Incorrect INR Data being recorded by GP Surgery

[SteveRN]

I recently discovered that the INR readings that I am sending to the Head Nurse at my GP Surgery are not the same as those that she is inputting into the INR star system. Recently i sent a reading of 3.2 and she put 3.9 into the system. Her response was it did not matter because it did not affect the dosing. I have asked for an explanation and that’s the only response she gives me. She has not even apologised, I am going to give her one more stance and then I will take it further, this is not just one occurrence i have found 5 others. If i had entered incorrect patient data when I was practicing I would have been in serious trouble. What do others think, i believe i have given her enough chance to explain herselve but she does not seem to think she has done anything wrong.

SteveA

[Greenmil3]

Steve I totally agree some practices do not even appreciate why this is so important to us. I self manage my Warfarin and have venous blood every 2 weeks and my practice is supposed to call me same day with results. Happens for a while then stops I complain happens again then stops I complain etc etc. seems like you have to complain to get any sort of service otherwise their attitude appears to be I can do what I like. Good luck

[StriatedCaracara]

Maybe have a word with the practice manager. Also maybe join the Patient Participation Group (PPG) if there is one, and mention it there

[soul22]

Hi nice to meet you

Oh no that's not professional

I'd give another chance but if 5 done wrong that's not acceptable GP wouldn't be happy if knew

If speak manager or GP when next see them are you on my chart yet

Because it's important correct reading noted I don't get why she put that as it's alot higher

[SteveRN in reply to soul22]

Hi soul22

It’s nice to meet you too i have given her one more chance and the my next email will be to the practice complaints section. The trouble is its a group and even getting to see a GP let alone speak to one is nigh on impossible.

Kind regards

SteveRN

[13131958]

Hi Steve,

It is unprofessional for starters it is enough we have to worry about our INR being consistent day in and day out. I would report this sooner than later. I am with you on this this,

Andrea

[SteveRN in reply to 13131958]

Hi 13131958

I am on it, i am thinking of going with another nurse within the group practice who i have met and she actually discussed my condition and my INR’s with my consultant at one stage so she is more on the ball, as well as being more reliable.

Kind regards

SteveRN

[13131958 in reply to SteveRN]

Hi Steve,

Like I said our job is to be consistent with out diet which is enough in itself. There job is to monitor our INR and keep us safe and on track with taking Warfrin. Good healthcare is hard to find these days no matter what province you are in. I am blessed to have a wonderful Dr. and a 2 pretty good NP's.

Good Luck to you!

A

[user666]

Is she calibrating your finger prick against a venous reading? I only test every four weeks venously and do not self test ever. I try and forget about INRs. Worrying over it and symptoms does not serve me at all.

[SteveRN in reply to user666]

Hi user666

The only time my finger prick is calibrated against a venous sample is when i suggest it, i was not even shown how to use my machine. I suppose they just assumed i knew how to use it as i was previously a nurse specialist. So when i get routine bloods i check my INR and ask the phlebotomist to take an additional clotting venous sample to compare.

Kind regards

SteveRN

[MaryF Administrator]

I think a quiet chat with the GP would be a good idea to express your worries regarding this. MaryF

[SteveRN in reply to MaryF]

Hi Mary

Nice to speak to you again you have to fight just to get an appointment with a GP and it’s always a different one so to speak to one is impossible. Maybe when i speak to my Haematology consultant at the end of the month might not go amiss.

Kind regards

SteveRN

[MaryF Administrator in reply to SteveRN]

Good idea. Hope it goes well. MaryF