Phorum 5

THE RED MAGNET (no replies)

Colm Rafferty — Sat, 14 Dec 2019 18:11:11 +0000

The red magnet icon is the one third from left on the toolbar.
It is your 'go-to' icon
It displays the list of patients due for INRs in date order.
All the defaulters will appear top of the list.

So use this icon regularly each clinic to check all patients due for review

Dr Colm Rafferty

Emis Web (1 reply)

Paula Banford — Mon, 24 Jul 2017 14:45:03 +0000

Hi Colm

We are moving clinical software programs from emis LV to emis web- Do you know if rats information be copied and pasted into consultation in emis web as we currently do this in LV?

Many Thanks
Paula

INR OVER 5 (1 reply)

DEBORAH — Fri, 28 Apr 2017 18:09:53 +0000

TODAY WE CAN NO LONGER ADD AN INR RESULT OVER 5 .. NOT SURE WHY AS COULD BEFORE. HAS AN UPGRADE CAUSED THIS?

GP HAS NOW MANUALLY DOSED BUT STILL NEED TO ADD FOR A COMPLETE HISTORY

AMLWCH SURGERY LL68 9AB

Deleting notes (1 reply)

Shiona — Thu, 02 Jun 2016 08:58:23 +0000

Can you inform me how to delete temporary notes from the history screen please. Thanks

Warfarin and exercise (1 reply)

Patricia — Mon, 04 Apr 2016 09:06:32 +0000

Hi Colm, we have a young man who recently started on warfarin and appears to be very sensitive to it. He is an extremely fit and active man and we wanted to ask can a high level of exercise have an impact on warfarin. We haven't managed to get him within target, any alterations to warfarin caused his INR to rocket or plummet. He is definitely complaint with medications.

Riveroxiban and warfarin (1 reply)

Donna — Thu, 10 Mar 2016 09:43:27 +0000

Please help. I have a patient who is currently on riveroxiban and needs to commence on warfarin. They have to stay on riveroxiban untill inr over 2.0 where then they would stop riveroxiban and cont warfarin therapy. What would be the best regime for this and is there any red flags we will have to look out for.

Interactions with Warfarin (1 reply)

Elaine Colhoun — Fri, 27 Nov 2015 14:54:13 +0000

Hi, always found the little 'drug Interactions' Icon v useful. Since we've updated our RAT, I haven't been able to find it though. Is it still there?

Many Thanks,

Elaine Colhoun

Repair database (1 reply)

Jean Johnston — Mon, 23 Nov 2015 16:57:38 +0000

I am trying to modify a result for a patient and it is stating 'patient details are currently being modified by another user please try later..NB if permanently locked with no other users please repair the database via the toolbar icon.

There are no other users on RAT and I would be grateful if you could tell me how to repair the database.

Many thanks

Quarterly Claims (3 replies)

CAROL — Tue, 13 Oct 2015 16:48:31 +0000

Hi Colm
Hope you are well. I reeived an email from the Board recently to say that I had not recorded the correct figures on my qaurterly return (enhanced services claim form). They want the figures for the number of patients registered in a quarter and not those seen. I replied saying that I did not know how I was expected to give this information, split down to the different levels, ie those seen in the Practice by the Practice Nurse and those seen in the community by the District Nurse AND in some months/quarters patients may have used both services due to the fact that they may have had a spell in hospital and are unable to attend the treatment room immediately following discharge.

Can you advise how you make the return and if you do not have Practice staff involved and are not claiming the higher level, could you suggest how I do this.

Many thanks
Carol

run time error message (3 replies)

Paula McClenaghan — Fri, 10 Apr 2015 13:01:43 +0000

Hi Colm, we are getting a error message appearing when we try to look at one patient's details in particular. The message reads "runtime error" and doesn't allow us to go any further. It only appears to be affecting one patient atpresent. We had a similar problem a month ago when trying to do an audit with the same message appearing. You advised us to download the update again, which we did and it worked ok after this. Would appreciate your help.

Thanks
Paula

New patient (1 reply)

Donna — Fri, 21 Nov 2014 09:49:32 +0000

We have a patient who has just started warfarin. they commenced warfarin on the 17th at 1mg per day and first test INR thursday 20th at 1.0. Rat software read as if she had 3mg over the week, but she really took 3mg in 3 days. Rat software gave her new dose of 5mg over the week when they were in on Thursday. but this was a reduction and her INR was still 1.0. Have you got any guidance on new patients starting warfarin.

Links on the website (2 replies)

David Ross (Belfast) — Wed, 05 Nov 2014 08:12:36 +0000

Hi Colm

I am planning to discuss RAT at a clinical meeting on 5/11/14 and had thought that it might be useful to use the videos unforunately I am not able to access the page via the Formulae.com web pages.

The User Guide front page also appears to be blank.

I would be grateful if you could advise me on how to access these items

thanks

David

unable to open patient record (1 reply)

Gillian Kernohan — Thu, 23 Oct 2014 13:38:16 +0000

I am unable to open the record of a particular patient. It is as if the program freezes. All other patient records are opening as normal. Not sure what to do.

Audit (3 replies)

Diane Singleton — Fri, 24 Oct 2014 12:38:28 +0000

Hello

Im trying to do some searches on the Rat programme and I am getting an error saying that 'Run time error '0' '

The searches I am trying to do is Inrs within range between 01/04/13 and 31/03/14, No. of INRs > 4.5 same date range and No. of INRs <1.5 same date range.

