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    <lastmod>2023-11-25</lastmod>
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    <loc>https://www.breenp.com/blog-4-1/what-makes-for-a-good-orientation</loc>
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    <lastmod>2023-07-20</lastmod>
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      <image:title>Blog - What Makes For A Good Orientation - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
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      <image:title>Blog - What Makes For A Good Orientation - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-how-to-work-up-hypoxia</loc>
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    <lastmod>2023-07-17</lastmod>
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      <image:title>Blog - Clinical Pearls: How To Work Up Hypoxia Part 1 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.breenp.com/blog-4-1/np-jobs-red-flags</loc>
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    <priority>0.5</priority>
    <lastmod>2023-07-12</lastmod>
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      <image:title>Blog - NP Jobs Red Flags - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Blog - NP Jobs Red Flags - Make it stand out</image:title>
      <image:caption>If you are in the season of job acquisition, do not sleep on this opportunity to elevate your interview skills to top tier level by learning how to interview. This course includes 3h of video (including walking you through how to answer any question they are likely to ask of potential nurse practitioners) and 19 PDFs to guide you through the process. The last client I had told me they made her an offer the same day and even stated in the email that they were blow away by her presence, response, and the questions she asked.</image:caption>
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  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-shock</loc>
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    <priority>0.5</priority>
    <lastmod>2023-07-04</lastmod>
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      <image:title>Blog - Clinical Pearls: Shock - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/d366c46a-273b-4997-9cad-e8ce09d5bcf7/Shock+physiology+screenshot+from+zoom+ACL+at+9.52.08+AM.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Shock - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Blog - Clinical Pearls: Shock - Make it stand out</image:title>
      <image:caption>Not that kind of shock</image:caption>
    </image:image>
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  <url>
    <loc>https://www.breenp.com/blog-4-1/how-to-use-your-cme-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/244b025b-cff4-4a84-b90c-894dccc0ac50/Screenshot+2023-06-22+at+9.36.55+AM.png</image:loc>
      <image:title>Blog - How To Use Your CME $ - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/88045289-e9cc-4af0-9774-0e649367a8b5/Screenshot+2023-06-27+at+12.20.46+PM.png</image:loc>
      <image:title>Blog - How To Use Your CME $ - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-ventilator-modes-101</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-22</lastmod>
    <image:image>
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      <image:title>Blog - Clinical Pearls: Ventilator Modes 101 - Make it stand out</image:title>
      <image:caption>This is a table comparing similar modes by brand and proprietary names.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/tips-for-finding-a-nurse-practitioner-preceptor</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-07-03</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/ff0f5bbe-68da-4bac-b15b-fb9ad4ba34b8/Screenshot+2023-05-26+at+12.32.01+AM.png</image:loc>
      <image:title>Blog - Tips For Finding A Nurse Practitioner Preceptor - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1685380838475-NYPFOAQFMN3JOX3X8FYX/Calling%2BCard%2BSide%2B1.jpg</image:loc>
      <image:title>Blog - Tips For Finding A Nurse Practitioner Preceptor</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1685218157456-G6VLSRVH3R0PZT7MG2AS/Calling+Card+Side+2.png</image:loc>
      <image:title>Blog - Tips For Finding A Nurse Practitioner Preceptor</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/ab66ef99-6c63-46ab-b05b-4d6a06806150/Screenshot+2023-05-29+at+1.15.53+PM.png</image:loc>
      <image:title>Blog - Tips For Finding A Nurse Practitioner Preceptor - Make it stand out</image:title>
      <image:caption>Join me and friends as we go live this Thursday 6/1/23 at 3pm EST discussing procedures</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-tips-on-procedures</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-05-22</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/2d2969b5-7980-4648-b559-d901e1d3735b/Screenshot+2023-05-22+at+12.50.11+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Procedures Performed In An ICU - Make it stand out</image:title>
