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The Haematology Department provides a comprehensive anticoagulant outpatient monitoring service through a team of experienced Consultant, nursing and scientific staff. The laboratory utilises a computerised anticoagulant management programme, which facilitates warfarin dosing, makes appointments and records length of treatment and clinical and drug histories for all patients. The laboratory provides a report to patients GP on each visit with details of INR, current dosage and the next appointment. Patients receive their Anticoagulation letter with recommended dosage by return of post. When results indicate (eg large dose changes or raised INR results), patients are contacted immediately by telephone if possible.
Clinics
All new patients attend the anticoagulant clinic at the Haemophilia Centre for their first INR check and are seen by the Nurse Practitioner who will also see GP referrals. Subsequently the patient may continue to attend a hospital-based clinic or be bled at their GP surgery, with their sample and warfarin request sent to the laboratory. If attending the hospital, patients only need to see the Nurse Practitioner when they have an anticoagulant related problem or if unstable. All other hospital and GP patients have their warfarin dosage returned by post.
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