Consultant Nurse Thrombosis & Anticoagulation Luton, England, United Kingdom
Background: Explore Nurse led Thrombosis & Anticoagulation service using transformative approach for research, national guidance into practice in order to deliver safe, effective and efficient patient centred care
Aims: To review the safe use of in these challenging clinician scenarios like weight extremes and kidney disease Patient involvement in the process of decision making process Thromboembolic of bleeding event in these group of patients
Methods: Retrospective cohort study was conducted from Jan 2019 until Jan 2022 Data collected from large District General Hospital in London with 200 new referrals, 120 follow up DOAC and 1800 warfarin follow up appointments every month The anticoagulation team uploaded patients with AF/ VTE who made informed decision and opted for DOAC when weight was >120kg or CrCl or 15 to 30ml/min
Results: The patients are followed up at three months and again at six months if it is required The patients have access to the anticoagulation support line to contact the service in between the follow up appointments A total of >200 patients out of 2000 patients None of them were found to have bleeding or thromboembolic event
Conclusion(s): To date we have not had any reports of increased bleeding that required hospital admission this is being monitoring These data also highlights the important role played by the specialist nurse led anticoagulation service the importance of assessment consultation process, involving patients in the decision making to select the appropriate anticoagulant therapy that is safe and effective Accurate reflection in the clinic letter of the consultation , assessment and patients involvement is important Management of anticoagulant therapy by medical and non-medical health professionals is viewed professionally and legally as an advanced area of clinical practice. Only a trained competent health professional should undertake the assessment, consultation, and prescribe treatment for patients.