      <image:caption>Click the image to watch this YT where I talk with a nurse practitioner who performs procedures all day every day.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Blog - Clinical Pearls: Procedures Performed In An ICU - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/job-options-for-agacnp-nurse-practitioners</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-05-16</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1683558983148-18VRTE0VMREVWRPADWSO/unsplash-image-rbDE93-0hHs.jpg</image:loc>
      <image:title>Blog - Job Options For AGACNP Nurse Practitioners - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/2e89887c-7133-41d6-9a8c-bd47ae7be1d6/Screenshot+2023-05-16+at+9.45.38+AM.png</image:loc>
      <image:title>Blog - Job Options For AGACNP Nurse Practitioners - Make it stand out</image:title>
      <image:caption>Join me live this Thursday the 18th and add your input!</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-is-it-time-to-extubate-an-objective-approach</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-04-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/59852337-ca25-4972-a14a-ed69515050b5/Screenshot+2023-04-30+at+9.18.37+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Is It Time To Extubate, An Objective Approach - Make it stand out</image:title>
      <image:caption>#LIBERATE</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/72def61e-3ec5-42a0-a7aa-29f3a8aa0992/Screenshot+2023-04-29+at+4.05.02+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Is It Time To Extubate, An Objective Approach - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/what-to-look-for-in-an-np-school</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-04-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/3b39772f-3653-4dbb-8e51-6b851fcfe468/Screenshot+2023-04-22+at+3.20.13+PM.png</image:loc>
      <image:title>Blog - What To Look For In An NP School - Make it stand out</image:title>
      <image:caption>Lol, I chose this picture because as a later-in-life return student this is the image I had in mind when I started applying to schools. Most programs now are, at least in part, hybrid and incorporate heavy use of independent study. This makes it harder to determine how much actual support you will get from the school.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/338ae154-a0a9-46b0-8e7f-628c6f744b03/Screenshot+2023-04-26+at+9.42.07+AM.png</image:loc>
      <image:title>Blog - What To Look For In An NP School - Make it stand out</image:title>
      <image:caption>This was a controversial one. Click the image to read all the comments on this TT rant about schools and the lack of labs.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-1</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-04-17</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/4b1c8198-5921-431b-922a-2badd25d56c4/Screenshot+2023-04-15+at+7.40.08+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Calcium Channel Blocker Overdose - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/ac485bed-3a41-41e2-879d-eec6c19419e0/Screenshot+2023-04-15+at+8.04.20+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Calcium Channel Blocker Overdose - Make it stand out</image:title>
      <image:caption>Click the picture to see this TT</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/the-worst-parts-of-being-an-np</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-04-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/c9efb43e-6347-4e66-8586-e001f43372c0/Screenshot+2023-04-08+at+1.15.43+PM.png</image:loc>
      <image:title>Blog - The Worst Parts Of Being An NP - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/e5bb077a-0703-4fc2-965d-f2a8cefc6f95/IMG_8DAD289C9B43-1.jpeg</image:loc>
      <image:title>Blog - The Worst Parts Of Being An NP - Make it stand out</image:title>
      <image:caption>Click image to see the YT video</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-04-04</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/85f6ab5f-ceac-48ed-980d-4c135b85a1cd/Screenshot+2023-04-03+at+8.56.14+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Intubation Starts Here - Make it stand out</image:title>
      <image:caption>If you have an upcoming clinical in ICU - check out this YT video.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/5debedaa-56ff-4872-982a-ed1cc22c9595/intubateblur.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Intubation Starts Here - Covid brought a wealth of opportunity to become proficient at intubation skills. On this day a locums doctor encouraged me to use a glidoscope, with which I had no experience. As you can see here the muscle memory of looking down at the airway rather than the video screen in front of me is apparent. It is a totally different technique that took some getting used to. But as a mentor told me, you should become proficient at all intubation techniques because you never know when someone will hand you an unfamiliar blade. In this scenario the locums doc encouraged the glidoscope because Covid transmission was still concerning, so his strategy was encouraging physical distance from the patient’s face. Yes, I know, I wasn’t wearing an eye shield.</image:title>
