Here is a question from one of our live attendees:
What types of anticoagultion monitoring are you performing? Do you currently counsel all inpatients receiving warfarin? Are you targeting specific antibiotics in your surveillence program?
1. All of our anticoag monitoring is report-driven. We have a warfarin list that shows every warfarin patient and respective INR's. We have a "HIT" report that shows every heparin and Lovenox patient along with platelet and H/H values.
2. Our current staffing model does not allow us to counsel every patient. We have built-in coumadin teaching redundancy b/c nursing, dietary, and pharmacy each play an educational roll. Our thinking is that if one department can't provide counseling, another department will. And in the best case scenario, a patient will be counseled by 3 different disciplines regarding warfarin.
3. We don't target specific antibiotics. We review a report that shows everyone in the house who is receiving an anti-infective. We also look at a report that shows every patient with a positive culture. Again, redundancy, is critical for us. Infection Prevention reviews the same reports.
I hope this is helpful to you. Please don't hesitate to reach out to me. I wish you well!
