title: [Anticoagulant therapy clinic: moving towards Advanced Nursing Practice].
abstract: There is currently around one million people receiving oral anticoagulants in Spain. The drug most used is acenocoumarol, which requires coagulation monitoring to ensure that the patient is within its normal therapeutic range. Patients usually start this treatment in a hospital clinic and, when they are stabilised, they are referred to primary care, where they are followed-up by their community nurses. The usual practice is that nurses are responsible for changes in the dose when the patients are outside the range. This practice is not performed by hospital nurses, despite having sufficient experience and knowledge to adequately manage these types of patients. An Advanced Nursing Practice model has been introduced into the Haematology management unit of the Hospital Universitario Virgen de la Victoria, Málaga. This involves various aspects of attention and care of patients on anticoagulant therapy, and includes adjusting the doses of their treatment following a catalogue of therapeutic and diagnostic ranges.
authors.affiliation: Consulta de terapia antitrombótica, Unidad de Gestión Clínica de Hematología, Hospital Universitario Virgen de la Victoria, Málaga, España. Electronic address: preanalitica@gmail.com.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Romero Ruiz
authors.affiliation: Consulta de terapia antitrombótica, Unidad de Gestión Clínica de Hematología, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: Gema
authors.initials: G
authors.lastname: Parrado Borrego
authors.affiliation: Consulta de terapia antitrombótica, Unidad de Gestión Clínica de Hematología, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: José
authors.initials: J
authors.lastname: Rodríguez González
authors.affiliation: Consulta de terapia antitrombótica, Unidad de Gestión Clínica de Hematología, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: Isabel S
authors.initials: IS
authors.lastname: Caparrós Miranda
authors.affiliation: Consulta de terapia antitrombótica, Unidad de Gestión Clínica de Hematología, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Vargas Lirio
authors.affiliation: Consulta de terapia antitrombótica, Unidad de Gestión Clínica de Hematología, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: Primitiva
authors.initials: P
authors.lastname: Ortiz Fernández
mesh_terms: D057179:Advanced Practice Nursing; D000554:Ambulatory Care Facilities; D000925:Anticoagulants / Q000627:therapeutic use*; D003152:Community Health Nursing; D006801:Humans; D019934:International Normalized Ratio; D009736:Nursing Process; D011996:Records; D013030:Spain; D013927:Thrombosis / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants
keywords: Advanced nursing practice; Anticoagulación oral; Enfermera de práctica avanzada; Oral anticoagulants; Rango terapéutico; Therapeutic range