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  <url>
    <loc>https://www.breenp.com/blog-4-1/nurse-practitioner-contract-negotiation</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-03-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/9f7e3901-2621-40ab-90e1-0d957abd23d4/Screenshot+2023-03-29+at+1.03.32+PM.png</image:loc>
      <image:title>Blog - The Perfect NP Student - Make it stand out</image:title>
      <image:caption>Click the image above to watch this video where I chat with my friend Mitzi who has been teaching new NP’s since the dawn of time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/bdd093f0-3ef5-451d-a111-fa633fa43497/Screenshot+2023-03-26+at+11.26.53+AM.png</image:loc>
      <image:title>Blog - The Perfect NP Student - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearlswhats-up-with-the-lactate</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-03-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/2ccd4795-ebce-4e03-96df-697e814f8448/Screenshot+2023-03-20+at+5.30.42+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls:What’s up with the lactate? - Make it stand out</image:title>
      <image:caption>Join the weekly livestream this Thursday at 3pm EST as we talk about this weeks blog topic and whatever else is on your mind. Get your questions answered in real time. Click the image to be redirected to YT.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/039f263d-5e05-4dc4-95d4-408e94ac450e/Screenshot+2023-03-20+at+2.53.43+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls:What’s up with the lactate? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/provider-decision-fatigue</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-03-17</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1f298deb-5c4e-4e65-9ed2-1af168be408b/Screenshot+2023-03-04+at+4.41.05+AM.png</image:loc>
      <image:title>Blog - Provider Decision Fatigue - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/9958b8aa-98c4-4030-b01a-a26fa25791fe/Testimonials%281%29.png</image:loc>
      <image:title>Blog - Provider Decision Fatigue - My latest client had amazing and unexpected results with my help.</image:title>
      <image:caption>She took the digital course “Turn Your NP Interview Into An Offer (easily)” and followed it up by practicing with a mock interview. The power of preparation and practice is undeniable. If you’re in the season of job acquisition give it a look to see if the course or mock interview is for you.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/4ratpiw36y80t2kab9x0avm7n2r5im</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-03-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/23884d1e-05c8-43af-887a-798b76a36e80/Screenshot+2023-03-03+at+12.05.38+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Weird COPD Labs - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/479558d8-3261-41b9-a6fa-55bd2da71a66/Screenshot+2023-03-03+at+2.12.20+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Weird COPD Labs - Fishbones</image:title>
      <image:caption>Y’all these are the universal language. It’s also way quicker to write down labs in this format. For those reasons, if you are not doing so already, teach yourself this shorthand. I have a template you can download by signing up for emails on this website or you can find them anywhere with a google search.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/57248138-feb1-4ce6-b849-e8b5f9590cc1/Screenshot+2023-03-03+at+2.53.43+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Weird COPD Labs - This is what the chronic COPD-er looks like on labs.</image:title>
      <image:caption>Chronic PCO2 (carbon dioxide on ABG) elevation pH will (at baseline) be normal Bicarb (CO2 on CMP) will be high Chloride will be low</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/mentors-game-changers</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-02-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1677595836401-0JZLTM85NYC7X42O8CVE/Tips+and+Hacks%2813%29.png</image:loc>
      <image:title>Blog - Mentors: Game Changers?</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1677596025300-F735H2AU7H7DPLBLZ7RZ/Tips+and+Hacks%2814%29.png</image:loc>
      <image:title>Blog - Mentors: Game Changers?</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1677224321626-WLMH17D5T5XELBE1BYAT/unsplash-image-jAke8NofTtE.jpg</image:loc>
      <image:title>Blog - Mentors: Game Changers? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/vbg-vs-abg</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-03-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/354a4178-c9e4-46a2-bf6a-8965f8cf92b9/Screenshot+2023-02-23+at+12.43.36+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: VBG vs ABG - Make it stand out</image:title>
