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Turn This Rotation Into An Enriching Experience With Dr. Sandra Pagenta’s Handbook 

Discover the Secrets of a Board-Certified NP with 15+ Years of Experience And Provide the Best Care Possible to this Booming Population

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Navigate Your NP Clinical Rotation with Confidence

Unsure About How to Navigate Your Adult Primary Care Rotation? 

Download your free copy of the Adult Primary Guide

Total # of students


8,000+

Total # of placements


10,000+

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1,000+

As an NP student about to start your next clinical rotation, you can feel like navigating a ship across an uncharted ocean with little to no support from your program; you’re left on your own trying to figure out how to secure your placement and how to adjust to the expectations of the clinical setting and thrive.

It's daunting, and it's easy to feel overwhelmed. You've spent countless hours studying and going through your lectures. But now, as you’re about to start your Adult Primary Care rotation, you're faced with applying that knowledge to actual patients in a fast-paced environment.

You may find yourself grappling with questions like:

  • How do I translate my classroom learning into practical patient care? 

  • What if I encounter a complex case I haven't studied before? 

  • What steps should I follow to conduct a thorough physical assessment for an adult or elderly patient?

  • What if I forget how to identify and diagnose a COPD, UTI, or any other condition?

Without proper guidance and resources, you may find yourself second-guessing your clinical judgment, struggling to present cases to your preceptors, or feeling overwhelmed by the pace and intensity of the clinical environment.

Now, the truth is that it’s only natural to feel unprepared and nervous about your clinical rotations. Most NP students struggle with transitioning from the classroom to the clinical setting. 

But here's the good news:

You don't have to navigate this journey alone. 

That's why we've created this comprehensive handbook in partnership with Dr. Sandra Pagenta, DNP, APN-BC, a seasoned Adult Nurse Practitioner with over 15 years of experience.

Dr. Pagenta understands your challenges and has poured her expertise into this guide to help you thrive in your clinical rotation for Adult Primary Care.

With this handbook as your compass, you'll have the tools and strategies you need to navigate the complexities of adult primary care with confidence and skill. 

Start Your Adult Primary Care Rotation Confidently

Here’s What You’ll Learn With Dr. Sandra Pagenta’s Handbook…

Adult Health Promotion & Disease Prevention
 Learn how to prevent chronic illness and the 4 domains of chronic disease prevention.
Obtaining the History and Review of Systems (ROS)
 Learn how to professionally and thoroughly gather a complete patient history without overlooking any details.
Learn how to conduct a thorough ROS, with special considerations for older adults.

Adult Physical Assessment
Refine your skills in performing physical examinations on adult patients.
Gain confidence in identifying normal findings and potential red flags.

Immunization of Adults 19->65
Stay up-to-date on the latest immunization guidelines for adult patients.
Presenting an Adult Patient
earn how to synthesize patient information and convey your clinical reasoning effectively.
Common Adult Health Conditions
Dive deep into the diagnosis and management of prevalent conditions such as diabetes, COPD, UTI,  hypertension, and hyperlipidemia.

Who Is 
Dr. Sandra Pagenta?

Meet Sandra Pagenta, your go-to expert and guide through the world of Nursing Practice. She holds a Doctorate in Nursing Practice and is a board-certified Advanced Practice Nurse with a soft spot for the golden years—the 65 and older crowd, to be exact. Sandra’s heart truly lies in adult care, and she's currently making a difference every day working with the older population.

With 15 years of hands-on nursing experience under her belt, Sandra has seen it all, from Oncology and Neurosurgery to Radiation, Gastroenterology, and Urology. Sandra brings her expertise into the world as a podcast host, content creator, and speaker, sharing her insights and sparking conversations that matter.

Beyond her clinical work, Sandra has also been shaping the next generation of nurses as an adjunct professor and preceptor, guiding them with her vast knowledge and experience.

Get Proven Strategies To Thrive In Your Next Rotation

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Who’s This Handbook For?

You’re an NP student about to start your Adult Primary Care rotation. You want to feel confident and prepared to excel in the clinical setting.

You’re an NP student who wants to gain a competitive edge in your future job search by mastering the essential skills and knowledge required for success in adult primary care.

You’re an NP student who has already completed the Adult Primary Care rotation but wants to refine your skills and knowledge to provide even better care to your patients.


You’re a practicing NP who wants to refresh your knowledge and stay up-to-date with the latest evidence-based practices in adult primary care.

You’re someone who has a soft spot for the elderly population and wants to provide quality care for them in their golden years.


Frequently Asked Questions

I'm not sure if I'm ready for my Adult Primary Care rotation. Will this handbook be too advanced for me?

The "Adult Primary Care" handbook is designed to meet you where you are in your NP education. Whether you're just starting your clinical rotations or looking to refine your skills, these resources offer valuable insights and strategies for students at all levels.

We've designed the handbook to be concise, actionable, and easy to digest. You can go through the materials at your own pace and refer back to specific sections as needed.

I've already completed my Adult Primary Care rotation. Will these resources still be useful for me?

Yes! The handbook covers a wide range of topics relevant to adult primary care, from patient assessment to managing common health conditions. Even if you've completed your rotation, these resources can serve as a valuable refresher and help you continue to improve your skills as an NP.

I'm not planning on specializing in adult primary care. Will these resources still be relevant to my career path?

Absolutely! While the handbook focuses on adult primary care, many of the concepts and skills covered are transferable to other areas of nursing practice. From patient assessment and communication strategies to managing common health conditions, the knowledge you'll gain from these resources will serve you well throughout your career as an NP, regardless of your specialty.