Referral for Out-patient Anticoagulant Monitoring
To enable the department to provide safe and appropriate anticoagulant monitoring, it is MANDATORY that the following information is sent to the Anticoagulant Nurse Practitioners c/o Pathology Office, prior to the patients appointment date at the anticoagulant clinic. If patients have been started on anticoagulant therapy by their GP this information MUST accompany first sample sent to the laboratory. Please fill in anticoagulant chart or send letter providing ALL the following information:
-Patients name, address, telephone number and hospital number, NHS number
-Indication for anticoagulant therapy, history, previous thromboembolism
episodes
-Target INR
-Duration of anticoagulation
-Other medication
-GP name and address
-Intercurrent illnesses, e.g. ulcer, hypertension
-Previous warfarin dosages up to date first seen in anticoagulant clinic
Hospital Clinic times
Basingstoke and North Hampshire Hospital Monday and Thursday 0900–1200 hrs
Alton Community Hospital Wednesday 0900–1030 hrs
GPs are encouraged to bleed anticoagulant patients on a Wednesday but if this is difficult, please avoid Fridays.
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