Knowing the different normal lab values is an important step in making an informed clinical decision as a nurse. The pt inr dashboard displays your last 10 blood tests. Peak flow demonstrate a peak flow for an approved peer. Already have an inr software system, but want to use our numerous charts, graphs, reports and statistical analysis. More free nursing school aids at disclaimer information at handoff and report sheet stay organized on the floor with the nursing brain sheet pack from. A check box has been added to each managed item, which when checked, automatically appears in a graph above the body of the flow sheet. A free powerpoint ppt presentation displayed as a flash slide show on id. Inrtracker the free warfarin management tool for patients. Want somewhere to record inr results and other information. Warfarin patient record sheet surname of patient phn patient information other information name of primary physician indications. Keep a record of every inr result and warfarin dose that you have taken. The prothrombin time pt is a test used to help diagnose bleeding or clotting disorders. Download flow sheets for asthma, diabetes, and other common conditions to help you track key elements of patients care. Working with multiple patients on the flowsheet is now easier than ever.
Pointof care poc devices have been developed to rapidly measure inr at the. This is a supplemental resource that includes animation and. Download scientific diagram online reception flow chart. Warfarin initiation dosing protocol week 1 with inr. With the many kinds of flow sheet templates available, its easier to just pick one and use it. Provider schedules look up a specific providers schedule. Keeping track of your blood test results helps you and your doctor see whether your medicine is helping you to stay within, above, or below your goal range.
Designed for use by anyone who has to take multiple medication, not just warfarin. This query searches for entries in the oscar inr flow sheet for those patients who have inr flowsheets enabled in their disease registry code v5861. Diagnostic and laboratory tests are tools that provide invaluable insights and information about the patient. Do not change the dose if a single inr result is slightly out of range i. Current inr an inr reported on the same calendar date as the scheduled warfarin dose introduction this guideline outlines the evidence for managing anticoagulation therapy with oral vitamin k antagonist warfarin.
Flow chart of the study population download scientific diagram. Ill check tomorrowwe have a procedure dealing with every aspect of chart thining. Pt testing and its normalized correlate, the international normalized. Date pt inr result dose comments signature patient identifier 1239. The confirmation of prothrombin time international normalized ratio by a. Coagsense test strips for patient selftest and professional pt inr meters by coagusense 03p5650 pt inr test. Choose the anticoagulation flowsheet from the drop down list. To fill out the pt inr flowsheet, go to the clinical desktop and in the third component, click on the flowsheets tab. Flow sheet definition of flow sheet by the free dictionary. Write down all warfarin doses and the date of the next inr test warfarin should be taken around the same time every day. Eat on warfarin has come up with a range of handy forms and templates to help you manage your warfarin therapy. Change doses only if there is a trend toward or established lower or higher inr results. For pt inr s we also have a flow sheet that stays with the mar.
Most sets of pt samples are sent to participating laboratories on a scheduled basis usually three times per year. Warfarin coumadin is an anticoagulant blood thinner that will slow down blood clotting to an extent that prevents abnormal blood clots from developing or worsening. Warfarin management adult ambulatory clinical practice. Patient information sheet warfarin coumadin what is warfarin. Keep track of your pt inr blood tests with this free tracker. Medication flowsheet template for word 20 is a free medical template document that you can download if you need to organize the medication for a given patient or group of. To fill out the ptinr flowsheet, go to the clinical desktop. Baseline inr an inr resulted within the previous 30 days prior to initiating warfarin 2. It may be taken with food or on an empty stomach and may be taken with other. Certain flow sheet items, such as vital signs readings and lab report values can be automatically filled on creation of a new flow sheet if data for them exists in the patient chart. Date inr sun mon tue wed thu fri sat coumadin adjustment. If the inr is above the specified range for accuracy per poc device, a repeat venipuncture is. Call your healthcare provider right away if you have pain, color, or temperature. Roche coaguchek xs system user manual pdf download.
Obtain baseline pt, ptt, cbc and serum creatinine if not done within 24 hours prior to initiation of therapy. Coagsense 50 patient test strips, 2 high and 2 low control strips, 1 control activation solution vial. I remember how hard it was in nursing school and as a new nurse to. To enter in a new set of results, click on the new column button on the gray toolbar. American thoracic society a 67yearold man with massive. Step by step guide how to get started with the coaguchek xs follow these steps to get started using the meter. For each of the competency statements listed below, the employee may select which method of verification method they would like to use to validate their skill in the area. Each form is available in 2 formats, for those who prefer to keep paper records a pdf version which can be downloaded and printed off.
