Anticoagulation

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DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.AC_WARFARIN

Warfarin management: INR {##} (target {##–##}); dose {continued/adjusted} per protocol. Bleeding surveillance: no {bruising/epistaxis/hematuria/melena} / {finding}. Interacting meds/diet {reviewed}. Fall precautions {y}. Narrow-window drug — daily skilled monitoring required. Supports Section N; anticoag goal {###}.

.AC_DOAC

{DOAC} per order; renal function {stable/value}; adherence {reviewed}; no bleeding signs / {finding}; interacting meds {reviewed}; fall precautions {y}. Skilled bleeding/renal surveillance required. Supports Section N.

.AC_EVENT

{Supratherapeutic INR ## / active bleeding {site}} — anticoagulant {held per protocol}; {vitamin K/labs/type-and-screen/evaluation} ordered; SBAR {time}; representative notified; bleeding precautions; hemodynamic monitoring. Reassess {when}. Supports Section N/I.

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