Updated: 11/23/09  
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Pharmacy Resource and Information Management Exchange

ANTICOAGULATION Resources

Administrative Policies & Procedures
Examples of policies and agreements that pharmacists have used to establish anticoagulation dosing services.  Topic links will connect the user via email to the developer of content.  The form, policy or tool will then be provided by the contact person.

Outpatient Anticoagulation Clinic
Aurora Health Care Pharmacist Managed Anticoagulation Clinic Program Policy & Procedures - Policy/Procedure includes referral information, patient evaluation, assessment, frequency of testing, point of care testing, lab tests, management of interruptions, and scope of practice.  Last review: February 2009
Middleton VA Outpatient Anticoagulation Program Policy and Procedure - P&P for a pharmacist-managed outpatient anticoagulation service including evaluation of a new patient, guidelines for follow-up intervals, laboratory monitoring, QA measures, managing excessive anticoagulation, warfarin drug interactions, and no-shows. Last Updated March 2009

Inpatient Anticoagulation Service
Fort HealthCare Inpatient Anticoagulant Management Program - Policy/Procedure includes warfarin dosing and monitoring of warfarin, heparin and low molecular weight heparin.  Last review: September 2008
ThedaCare Daily INR Policy/Procedure - Outlines policy/procedure for pharmacist ordering of INRs in acute care areas.  Last review: December 2008
ThedaCare Pharmacist to Manage Anticoagulation Policy/Procedure - Includes management of warfarin, unfractionated heparin and low molecular weight heparin. Heparin management section includes pharmacist responsibility for investigating low or high aPTTs.
Upland Hills Health Inpatient Anticoagulation Policy/Procedure - Procedure for pharmacist warfarin management includes criteria for physician notification, labs and expectations for progress notes.  Last update: August 2008
Middleton VA Inpatient Anticoagulation Program Policy and Procedure - P&P for a pharmacy inpatient warfarin dosing service.  Includes provider, pharmacist, and nursing responsibilities for warfarin, vitamin K, low molecular weight heparin, unfractionated heparin, and fondaparinux use in the inpatient setting.   Contains a warfarin dosing nomogram for warfarin naïve patients and maintenance dosing as well as patient characteristics that warrant higher or lower warfarin dosing. Last Updated March 2009

Disclaimer: Use of any website content and/or requested documents is not meant to replace professional judgment. Documents and materials have not been peer reviewed.  Pharmacists should always exercise caution and cross reference materials while caring for patients. PSW and the other contributors to this site do not assume legal or other liability for errors made while using this information.