Accesssing my health record (HealthENet) Documentation:
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Doctor workflow → home medications → complete history → uncheck the leave medication history incomplete at the bottom
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High risk medications (APINCH):
- Anti-infectives, potassium, insulin, narcotics (and other sedatives), chemotherapeutic agents, heparin and other anticoagulants
- These patients need more care with their medication reconciliation
VTE Risk Assessment
- VTE workflow on the left
- Select adult inpatient on the dropdown box and go through the list
- Make sure to dose reduce heparin for renal function, over 75 year olds and low weight
- Look at the anticoagulation guidelines on the intranet
- Policies and procedures (on the right side in red)
- Search anticoagulation
- Risk factors for bleeding:
- Older age (> 65 years and especially > 75 years)
- Active bleeding or recent bleeding within last 30 days
- Prior history of bleeding, especially on anticoagulation
- A potential bleeding lesion eg peptic ulcer
- Recent surgery (within 14 days)
- Severe kidney disease, liver disease, alcohol abuse
- Active cancer
- Uncontrolled hypertension
- Concurrent antiplatelet therapy or thrombocytopenia
- DM, previous stroke, anaemia
- Frequent falls, reduced functional capacity
- VTE patient education → Goshare patient education
