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Aboriginal artwork produced by Gumbaynggir Artist Brentyn Lugnan
Week 12 Clinical Champion Training
Author: Courtney DixonDate: July 2018
Guiding PrinciplesEstablish a different approach
Ensure Sustainability Ensure Organisational Integration
Reduce Admin (Waste)
Workflows
Warfarin orderVenous Thromboembolism (VTE) Power Plans
prophylaxis and treatmentClozapine, including Alert and Power Plan
Warfarin Key Points• Not listed at top of MAR as per current paper
chart• Needs to be ordered every day- are once only
orders and will fall off MAR after administered– Dr to review INR and place order daily– Warfarin reminder is on the chart to flag that a new
order needs to be written each day after reviewing INR
• Do NOT sign off on warfarin reminder until prescriber has reviewed/charted next dose
Warfarin Key Points• Warfarin can be ordered individually or
through powerplans– Warfarin initiation powerplan– Warfarin recommencement powerplan
• Warfarin when is ordered outside the powerplan it automatically asks if an INR pathology order is needed.
Warfarin Key Points • If warfarin is not ordered by brand (i.e.
Marevan) it will ask to be substituted to the brand used in hospital (Coumadin)
• If the prescriber wants Marevanspecifically they need to cancel the order and place a new order searching for Marevan by brand
Warfarin Key Points • If warfarin is to be withheld the
“WITHOLD” order sentence needs to be selected
• Alternatively the order can be suspended
VTE Key Points
• Powerplan provides CEC evidence based guidance on appropriate treatment for assessed patients
• Better compliance with policy re VTE
Clozapine Key Points• When ordering clozapine an alert appears
to confirm the last dose before prescribing
Clozapine Key Points• Important Pathology information related to
this medication will also display in related results for the prescriber to see at point of ordering ie Clozapine/Norclozapine level, WBC, Neutrophils etc.
Clozapine Key Points• There is a powerplan
that allows prescribing for initiation as per the clozapine chart up to 28 days
Clozapine Key Points • Powerplan prompts for key test as per
current initiation chart (see example below)
Clozapine Key Points • Reference text links to guidelines for
reference and check patient is registered with Clopine Connect