      <image:caption>Every Thursday at 3pm I go live on Youtube answering your questions and talking about the topic of the weekly blog. I would love to see you there.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/9831b0fc-dcd9-49de-b8a4-594ec31dce02/Screenshot+2023-02-22+at+9.57.20+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: VBG vs ABG - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1677098193738-CGE9A3TI9PD17C3BLJC1/unsplash-image-TW_dKLcR8s4.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: VBG vs ABG - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/5wo01ohy9wag2t6mlziww16de7jbe2</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-02-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1676302559594-JBEQ8JOTE7TUXP3HO50C/unsplash-image-I9qcFjyuJGw.jpg</image:loc>
      <image:title>Blog - Nurse Practitioner Salary Expectations - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/808a3c82-d947-4873-80d6-3bee2a989a93/Screenshot+2023-02-13+at+12.14.21+PM.png</image:loc>
      <image:title>Blog - Nurse Practitioner Salary Expectations - Make it stand out</image:title>
      <image:caption>Click the picture to see a tiktok where I discuss salary negotiation.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-is-it-dka-or-hhs</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-02-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/703915c3-a5bf-48a0-9026-dade21bcaf3a/Screenshot+2023-02-07+at+10.37.47+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Is it DKA or HHS? - Make it stand out</image:title>
      <image:caption>https://pubmed.ncbi.nlm.nih.gov/7808097/</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/b16a751a-56c7-44c4-9c5f-55009a43aede/Screenshot+2023-02-07+at+3.51.35+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Is it DKA or HHS? - Make it stand out</image:title>
      <image:caption>https://www.ncbi.nlm.nih.gov/books/NBK279052/</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/fee90925-b46e-4339-aec6-16a09e463864/Screenshot+2023-02-07+at+4.39.01+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Is it DKA or HHS? - Make it stand out</image:title>
      <image:caption>Click the photo to see a TT video on normal metabolic acidosis compensation.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/when-should-you-start-job-applications</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/19edfe88-59a2-4449-84c3-d06392e413a9/Screenshot+2023-01-29+at+3.32.06+PM.png</image:loc>
      <image:title>Blog - When Should You Start Job Applications - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/691a0acf-4489-4f18-b832-29796b9f22b5/Screenshot+2023-01-29+at+5.05.59+PM.png</image:loc>
      <image:title>Blog - When Should You Start Job Applications - Make it stand out</image:title>
      <image:caption>6 Resume Mistakes To Avoid</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-dic</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/b7a838cd-bb0e-4ce5-aec3-22d9b1a1bb12/Screenshot+2023-01-21+at+2.27.07+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: DIC - Make it stand out</image:title>
      <image:caption>Click here to see a tiktok on TEG interpretation.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1674311872007-DWETAEJ6Y2JV2K70VZTD/Screenshot+2023-01-21+at+9.35.38+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: DIC - Make it stand out</image:title>
      <image:caption>Image credit: Creative Med Doses. Great little article here.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/nurse-practitioner-boards-preparation</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1673724165381-OSA1CLA480LP2S2VZPRT/unsplash-image-yy3GonY48N0.jpg</image:loc>
      <image:title>Blog - Nurse Practitioner Boards Preparation - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/dde83209-1b42-4bd8-9a53-c6ff7c940abe/Screenshot+2023-01-18+at+12.58.15+PM.png</image:loc>
      <image:title>Blog - Nurse Practitioner Boards Preparation - Make it stand out</image:title>
      <image:caption>Click the image above to see the YT where I interviewed a former student. Her ideas for boards prep are amazing.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-liver-failure</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1673288668803-IFDCGQYBVW9MRZNGUDHS/unsplash-image-ZMK0DU5wARA.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Liver Failure - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/83aafc98-b3c3-4f9c-a41d-b76fa3892710/Screenshot+2023-01-11+at+10.37.30+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Liver Failure - Make it stand out</image:title>
      <image:caption>Click the image to be redirected to this tiktok talking about liver failure.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/mistakes-to-avoid-on-your-resume</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/9298a1a2-f669-4a6c-ab8e-6528d58fd483/Screenshot+2023-01-02+at+8.36.26+PM.jpg</image:loc>
