Warfarin Treatment Plans

To manage treatments or reviews of a patient in INRstar each patient must have a treatment plan. The treatment plan defines the diagnosis, prescribed drug and length of treatment and collates all treatments and reviews together for that anticoagulation therapy.

Treatment Plan Rules

A treatment plan describes how a patient is being treated for a particular diagnosis.

Only one anti-coagulation treatment plan can be activated at any one time.

Once a treatment plan is ended or deactivated it cannot be reopened, a new treatment plan will have to be created.

When there are INR treatments or Reviews recorded since the start date of the current treatment plan, changes can be made to all fields except the start date and the diagnosis, please see step-by-step instructions below for more details.

When a patient has completed their treatment plan and there are no further anticoagulation treatment requirements, they should be deactivated.

Treatment Plan Summary

This can be found in the drop down list under the Treatments Plans tab and also in the Clinical Details tab. It shows a list of each different diagnosis that has been treated within INRstar.

Adding a Warfarin treatment plan - step by step guide

Adding a Warfarin treatment plan

In the patient's record click on and then on .

In click the button.

Here you will need to fill in the clinical details.

Please note: You will not be able to add a new treatment plan to a patient if they have a bridging record with a status of Pending, Active or Ended. The bridging record will have to be either deleted, stopped early or completed first.

Warfarin Patients

If your patient is on Warfarin you will be required to fill in extra details under Warfarin Details, Tablet Selection and Print Preferences.

Warfarin Details - here you will need to choose the patient's Dosing Method (see Maintenance Dosing Algorithms, Manual Dosing, Oates Induction Algorithm, Tait Slow Induction or Fast Induction Fennerty Gedge for more information), Testing Method. and Max Review Period

Tablet Selection - here you will need to select the tablets you wish to use to treat the patient with.

Print Preferences - here you can allow the patient to have their dairy printed in a different format to standard one for their testing location. This can be a benefit if for example your default settings are set as label but you have a patient with bad eye-sight, it is then recommended for your patients safety to set their printing preferences to A4 (see Printing Settings for more information).

After completing the details, click

FAQ : Why are we are unable to select the warfarin Max Review Period up to 84 days?

A: 70 days is our default Max Review Period but it can be changed for up to 84 days. Each site or group of sites has a location clinical lead that can change clinical settings within in the program. If you are unsure who is your clinical lead please ask your practice manager or your CCG contact if part of a group.

Edit a treatment plan - step by step guide

Edit Treatment Plan

In the patient's record click on and then on .

When there are INR treatments recorded since the start date of the current treatment plan by clicking , changes can be made to all fields except the start date and the diagnosis.

If you need to change the diagnosis click New Treatment Plan. If no INR treatments have been entered against the current treatment plan, the diagnosis can be changed by clicking Edit Treatment Plan.
When a patient has completed their treatment plan, they should only be deactivated if they are no longer being anticoagulated.
For example, a patient may be on Warfarin for a DVT for 3 months. Several years later that patient may be diagnosed with Atrial Fibrillation and be put onto Warfarin indefinitely. You will now be able to specify a treatment plan for each of those episodes.
This feature will enable users to view a clearer history of diagnosis changes and associated treatments for each patient.

You can now edit the Treatment Plan details as well as see their treatment plan history under Treatment Plan Summary.

If your patient is on Warfarin you will be required to fill in extra details under Warfarin Details, Tablet Selection and Print Preferences.

Warfarin Details - here you will need to choose the patients Dosing Method (see Maintenance Dosing Algorithms, Manual Dosing, Oates Induction Algorithm or Tait Slow Induction for more information), Testing Method. and Max Review Period

Tablet Selection - here you will need to select the tablets you wish to use to treat the patient with.

After you finished editing the treatment click 'Save'.

Category: General Patient Tasks

Getting Started , Add a Diagnosis

FAQs

Acceptable Use Policy Add a Diagnosis Admin Reports Analytics Appointments Copy and Paste Dosing Diary Dosing Settings EMIS Interface EULA FAQ Getting Started HL7 Induction Protocols Manual Dosing N3 Setup New in the Latest Release Non Warfarin Patients NPSA Primary Care Printing Remote Support Reset Passwords Resetting User Names and Passwords Secondary Care Status SystmOne Interface TTR Vision Interface Warfarin Induction