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Anticoagulation Clinic Guidelines (Draft) Dean Medical Center The Anticoagulation Clinic(AC Clinic) is a service staffed by pharmacists and nurses with specific knowledge in anticoagulation therapy. Anticoagulation care is managed under the supervision of the AC Clinic Medical Director and the patient’s physician. I. Goals and Objectives A. To provide services to physicians initiating anticoagulation therapy and assist physicians in the management of oral and parenteral anticoagulants. B. To provide consistent management and follow-up care for patients receiving anticoagulation therapy by evaluating patient-specific data and pertinent laboratory tests dependent upon the anticoagulant regimen. C. To provide consistent education to the patient and/or family members about warfarin and other anticoagulant therapy. To make them aware of potential problems during therapy and the signs and symptoms of bleeding, embolic events and other adverse effects. D. To consistently identify patients who are non-adherent with the anticoagulation care plan and provide education to improve adherence and reduce the potential for adverse events and maximize the benefits of treatment. . E. To maintain an anticoagulation flowsheet for each patient and provide complete documentation of the care provided in the patient’s electronic medical record. F. To consult with other providers involved with the patient’s care when needed. II. Scope of Care A. Patient Referral 1. Patients may be referred to the AC Clinic if they have demonstrated the capability to self-administer medication, or have a responsible caregiver who can supervise the medication administration, or other acceptable process in place to ensure adherence to the treatment plan. A reliable method of communication must exist for the