Appreciate your advice.
Diane

RAT and Windows 7 update (3 replies)

Susan Hey — Tue, 14 Oct 2014 22:26:29 +0000

Hi,
We're due to be upated to Windows 7 next week and I don't think I'm going to have time to update all the PCs before then. Will our 3.72 version be compatible with Windows 7?
Thanks
S.

Backing RAT to a USB Pen Drive (1 reply)

Catherine Linton — Wed, 08 Oct 2014 12:07:56 +0000

Dear Colm,
Is it possible to back RAT onto a USB Pen Drive, once this is on the drive should we be fit to open it, I have had a look at it once it is on the pen, but it is not in a readable format, how if we had to, could we get our database on a PC again if there was something happened and we only had the pen drive.
Thanks
Catherine Linton
Administration - Broughshane Medical Practice

Duration of Warfarin (1 reply)

Patricia Mackay — Mon, 06 Oct 2014 09:12:34 +0000

Hi, can you tell us how to change a patient's treatment duration, ie from 6 months to lifelong/

Thanks

audit (3 replies)

hilary mchenry — Mon, 27 Oct 2014 09:20:32 +0000

Hi Colm, i am trying to do an audit, however, the programme will not allow me to put dates in. the message appears 'run time error' and then throws me out of the programme.

I would be greatful for your advice.
Hilary McHenry

taking patients off ratsytem (1 reply)

sally bolam — Wed, 10 Sep 2014 07:49:02 +0000

Hi Colm, how do you remove patients from rat pt list who no longer are on warfarin.. many thanks

New EMIS Web and New Computers (1 reply)

Joanne Andreou — Tue, 29 Jul 2014 13:04:48 +0000

Dear Dr Rafferty,
We are migrating to EMIS Web and having all new computers in September, please advise:-
Do we download the RAT onto each pc as if we are new users?
How do we retrieve all the previous patient information stored on the old version?
We havent yet updated to I-Rat, should we do this on all pc prior to getting new computers?
Is there an additional registration fee for I-Rat (I think we have already paid for the old version this year)

Anything else I need to consider prior to this change? many thanks Joanne

Transcribing data (4 replies)

Richard Look Tong — Sat, 26 Jul 2014 10:14:15 +0000

RAT runs as a separate entity to our patient database, therefore we are having to transcribe the results and recommendations into the patients notes to ensure it is contemporaneous. Is there a way of extracting / cut & pasting the information we see on screen to a form that can be put in the notes.
Also on that point is there a way of changing the format of the print out to suit our printers. We have selected A5 print but it seems to be missing half the data on the A5 page. Similarly with the script selection. We do not have the same size prescription paper in Ireland. Thanks

Archived data (1 reply)

Richard Look Tong — Wed, 16 Jul 2014 16:19:08 +0000

Hi, I'm new to the RAT program and currently trialing it at our practice in Ireland. If I archive someone accidentally, is there a way or recovering this to the active registry or does it matter. Thanks

Missed Doses (1 reply)

David Malakoty — Mon, 19 May 2014 08:05:23 +0000

Hello,

Just wondering if you could offer some advice on what we should do if a patient freely admits that they have missed a dose.

Is it better to adjust the weekly regime for the last week to demonstrate the missed dose or doses? Or would this only be advisable if the missed dose had been weekly since their last review.

Or would it be better to just not adjst the dosing regime and bring the patient back for review in a week and ensure that they take the medication as prescribed.

Thanks for any advice,

David

Bridging Warfarin for Patients Undergoing Surgery (1 reply)

Roy Leary — Mon, 21 Apr 2014 16:05:15 +0000

Any suggestions for using the RAT programme when patients are going for surgery?
We are starting to help with the bridging of warfarin for patients who are having surgery. Most will stop their Warfarin 5 days before their surgery and may be treated with Clexane. They will restart their usual dose of Warfarin on the evening after their surgery and will have their INR done 4 days later by their GP, if they have been discharged. Is it best to enter in the 0mg doses for the days that patients are off their Warfarin and the doses they take post op or just to go on the RAT recommendations on Day 4 as if they had never been off their Warfarin?

update of rats (5 replies)

hilary mchenry — Fri, 29 Aug 2014 14:12:04 +0000

hi colm.
a message is appearing on the rats programme to say an update is available, howver, we cannot access the web page. message appears the web page cannot be found. can you help?
MANY THANKS HILARY

Guidelines and end treatment date (1 reply)

Amanda Johnstone — Fri, 28 Feb 2014 22:39:26 +0000

Colm,

Could you let me know which Guidelines RAT uses please ( we are in Scotland).
Also,it would be very handy to audit pts who are past their treatment end date -I`m not familiar with RAT (used INR star at prev practice which had the ability to run of a list of such pts ) - will I have to do this manually or is there a way to this more easily?
Thank you

Amanda

Clinical System Integration (1 reply)

Peter Fay — Fri, 28 Feb 2014 23:04:46 +0000

Is there any integration with clinical systems such as InPS Vision or does it remain a standalone product?

Vison & RAT (1 reply)

Chris — Thu, 09 Jan 2014 09:15:22 +0000

We have just started using the programme, the nurses have informed me that the data does not appear in the patients record within Vision, is this normal or have I to add something within Vision.
Hope you can help

Regards
Chris

Copy and paste (4 replies)

michelle — Fri, 31 Oct 2014 10:38:11 +0000

How can I copy and paste INR and dosages onto my vision page?

shingles vaccine and warfarin (1 reply)

paticia thompson — Wed, 18 Sep 2013 11:39:53 +0000

Can you advise if there is any interaction with Shingles vaccine and warfarin please?