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A n n u a l C o n g r e s s o n
Nursing & Healthcare
December 03-04 , 2018
Amsterdam, Nether l ands
Journal of Nursing and Health Studies
ISSN: 2574-2825
Nursing & Healthcare 2018
Introduction:
Management of a patient with a neck of femur (NOF) fracture is a key aspect of orthopaedic trauma care, with around
75,000 new cases in the United Kingdom annually costing the health care over £2 billion. A person on anticoagulation (warfarin) and the
time spent on its reversal prior to surgery is identified to be a cause not only on patient outcome but also losing the best practice tariff
(BPT).
Aim:
The aim was to establish the impact, this cohort of population had on achieving the BPT and how we could improve it.
Material & Methods:
Retrospective data was collected over a period of 12 months using the national hip fracture data base (NHFD). 10%
of the identified cohort was delayed to theatre due to high international normalised ratio (>1.5) and failed to achieve BPT. This costs the
trust a loss of around £43,200. Introduction of a simple hand held warfarin testing device (cost only £800/-) in accident, emergency and
to appropriate patients will have an instant INR check. If INR>1.5 a stat 2 mg intra venous vit K (IVK) is initiated and INR rechecked at 6
hrs, and if indicated further IVK is administered.
Conclusion:
Using this simple device and its introduction in the A&E department, we can avoid the time lost for the anticoagulation
reversal. This will mean improved patient care and compliance with BPT can be achieved in this cohort of NOF fracture patients.
rthondickal@gmail.comNeck of femur patients on warfarin: how to optimise
them and achieve the best practice tariff?
F Joy and J Taylor
Arrowe Park Hospital, UK
J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C5-015