Heparin Weight Based Protocol - Patientsafetycouncil.org
Heparin Weight Based Protocol - Patientsafetycouncil.org
Heparin Weight Based Protocol - Patientsafetycouncil.org
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Anticoagulation Orders (Therapeutic)<br />
(<strong>Heparin</strong> <strong>Weight</strong> <strong>Based</strong> <strong>Protocol</strong>)<br />
Patient Information Required<br />
2. Warfarin (Coumadin):<br />
Daily warfarin orders to be written by physician or clinical pharmacist<br />
Obtain baseline INR, CBC, CMP before initiation. Daily morning PT / INR. CBC every 3 days.<br />
<br />
<br />
INR Goal 2-3 or ___________<br />
Nutrition consult<br />
Warfarin (COUMADIN ® )__________ mg PO today at 1700<br />
Physician Signature Date/Time Transcriber Signature Date/Time Nurse Signature Date/Time<br />
BLOCK Print BLOCK Print BLOCK Print<br />
M-ANTICOAG, C-ANTICOAG (October, 10) Page 2 of 4