtle exam clues. Could it be something more than a viral illness? In this nurse practitioner case study, we break down post-travel fever differentials, key assessment questions, and the red flags every NP should recognize. See if you can solve the case before we reveal the diagnosis. Check out Picmonic: https://www.picmonic.com Follow the Doctor Nurse Sandra on Instagram:⁠ ⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠ Go to the Doctor Nurse website:⁠ ⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠

Ever wondered how a full-time acute care NP launched her own hormone and weight loss clinic without quitting her W2 job or taking out a loan? In this episode, we sit down with Bree to talk nurse entrepreneurship, burnout, and building a business as a nurse practitioner. A must-listen for NPs exploring new career paths and multiple income streams. Check out Picmonic: https://www.picmonic.com/ Visit Bree’s Website: https://www.breenp.com/ Find Bree on Instagram: https://www.instagram.com/brianajuskowiak/ Follow the Doctor Nurse on Instagram:⁠ ⁠⁠⁠⁠⁠⁠@doctornursesandra⁠⁠ Go to Doctor Nurse Sandra website:⁠ ⁠⁠⁠⁠⁠⁠www.doctornursesandra.com⁠