Jan 26, 2009 ill check tomorrowwe have a procedure dealing with every aspect of chart thining. Proficiency testing, or pt, is the testing of unknown samples sent to a laboratory by an. Adl retraining, therapeutic exercise, therapeutic activity, neuromuscular reeducation, cognitive retraining, wheelchair management and. Use this form to record your coumadin dose and inr results. Adult heparin drip protocol ventura county, california. Or use the history reports to show pt inr over any. Some of them are even printable sheet templates, saving you the time and effort of changing the templates format. The visual analoge scale vas is a measurement instrument used in rehabilitation to measure the amount of pain that a patient feels ranging from none to maximum. With the new patient selected in cprs, select anticoagulation from the tools menu. Just upload an excel file from your own patient management system, and view your patient data in a whole new way.
Inr result dosage instruction weekly mg next inr md initials datestatus of patient. Bppv pt treatment flowsheet physical therapy toolbox. Anticoagulation management tool user manual veterans affairs. Possible side effects of bleeding, drugdrug and drugfood interaction discussed. Save all of your favorite recipes with their nutritional content. A diabetes flow sheet will let you know at a glance. The flow sheet available here for download is based on one developed byc. Prothrombin time and international normalized ratio ptinr. I wonder if you could help each time i put a test strip in and put timer on it times for about 6 seconds then switches it self off. Here is a brief simplified chart of human blood inr range, showing inr levels, and the factors that affect them this chart illustrates typical therapeutic inr levels, while using coumadin warfarin therapy.
The decision to hold one or multiple doses should be based on the degree of inr elevation, the risk or presence of bleeding, and an assessment of the cause and duration of elevated inr e. Nca tracking sheet for prothrombin time inr monitor for home anticoagulation management cag00087r expand all all sections on the page are expanded. Date drawn results control inr su mo tu we th fr sa next test date. But the flow sheet you have in mind might need a couple of personal touches, which means youd have to make one from scratch. Download scientific diagram flow chart of the study population from. Lab tests are used to help confirm a diagnosis, monitor an illness, and the patients response to treatment.
Warfarin management flowsheet to be completed by the anticoagulation services team. The tool uses the international normalized ratio inr for measuring blood clotting. Patient face sheet describe where the patient face sheet is located. It will help you get comfortable with the coaguchek xs meter and the testing procedure. Lt current anticoag use is the recommended default secondary indication. Flowsheets in charm ehr helps you to easily track patient health data over a period of time.
I think we thin off labs q 6 months unless its an annual then we keep current and lastits rare but some residents are stable and thats all that is on the chart then we keep 2. Inr tracker is the definitive personal health management tool designed for warfarin patients. Clinical laboratory improvement amendments clia how to obtain a clia certificate of waiver. Warfarin management flowsheet jackson, mississippi. They all either didnt have enough space for notes or too much or were missing that one thing i needed. See your pt inr levels using the accompanying free pt inr chart, to help see if and when your pt inr goes outside the range your doctor has set. Medication flowsheet template for word 20 is a free medical template document that you can download if you need to organize the medication for a given patient or group of patients in a word document. Clicking on the add tab button will allow you to search for existing patients by first name, last name, or patient identifier. The perfect way to record inr and ongoing details of your warfarin therapy for those who want a complete overview of inr results, dosage changes, appointment dates etc. Meeting the needs of ohios longterm care professionals since 1946. You will need to use the new flow sheet entry to enter comments on this visit and to change the. Download free flowsheet templates for microsoft powerpoint, word and excel to use for example in medication powerpoint presentations as well as other free medication ppt templates and backgrounds so you can keep track of your medications with a comprehensive log template that tracks dosage, instructions, purpose, side effects, physician, pharmacy, and other details. The international normalized ratio inr is a calculation based on results of a pt that is used to monitor treatment with the bloodthinning medication warfarin coumadin.
Discontinue all intramuscular injections and prophylactic anticoagulation. Read the accu chek softclix lancet device package insert. In this video, we will cover how to search for patients, add exercises, load profiles, add new locations. This can happen soon after starting coumadin, and happens because blood clots form and block blood flow to an area of your body. Inr sun mon tue wed thu fri sat coumadin adjustment. This video will assist users in using the webpt flowsheet. Choose a lower or higher range depending on the degree of decrease or elevation, historic response of. Step by step guide how to get started with the coaguchek xs. Ppt warfarin powerpoint presentation free to download. A satisfied microsoft office user last modified by. For those who prefer to keep paper records a pdf version which can be downloaded and printed off.
Visit to get 35 nursing brain sheets cardiac rhythm, rate, trends bp trends medication available for control pulse location, strength, cap. Obtain inr prior to initiating warfarin reversal of. Warfarin forms to record inr and dosage eat on warfarin. These courses combine videos, simulations and animations for a blended learning approach to csec courses.
104 1014 420 1359 184 1508 254 1323 689 785 1525 1396 712 1322 1348 1112 135 22 29 1509 1555 105 653 518 120 984 604 1180 608 1333 1413 59 1051 837 1002 352 1213 101 402 1424 964 963 124 475