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

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Lead G.P.

Dr S Biswas

 

Health Care Assistants

Jenn Tinsley

Lorraine McCormick

Katrina Cox 

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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:

  • Active peptic ulcer, oesophageal varices, aneurysm, and proliferative retinopathy

  • Epistaxis and Haematuria

  • Recent organ biopsy

  • Recent trauma or surgery to the head, orbit, or spine

  • Recent stroke

  • Confirmed intracranial or intraspinal bleed

  • Uncontrolled hypertension >180/110

  • Infective endocarditis.

  • Pregnancy

  • Allergy to Warfarin

  • Blood borne Viruses

  • Antiphospholipid syndrome

 

These patients should be referred via haematology to the hospital clinic

 

And the following are relative contraindications:

  • History of gastrointestinal bleeding

  • Liver disease

  • Renal failure

  • Alcoholism

  • Mental impairment

  • Thrombocytopenia

  • Coagulation disorders

  • Interacting drugs, in particular non-steroidal anti-inflammatory drugs

  • Poor concordance

  • Poor attendance for regular blood tests.

 

These patients may be referred but please inform the provider