      <image:title>Blog - Mistakes To Avoid On Your Resume - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/54fd57fd-c92a-43aa-90d3-d862be98a0cb/Screenshot+2023-01-04+at+4.31.41+PM.png</image:loc>
      <image:title>Blog - Mistakes To Avoid On Your Resume - Make it stand out</image:title>
      <image:caption>Click the image above to be redirected to this youtube video.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clincal-pearls-evaluating-for-intubation</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2022-12-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/ee9ade60-e241-4710-81b4-fc18cc7ecbf2/Screenshot+2022-12-28+at+4.17.06+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Evaluating For Intubation - Make it stand out</image:title>
      <image:caption>Click the image above to see the TT about evaluating all the ways the lungs can fail.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1672155538062-1N8KBQ3N9R5I9BN13SX1/unsplash-image-J12RfFH-2ZE.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Evaluating For Intubation - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/np-vs-rn-differences-in-employment-structure</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2022-12-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/6faeb617-a70c-4799-9b66-7f66a8bbc9ea/Screenshot+2022-12-21+at+3.45.35+PM.png</image:loc>
      <image:title>Blog - NP vs RN: Differences in employment structure - Make it stand out</image:title>
      <image:caption>Click on the picture to watch the Youtube video where I discuss contract negotiation.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1671557819270-HZ60LPBJEVJQCAYE906V/unsplash-image-M98NRBuzbpc.jpg</image:loc>
      <image:title>Blog - NP vs RN: Differences in employment structure - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearl-status-asthmaticus</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/0a398246-4a62-4c2f-aa44-949f5a2640a9/worseasthmaonthevent.jpg</image:loc>
      <image:title>Blog - Clinical Pearl: Status Asthmaticus - Compared to the initial ventilator at the top of this page, see if you can identify what happened here.</image:title>
      <image:caption>The changes circled indicate improvement right? The PIP is lower, the ETCO2 is lower. This is the same patient a few days later BTW.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/a31e2c76-c3f6-446b-8fb8-ee652f7f8d25/Screenshot+2022-12-10+at+3.14.32+PM.png</image:loc>
      <image:title>Blog - Clinical Pearl: Status Asthmaticus - Make it stand out</image:title>
      <image:caption>Click the photo to be redirected to the tiktok where I discussed severe asthma management.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/d0511c67-da10-449c-87c7-afdd935f31fe/asthmaautopeepventpicture.jpg</image:loc>
      <image:title>Blog - Clinical Pearl: Status Asthmaticus - The reason is because of retained air volume -&gt; increased thoracic pressure as noted by the autopeep. Look at the exhalation phase of the flow graphic. The volume does not return to baseline 0. This means the pt has inherent PEEP, aka Autopeep. The compliance is worse because now, not only can the lungs not blow off air, they cannot receive air as well. If a balloon is 3/4 of the way full it can only take so much more before it pops. Most vents have a pressure limit so as a result of limiting air pushed in the TV will start to drop which will eventually worsen acidosis.</image:title>
      <image:caption>This happened because of the two changes noted at the bottom of the screen. The RR was increased from 9 to 16 and the iTime was increased from 0.8 to 1. This was likely done to “correct” acidosis. The immediate result is a drop in ETCO2 but eventually it will worsen acidosis because of the above pressure limit. It will also worsen vent asynchrony as the pt will be very uncomfortable. Their venous return is impeded and blood pressure will drop. As an affect of all this - the pt is at high risk for cardiac arrest.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/a71a1010-fe80-42b8-b978-e684044ddc4d/asthma+on+the+vent.jpg</image:loc>
      <image:title>Blog - Clinical Pearl: Status Asthmaticus - Make it stand out</image:title>
      <image:caption>Classic asthma on the vent. Notice high PIP (peak pressure) but normal plateau pressure (EIP on this vent). This means the high pressure problem is related to a resistance issue (bronchospasm being the case here). If the PIP + the Plateau were high the issue is poor compliance (from within the lung i.e PNA, ARDS, atelectasis, etc.). Also note the high ETCO2, the looooong exhalation phase, and the low/norm respiratory rate of 9, the lower volumes (~4ml/kg). All ideal ventilator settings for traditional asthma.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/212eecd8-188b-40f1-9a5a-2daf9a7adcda/worseasthmaontheventwithhigherplateau.jpg</image:loc>
