Julian Bradley wrote:
> Dear All,
>
> A hospital lab sometimes finds itself (following delays in
> processing) with INR results requiring action after 6:30pm for
> patients in the community.
>
> Does an OOH provider have a core responsibility in relation to such
> results?
>
> If no, does it have / should it have an extended role in relation to
> such results?
>
> If no again does anyone have any specific suggestions as to how these
> patients are most safely managed?
>
> Julian
OOH provider should assess the patient on the evidence available and
refer to haematology if the INR >6.
If >4.5 but <6 advised stop warfarin and see anticlog provider at next
working day.
<4.5 miss one dose and ditto.
All OOH providers should be able to manage this scenario.
Trefor
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