The Protime Clinic at Ascension Providence is a physician-directed, nurse-managed outpatient clinic for patients on COUMADIN® (warfarin sodium) anticoagulation therapy.
Protime Clinic staff members:
- Provide comprehensive teaching
- Can schedule and arrange for Protime Lab
- Make adjustments on anticoagulation dosages
- Monitor for side effects
- Manage interruptions in therapy
- Monitor patient compliance
Patients enrolled in the Protime Clinic will be issued a Protime Clinic card. Outpatients will register at admitting prior to teaching and a card being issued. The patient will be instructed to present this card at the lab each time their Protime is drawn. Patients will be directed to admitting if there are any changes in address or insurance information.
Patients on COUMADIN® (warfarin sodium) anticoagulation therapy will be enrolled in the Protime Clinic at the request of the attending physician. Contact the clinic by calling 254-751-4741.
The nurse will schedule an initial interview and teaching time with the patient and/or family. Patient assessment and teaching on out-patients and in-patients will be documented and recorded. When possible, family members will be included in the education process.
Patient teaching will include the following information:
- Name and purpose of the drug
- Time, strength and method of administration
- Interaction of other food and drugs
- Recognition of signs of elevated prothrombin time
- Notification of other physicians
- Bleeding precautions
- Wearing of MediAlert Necklace or Bracelet
- Safety awareness
The Protime Clinic nurse will receive lab results and will adjust the patient’s dose of COUMADIN® according to the Protime Clinic COUMADIN® UNC General Internal Medicine Anticoagulation Algorithm and the physician’s order. The nurse will report to the patient by telephone the results of the lab test. Instructions will be given for any dosage changes and when to report for the next Protime. If a patient is unable to be reached by telephone for 24 to 48 hours, they are then notified by mail.
Patients will be dismissed from the Protime Clinic upon completion of anticoagulation therapy and discharge order from physician or for continued non-compliance.