      <image:title>Blog - Clinical Pearl: Status Asthmaticus - Although the values which would yield an improved acidosis are better (higher TV, higher RR = higher minute ventilation), the patient is overall worse.</image:title>
      <image:caption>First, notice the pt now has a high plateau pressure, indicating the pressure problem now includes a compliance component.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/how-to-find-a-nurse-practitioner-job</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2022-12-06</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/cba49fc1-b7c2-49c5-9c0d-fdb959bdf310/Calling+Card+Side+1.png</image:loc>
      <image:title>Blog - How To Find A Nurse Practitioner Job - Front Side Of Calling Card</image:title>
      <image:caption>Pretty straight forward. Lead with what you represent to them. How you can help them. Looking for an NP?</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/a7f2e1e7-b7e4-4d93-b492-2a061dd73e2b/Screenshot+2022-12-06+at+12.45.00+PM.png</image:loc>
      <image:title>Blog - How To Find A Nurse Practitioner Job - Make it stand out</image:title>
      <image:caption>Click on the image to watch the interview where she talks about her portfolio.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1670341729606-I12CHV3A10MR2C3P1U92/unsplash-image-IBaVuZsJJTo.jpg</image:loc>
      <image:title>Blog - How To Find A Nurse Practitioner Job - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/39158e93-1bda-45a0-95bf-0f1bd2b3c773/Calling+Card+Side+2.png</image:loc>
      <image:title>Blog - How To Find A Nurse Practitioner Job - Back Side</image:title>
      <image:caption>My favorite part is the quote. See if you can have someone who thinks highly of you as a NP (or the role you are looking for), even if it’s as a student, write you a sentence like this. People remember referrals more than anything else. We live in the generation of reviews. Get a good review.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-epi-doses</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-06-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/29171f9f-6c45-4f48-ac0a-cf16282d291e/Screenshot+2022-12-03+at+11.56.07+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Epi Doses - Click on the picture</image:title>
      <image:caption>In this tiktok I talk about severe status asthmaticus and how I’ve used epinephrine to treat.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1669754200800-85607CZH3P0M4YD5ZG07/unsplash-image-IBMtJlic9kM.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Epi Doses - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/rbof44xoz0jb5bntrom89xn0eoagk9</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/fbe20c4f-0ab1-4891-9d60-63ea85954454/Screenshot+2022-11-22+at+12.34.41+PM.png</image:loc>
      <image:title>Blog - Toxic Workplaces And What to Do About Them - Make it stand out</image:title>
      <image:caption>Click the image above to be redirected to this YT video where I discuss what I consider to be the biggest drawbacks in our profession.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1669126910656-R1D8XMYNVC0H47GUCX9K/unsplash-image-quSfNVeaTYg.jpg</image:loc>
      <image:title>Blog - Toxic Workplaces And What to Do About Them - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-good-lung-down</loc>
    <changefreq>monthly</changefreq>
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    <lastmod>2023-03-09</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/3fc43b9d-a373-415d-a6e5-8f1e3bede269/Screenshot+2022-11-17+at+1.59.24+PM.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Pressor Selection - Make it stand out</image:title>
      <image:caption>Click the image to redirect to this TikTok video.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/fe08bec6-1105-4f25-abf8-9a7b501f1083/Screenshot+2022-11-16+at+11.53.00+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Pressor Selection - Make it stand out</image:title>
      <image:caption>From: https://www.britannica.com/science/G-protein-coupled-receptor</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/nurse-practitioner-fellowships</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/189f3cb7-b85e-45e5-b1a6-f4bc1732c14f/Screen+Shot+2022-11-04+at+5.08.39+PM.png</image:loc>
      <image:title>Blog - Nurse Practitioner Fellowships - Make it stand out</image:title>
      <image:caption>Click image to see a TT I made on the most common interview mistakes I see.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1667582892238-TZIOB3J3AXILGL31QMYV/unsplash-image-ciMJn3mD5u8.jpg</image:loc>
      <image:title>Blog - Nurse Practitioner Fellowships - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-end-tidal-co2</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/09acaf00-bf0f-4f44-a57b-3b0e4035e63c/ETCO2+for+blog+post.+jpg.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Waveform Capnography - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1666280385541-OSF9DSWFD27OU3XHPNYA/Screen%2BShot%2B2022-10-20%2Bat%2B11.38.30%2BAM.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Waveform Capnography - Make it stand out</image:title>
