Community pe service pathway anticoagulation
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Community PE Service Pathway - Anticoagulation PowerPoint PPT Presentation


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Community PE Service Pathway - Anticoagulation. Registered GP referral to Secondary Care. Diagnosis of PE by Secondary Care NBT initiates patient on Warfarin (Day 1) NBT assesses patient for Community Anticoagulation. Patients not suitable for community anticoagulation.

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Community PE Service Pathway - Anticoagulation

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Community pe service pathway anticoagulation

Community PE Service Pathway - Anticoagulation

Registered GP referral to Secondary Care

  • Diagnosis of PE by Secondary Care

  • NBT initiates patient on Warfarin (Day 1)

  • NBT assesses patient for Community Anticoagulation

Patients not suitable for community anticoagulation

Patients suitable for community anticoagulation: minimal symptoms (i.e. not requiring opiates/oxygen etc); physiologically stable; TNI/TNT normal; and imaging which shows a small to medium clot load

  • NBT to refer patient to GP Care PE Service via Telephone Referral on Day 1 (or next working day if Day 1 is a weekend/bank holiday)

  • NBT to fax TTA to GP Care PE Service on same day as the Telephone Referral (to include patient contact details)

  • GP Care office to telephone DVT Treatment Centre to ascertain next day appointment time

  • GP Care office to telephone patient to advise next day appointment time

  • GP Care office to initiate Patient Record Card, attach TTA and fax to DVT Treatment Centre

  • DVT TC to continue anticoagulation next day according to protocols already used within the GP Care DVT Service

Discharge:

Patient experiences increasing pain or breathlessness

Discharge:

Target INR is

achieved

Secondary care (NBT Ward 105/C)

To continue provision of care within an acute setting

Registered GP

To investigate secondary causes and register with Haematology for INR testing

Key:

GP Care PE Service

Interfaced Services


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