Wound Care Clinic
Dearborn County Hospital's Anticoagulation
Clinic is available to help monitor the clotting time and medication
levels of individuals who are taking blood thinners. Currently, the
clinic accepts patients who are taking warfarin, better known as
Coumadinģ. Plans call for the clinic to be expanded in the coming
months to cover additional blood thinning medications.
The clinic is staffed by DCH Pharmacists
Shirley Heyob, Pharm.D., and Debra Rolfes, R.Ph., who work in
cooperation with the patientís personal physician. Board Certified
Cardiologist Dr. Ashok Penmetsa is the clinicís Medical Director.
At the clinic, a Ďfinger stickí blood sampling
is done to determine the patientís prothrombin time or clotting time
as it compares to the International Normalized Ratio. The INR
was established by the World Health Organization and the
International Committee on Thrombosis and Haemostasis for creating a
baseline of clotting times for patients taking warfarin.
The clinic includes an on-site laboratory which
runs the blood test. If the prothrombin time is off, the
Pharmacist can adjust the dosage of the prescription. Clinic
Pharmacists are authorized by the patientís doctor to change the
dosage if needed. They then notify the physician of the change in
During a visit to the clinic, a patientís drug
therapy will be reviewed for potential drug interactions.
Pharmacists are also available to provide education and counseling
regarding anticoagulation therapy. After each visit to the clinic,
the patientís personal physician will be sent the lab results and a
Patients starting anticoagulation therapy may
need to visit the clinic once or twice a week. As the patientís
condition stabilizes, the frequency of their visits will decrease.
Stabilized patients will need to visit the clinic only once a month.
The Clinic is located in Suite 230 of the DCH Professional Building.
For more information, please contact your personal physician or call
the DCH Pharmacy at 812-537-8138 or 800-676-5572, ext. 8138. A
physicianís referral is required for enrollment in the program.
Wound Care Clinic
At Dearborn County Hospitalís Wound Care Center patients are
provided with advanced care in treating chronic and non-healing
wounds. Many people, especially the elderly and/or individuals
with diabetes, have sores, cuts or open areas of skin that will not
heal properly. Collectively, these breaks in the skin are called
Numerous conditions may result in wounds occurring and/or existing
wounds not healing properly. These include:
-Lack of Sensation
A team of healthcare specialists will work with you during your
wound care treatment. This team is comprised of a Physician,
Registered Nurse and Dietitian. The team will evaluate you, determine the type of wound, coordinate your individual plan of care
and explain ways to promote healing.
Your specialized plan of care and treatment may include:
-Wound Cleansing (Sharp or Mechanical Debridement)
-Total Contact Casting
-Wound VAC System
-Regular Visits to the Wound Care Center
Throughout your treatment the wound care team will communicate with
your Physician about your care and explain ways to safely continue
and improve your daily activities. Your Physician at the Wound
Care Center may also refer you for additional care, treatment or
-Infectious Disease Specialist
-Diabetes Education Classes provided by Certified Diabetes Educators
If you have a wound that is not healing properly, getting worse,
or causing discomfort or pain, please contact your Primary Care
Physician. A Physicianís referral is required before you can be
scheduled for an appointment at the Dearborn County Hospital Wound
Left without appropriate clinical treatment, wounds can worsen
resulting in localized or widespread infection.
For questions regarding the Wound Care Center or to schedule an
appointment, please call:
Bev Lang, RN, or Bridget Johnson, RN, BSN, at 812-537-8376 or
800-676-5572, ext. 8376 or Michael McAndrew, M.D., Mark McAndrew,
M.D., or Shannon Davis, M.D., at Dearborn County Surgery 812-537-5772.