      <image:caption>“Ventilating too quickly won’t let enough CO2 build up in the alveoli, resulting in lower EtCO2 readings. Ventilating too slowly will allow extra CO2 to build up, resulting in higher readings.” -Medtronic website</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/a22d21a5-be7f-457a-8e9d-e23876c6850e/Screen+Shot+2022-10-24+at+8.20.55+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Waveform Capnography - Make it stand out</image:title>
      <image:caption>Click the picture above to be redirected to a youtube video I made on deciding when to intubate your patient.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/the-best-nurse-practitioner-podcasts</loc>
    <changefreq>monthly</changefreq>
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    <lastmod>2022-10-12</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1665431618280-AA3YKHGJKB0IRAACHNWD/unsplash-image-1oKxSKSOowE.jpg</image:loc>
      <image:title>Blog - The Best Nurse Practitioner Podcasts - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-thromboelastography-teg</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1664777784261-JVN3WWZX0Y2W0KNS9B1A/Screen%2BShot%2B2022-10-03%2Bat%2B2.04.17%2BAM.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Thromboelastography (TEG)</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1664776696783-VUKQKWIPM60OKJ51VSX4/Screen+Shot+2022-10-03+at+1.57.57+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Thromboelastography (TEG)</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1664777244963-4GLISQ2AVYT64YIP035M/worst%2BTEG%2Bever.%2Bjpg.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Thromboelastography (TEG)</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1664312299263-QMA69E1YKLSB9OPMPYD3/unsplash-image-yGv-pvgRuiI.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Thromboelastography (TEG) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/943ae6c7-9a86-4dcf-8a32-936254c27e7e/Screen+Shot+2022-10-03+at+1.12.47+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Thromboelastography (TEG) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/negotiation-101</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2022-09-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/0d6861cf-c8b8-41f6-9c93-467d2ed865e8/Screen+Shot+2022-09-27+at+10.52.43+AM.png</image:loc>
      <image:title>Blog - Negotiation 101 - Make it stand out</image:title>
      <image:caption>Click the picture above to be re-directed to YouTube where you can watch the video about negotiation.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1663868892678-IM6GV1XSSWUXKMZMW8ZI/unsplash-image-doplSDELX7E.jpg</image:loc>
      <image:title>Blog - Negotiation 101 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.breenp.com/blog-4-1/3cbxexm40snp3uky24iprrw5jne7xt</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2022-09-17</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1662390278857-5JV7S21KG6EF2M0TWR25/Screen+Shot+2022-09-05+at+11.02.54+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Pleural Effusions - Bilateral pleural effusions</image:title>
      <image:caption>R&gt;L effusions beginning at the posterior, inferior region aka costrophrenal angle which is normally sharp Image courtesy of: https://www.researchgate.net/publication/341036320_X-linked_Agammaglobulinemia_Presenting_with_Multiviral_Pneumonia</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1662390298242-49ABMIP44SI4J5GUMU6V/Screen+Shot+2022-09-05+at+11.03.39+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Pleural Effusions - Pneumonia + Pleural effusions</image:title>
      <image:caption>Red arrow: infiltrate with air bronchograms. Effusions do not have lung markings in them. Black arrow: concave, fluid appearing even opacity: effusion Image courtesy of: https://www.researchgate.net/publication/341036320_X-linked_Agammaglobulinemia_Presenting_with_Multiviral_Pneumonia</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1662391193344-AO91DBFWTO2XZ7O00DPK/small-right-pleural-effusion.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Pleural Effusions - Right pleural effusion</image:title>
      <image:caption>Notice the subtle blunting of the right costophrenal angle Image courtesy of: Case courtesy of Assoc Prof Frank Gaillard, &lt;a href="https://radiopaedia.org/?lang=us"&gt;Radiopaedia.org&lt;/a&gt;. From the case &lt;a href="https://radiopaedia.org/cases/25595?lang=us"&gt;rID: 25595&lt;/a&gt;</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1663083589844-13V4EPMBJ3C1JZ1A2AJB/Screen%2BShot%2B2022-09-05%2Bat%2B11.14.36%2BAM.jpg</image:loc>
      <image:title>Blog - Clinical Pearls: Pleural Effusions - Complete collapse of left side 2/2 pleural effusion.</image:title>
