You must enter data in following fields: Prime AC Reason Start Date Duration Type (Short/Long Term) Regime Start date is the first day the anticoagulant was given. If not known, estimate a date. or more days must have elapsed after the start date, for DAWN to suggest a dose and next test date when on maintenance therapy. You need at least two stable doses/INRs for the computer dosing to work for maintenance patients. You are now on the Treatment Plan Details tab. You must first enter the following information before DAWN AC can calculate a dose. Primary Diagnosis Date Duration Type Term) Duration – if short term Regime (The pattern of tablets the patient is taking) Preferred clinic (Use the default or specific clinics) Next test date Other fields that are not necessary for dosing but are important nonetheless. AC Therapy (this will default to maintenance) Induction algorithm (if induction was selected under AC Therapy) Preferred clinic (this must be set before the patients can have a next appointment set) Transport needs (these can be edited using a system setting) MaxPercentDoseChange (The max % dose change allowed for this patient) MaxInterval (The maximum interval in days between tests for this patient) Set the status of the treatment plan at the bottom of the screen (This affects the amount of information required about the patient) Click Next step STEP 3 Add Next of Kin Add Next Of Kin Details Tips None of this step is mandatory but it can be used for generating letters to Next of kin. Add Name Chose messaging method Fill in the corresponding box Add any other information you know about the next of kin Click Next step STEP 4 Add Clinical Details Clinical Details Tips None of this step is mandatory but it helps to fill in as much as you can. Add additional diagnoses and clinical information by clicking on the new form icon Enter any other relevant information Click Next step > STEP 5 Add Contact Details Contact Details Tips Select the form icon and add Healthcare
This section is useful for storing information about people like care home managers. Professionals other than the Consultant, GP and Next of Kin that are concerned with this patient and may need to be notified about things regarding the patient Click Finish 3) DAWN AC Quick Steps – Dosing a Patient STEP Patient Search 1 Patient Search Tips Use Unit No. (Hospital No./MRN) and Surname for the majority of searches. It is important to ensure that the patient is not already in the system. You can use first part of the Last Name e.g. BROW for BROWN, BROWNLOW etc. Make sure you have the correct patient. From the Front Screen, Choose Patient View This will bring you to the Patient Search screen Type in Last Name and Unit No. (Hospital No.) and then choose Search If the system finds patients meeting the criteria entered a list of these patients is presented. If the patient you are about to enter is not on the list choose the New option and follow the instructions for adding a patient. STEP 2 Dose the Patient Dose the patient Tips Make sure you have entered the correct INR and that the date is correct. The date box will turn yellow if the date inside is not today’s date, you can set the date in the box to today’s date by clicking the blue arrow and line next to the date box. If the next test is not scheduled in the diary then the Accept INR button will say Auto Schedule and there will be no INR box, to remedy this, click auto-schedule. This could happen if there were no free slots in the diary and the last appointment was not scheduled manually. In the Dosing tab (Top right of the screen): Type in the INR Select Accept INR or press Enter STEP 3 Review Dose Instruction Review Dose Instruction Tips