Documenting clearance to stop anti-coagulants

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emd123

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What is your preferred method of documenting that a patient's cardiologist, neurologist or PCP has cleared them to stop their anticoagulants for an elective Pain procedure?


1-Insist upon the patient bringing written documentation from their doctor that he/she has cleared them?

2-A physician-physician phone call with documentation of the call in the record?

3-Have your nurse/MA call the prescribing doctor's office and document the conversation?

4-Leave it up to the patient to contact their physician and document their verbal report of having been cleared?

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Last edited:
Typically # 3
 
a letter is faxed and sent to the PCP office.

no hold of anticoagulation is done until a return letter from the PCP is recieved.

For example (im at home, so this is off the cuff):

"Dear Dr. ___;

Mr. xxxx was seen at the pain clinic for evaluation and treatment of chronic pain. An injection has been considered, but the patient is currently on anticoagulation plavix/coumadin/pletal/heparin that is being prescribed by your office. For utmost safety, it is recommended that the patient have his anticoagulation held for 5 days for coumadin and 7 days for plavix for the procedure _______.

Please fax your response back to this office at ________. Thank you for your consideration on this matter.


___Yes, i approve of anticoagulation being held for ___ days.

___No, this patient cannot have his/her anticoagulation held. "
 
a letter is faxed and sent to the PCP office.

no hold of anticoagulation is done until a return letter from the PCP is recieved.

For example (im at home, so this is off the cuff):

"Dear Dr. ___;

Mr. xxxx was seen at the pain clinic for evaluation and treatment of chronic pain. An injection has been considered, but the patient is currently on anticoagulation plavix/coumadin/pletal/heparin that is being prescribed by your office. For utmost safety, it is recommended that the patient have his anticoagulation held for 5 days for coumadin and 7 days for plavix for the procedure _______.

Please fax your response back to this office at ________. Thank you for your consideration on this matter.


___Yes, i approve of anticoagulation being held for ___ days.

___No, this patient cannot have his/her anticoagulation held. "

I like that!
 
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