Departments & Programs,UW Medical Foundation,Patient Resources,Social Work Services Quick Guide,Social Work Manual,Discharge Planning and Referrals
Anti-Coagulation - Departments & Programs, UW Medical Foundation, Patient Resources, Social Work Services Quick Guide, Social Work Manual, Discharge Planning and Referrals
- Patient with certain diagnosis must take a medication called coumadin (a.k.a. Warfarin) to manage the thickness of their blood. Their primary care physician usually orders blood draws and then adjusts the dosage of the medication as appropriate to keep it within a certain target range.
- Obtain a copy of the discharge face sheet. The doctor should have written the target INR and coumadin/warfarin dosage, as well as the next time they would like the lab drawn.
- Contact the patient's primary care physician to find out if they have followed or are willing to follow.
- Find out if the lab draw requires an appointment, or if it is on a walk-in basis.
- Verify their fax number.
- If they are not willing to follow, you may try the anti-coagulation clinic at 3-8475 (see “Drug Monitoring Clinic – Proposal for Opening Cap with Criteria for Admission”)
- Fax the doctor/clinic:
- Discharge face sheet
- Record of past dosage amounts, dates given, and past INR values
- Make sure the patient knows when they need to have their next lab drawn.
- The Learning Center is available to do coumadin teaching; patients have certain dietary restrictions while on this medication.
- Patients that are not yet therapeutic on their coumadin, but are otherwise ready for DC from the hospital may be sent home on heparin injections (Dalteparin or Enoxaparin).
- Medicare does not cover this cost.
- Senior Care pays for enoxaparin only for people in Level 1 or 2A. They do not pay for people in Level 2B or 3. It pays for dalteparin for people in every level, with no prior authorization needed & no restrictions.
- HIRSP pays for dalteparin.
- Information to gather includes
- What is estimated cost?
- Can the patient afford to pay out of pocket?
- If they can not, their local clinic or ER may administer - they will need to be faxed the prescription/orders. Patients connected with Beloit Memorial may be able to be seen at their Special Care Unit at (608) 364-5551.
- If their local clinic or ER will not administer, and they will need to be administered at home, contact Patient Accounts at 2-2221 to find out if they can charge to their account.
- How many times a day are the injections?
- Can the patient or a caregiver administer these injections if they are planning on doing at home?
- If not, they will need a HH referral.