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christvs, BSN, MSN, DNP, RN, NP 13,789 Views

Joined: May 20, '05; Posts: 1,037 (8% Liked) ; Likes: 118
Nurse Practitioner; from US
Specialty: 12 year(s) of experience in ACNP-BC

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  • Apr 14

    This has been my favorite thread to read so far! I am a new RN who just graduated in May & on Monday I will be starting my orientation on a med/surg/tele floor. (I already did the classroom orientation part). I am so excited & nervous to start. Thanks for all the really good advice on this thread! I have one question-how long did it take you all to really feel like you are a nurse? It feels so weird & strange to say I'm an RN! Also, how hard was it for you when you were brand new,to delegate to nursing assistants? I worked as one during nursing school & so I've never ever delegated to anyone before. I'm used to others delegating TO me, so this will be very different for me! I know exactly what I can & cannot delegate, but know I'll feel strange in this new role. Do you know what I mean? I also wonder how long it will take me to get competent in things like interpreting tele strips & inserting IVs. Thinking about that makes me nervous!
    -Christine

  • Apr 7

    I feel like this is my one big fuzzy area in nursing. I memorize what I do when I get a patient on coumadin, and then I forget it until I have another pt. on it. Can you explain to me exactly what INR stands for and based on the numbers how you (well, the physician or NP)adjust Coumadin therapy? Thanks so much.

    Warfarin (Coumadin) and INR

  • Oct 26 '17

    Definitely do the`summer extern program. You'll gain valuable practical hands-on experience that you may not get from only reading books. Plus it will give you more confidence and you'll feel more comfortable approaching and taking care of pts, it looks great on resumes, you're getting paid to learn, and it just may lead to a job as a nurse once you graduate!

  • Sep 24 '17

    Thanks for your advice everyone! I really appreciate it. I am also going to be in a nurse educator certificate program...am super excited to be doing this! I really feel it will be so very helpful for me in order to reach my educator goals. I found a really great program that is perfect for me. I love school!

  • Aug 16 '17

    Thanks for your advice everyone! I really appreciate it. I am also going to be in a nurse educator certificate program...am super excited to be doing this! I really feel it will be so very helpful for me in order to reach my educator goals. I found a really great program that is perfect for me. I love school!

  • Jul 18 '17

    Hi! I'm reviewing lab values for the NCLEX, and I would really appreciate it if someone who is not confused still like me could explain if I am getting this right about what PT, PTT and INR values are supposed to be. I think these are the normal values: PT 10-15 sec, PTT one book said 60-70 sec and another said 20-45 sec...which is right?!?! and INR normal value is 2.0-3.0
    So then to be in the therapeutic range, PT and PTT should be 1.5-2 times the normal value, right? But what about INR? does INR just stay 2-3 for the therapeutic range as well? And what is this about APTT? I read it's normal range is 30-40 sec and should also be 1.5-2 times normal value to be in the therapeutic range....but why use APTT versus just using PTT? I never heard about APTT in nursing school! Also, you check PTT for heparin, but check PT and INR for Coumadin/warfarin, right? Please tell me someone if I am getting this right! Oh and if the times are too low, it means the patient is at risk for clotting too fast and if it is too high they're at risk for bleeding, right?
    -Christine

  • Jul 16 '17

    I agree with the previous posts. The nursing staff in my clinic leave at 5 on the dot. But I as an NP stay until all the lab ordering, scripts, phone calls to patients and charting is done. Which may be after 5. But it's still a great job, just very different duties than being a staff nurse.

    Sent from my iPhone using allnurses.com

  • Apr 29 '17

    I feel like this is my one big fuzzy area in nursing. I memorize what I do when I get a patient on coumadin, and then I forget it until I have another pt. on it. Can you explain to me exactly what INR stands for and based on the numbers how you (well, the physician or NP)adjust Coumadin therapy? Thanks so much.

    Warfarin (Coumadin) and INR



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