Perioperative Management of Heparin

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Tue, 11/25/2025 - 13:16
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Annie Shanton
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Perioperative Management of Heparin

Hi All,

Hoping to gain some insight on what is being done at other hospitals regarding the use of heparin infusion post-procedure. We use Meditech expanse EMR, but happy to hear about workflow using other EMRs.

At my site, we're seeing issues where heparin is not being resumed after a procedure. Our heparin protocol is nursing driven, and nursing has a protocol for holding heparin prior to IR procedures only.

1. When heparin is placed on "hold" in the MAR, who is responsible for resuming heparin after a procedure?

2. What EMR functionality do you use to prevent errors? Do you hyperlink protocols for nursing to determine which rate to resume? (For example, if heparin is held for less than 6 hours RN may resume at previous rate)

Thank you!!
-Annie

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