Warfarin Clinic
Warfarin Clinic:
Average time is 15 minutes including dosing.
Clinics at Ormskirk, Old Skelmersdale and New Skelmersdale and Banks.
Clinics are held at different site locations Monday to Friday please ask reception for more details.
Clinic Coordinator
Joanne Houghton
Lead Nurses
Debbie Cockle
Lisa Coombes
Lead G.P.
Dr S Biswas
Health Care Assistants
Jenn Tinsley
Lorraine McCormick
Katrina Cox
Advice for referrers:
Please refer using the electronic referral system. For urgent referrals please contact us on 01695 736000 and ask to speak to Joanne Houghton, Debbie Cockle or Lisa Coombes.
Please note that the following are absolute contraindications:
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Active peptic ulcer, oesophageal varices, aneurysm, and proliferative retinopathy
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Epistaxis and Haematuria
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Recent organ biopsy
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Recent trauma or surgery to the head, orbit, or spine
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Recent stroke
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Confirmed intracranial or intraspinal bleed
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Uncontrolled hypertension >180/110
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Infective endocarditis.
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Pregnancy
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Allergy to Warfarin
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Blood borne Viruses
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Antiphospholipid syndrome
These patients should be referred via haematology to the hospital clinic
And the following are relative contraindications:
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History of gastrointestinal bleeding
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Liver disease
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Renal failure
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Alcoholism
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Mental impairment
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Thrombocytopenia
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Coagulation disorders
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Interacting drugs, in particular non-steroidal anti-inflammatory drugs
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Poor concordance
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Poor attendance for regular blood tests.
These patients may be referred but please inform the provider