Collaborative Practice

Coordination of Care

Whether you are a patient or a provider, when it comes to planning for an upcoming procedure HOC is here to help contribute to a positive patient experience.

HOC will provide orders and/or recommendations for treatment surrounding surgical procedures and any postoperative doses that may be needed. This is very important because most primary care physicians and or general surgeons do not know what treatment is needed for a bleeding disorder.

1

HOC is notified by the patient or physician’s/ surgeon’s office

2

Procedure details are verified with physician’s/surgeon’s office

3

Orders are obtained from HOC’s hematologists

4

Orders are faxed to physicians/ surgeons' offices and any ancillary departments (ie surgery center, pharmacy, etc.

5

If patient will be receiving clotting factor medication at the hospital, HOC verifies with pharmacy that they can provide the medication If unable to, HOC has the ability to provide hospital with clotting factor medication

6

HOC then walks through a plan of care with the patient to ensure that the patient fully understands the plan of care

7

HOC will verify that all of the orders are set several days before the procedure

8

The day after the procedure, HOC staff will follow up with the patient and/or hospital staff to ensure there are no bleeding complications. Physician/Surgeons office is made aware that they should call HOC staff if there are any complications during the procedure. They are informed that HOC staff are on call 24/7

Specialty FAQ

OBGYN

HOC RNs will contact your office after seeing the patient and provide a full plan of care for the mother and the baby during and after delivery.

Yes. Factor levels are checked on the mother in the third trimester. If factor coverage is needed, HOC will write orders for this. The factor must be given prior to the epidural.

No, vaginal deliveries are considered safe.

Yes. DO NOT USE:

  • Scalp electrodes
  • Forceps
  • Vacuum suction

Cord blood should be used to test all male infants born to known hemophilia carriers. Female infants are not recommended to be tested at birth.

Circumcision should be avoided until factor level results are obtained.


Any heel sticks or IM injections should have 10-15 minutes of firm pressure held.

Call the Hemophilia Outreach Center

  • Green Bay clinic: (920) 965-0606
  • Wausau clinic: (715) 680-9810

Call the Hemophilia Outreach Center

  • Green Bay clinic: (920) 965-0606
  • Wausau clinic: (715) 680-9810