      <image:caption>Note the tracheal deviation AWAY from the white out. Image courtesy of: http://europepmc.org/article/MED/27147861#abstract</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1663083644553-VRZI6BTQ01PE32G5GW8D/Screen+Shot+2022-09-13+at+11.36.17+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Pleural Effusions - Left lung collapse 2/2 atelectasis.</image:title>
      <image:caption>Note the tracheal deviation towards (pulled) the side of collapse. Image courtesy of: https://www.radiologymasterclass.co.uk/</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/a0ee65dc-aebb-4967-aa32-5371964c8b45/Screen+Shot+2022-09-05+at+10.26.41+AM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Pleural Effusions - Make it stand out</image:title>
      <image:caption>Image courtesy of https://healthinfo.healthengine.com</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/b0cc8495-91f8-4b41-8863-ad4ddf484055/Screen+Shot+2022-09-17+at+2.06.39+PM.png</image:loc>
      <image:title>Blog - Clinical Pearls: Pleural Effusions - Make it stand out</image:title>
      <image:caption>Check out my YT video series on the Ventilator. Click on the picture to re-direct to YouTube.</image:caption>
    </image:image>
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    <lastmod>2022-09-08</lastmod>
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      <image:title>Blog - How My Former NP Student Won Her Dream Job - Make it stand out</image:title>
      <image:caption>WATCH THE YOUTUBE INTERVIEW BY CLICKING THE PICTURE</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/60d260b3d7742f336afe2176/1661356158169-YME5IBY6AU0KVLETFUOO/unsplash-image-Iq9SaJezkOE.jpg</image:loc>
      <image:title>Blog - How My Former NP Student Won Her Dream Job - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.breenp.com/blog-4-1/clinical-pearls-tachycardia</loc>
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    <lastmod>2023-01-29</lastmod>
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      <image:title>Blog - Clinical Pearls: Tachycardia - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <lastmod>2023-01-29</lastmod>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>ICU education</image:title>
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    <image:image>
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      <image:title>ICU education</image:title>
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      <image:title>ICU education</image:title>
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      <image:title>ICU education</image:title>
      <image:caption>The newly written 2nd edition includes expanded details.</image:caption>
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    <image:image>
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      <image:title>ICU education</image:title>
      <image:caption>Volume 2 is now available!</image:caption>
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    <image:image>
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      <image:title>ICU education</image:title>
      <image:caption>Truly the most common diagnoses you will see.</image:caption>
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    <image:image>
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      <image:title>ICU education</image:title>
      <image:caption>11 of the next most common diagnoses.</image:caption>
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    <image:image>
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      <image:caption>Each problem/diagnosis begins with some teaching pages.</image:caption>
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    <image:image>
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      <image:caption>A new patient scenario with a set of associated problems. I do include some bonus diagnoses at the end which are variations of a few diagnoses introduced in the first book.</image:caption>
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    <image:image>
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      <image:caption>A thorough; evidence based plan is presented.</image:caption>
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      <image:title>ICU education</image:title>
      <image:caption>Same presentation format as the first book: a few pages of teaching followed by a sample.</image:caption>
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    <image:image>
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      <image:title>ICU education</image:title>
      <image:caption>The sample, which applies to the fictitious patient presented is a great copy/paste to use in your EMR. You simply edit to suit your population/protocols.</image:caption>
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      <image:caption>These dot phrase samples are ready to go for you so all you have to do is load them in your EMR and get busy seeing patients.</image:caption>
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