Lakeland Regional Health

Anticoagulation Management Service

Anticoagulation Management Service at Lakeland Regional Health offers therapy management for patients on warfarin (Coumadin, Jantoven) with a focus on maximizing safety, quality, and outcomes. This service gives warfarin patients a consistent method for assessment, monitoring, and education.

Expert Team, by Your Side

Our team includes a physician medical director, pharmacists, and nurses who are all dedicated to improving patient care.

Patient Eligibility

Most patients are seen in the office where testing is completed via point-of-care (POC) finger stick with results provided during the visit. Venipuncture (blood draw) or home POC testing is available for eligible patients.

Eligibility for home POC testing is based on insurance, warfarin duration of therapy, and compliance with warfarin monitoring. Patients who are established with the clinic or new to warfarin can expect the first office visit to last 30 minutes, as full education is provided. Established patient appointments last 15 minutes.

What to Expect

As a patient, you can expect to be asked the following questions at every point of contact:

What dose of warfarin are you currently taking?
Have you missed any warfarin doses or taken extra doses?
Any falls or injuries?
Scheduled procedures or surgeries?
Any bleeding symptoms including nose bleeds, gum bleeds, red or brown urine, or dark tarry stool?
Changes in prescription medications?
Use of any over-the-counter medications, supplements, or herbal products?
Changes in dietary intake of vitamin K or green vegetables?
Intake of cranberry products?
Any alcohol, tobacco, or use of illicit drugs?

Contact and Referral

To be managed by the Anticoagulation Management Service, patients must be referred by an LRH primary care provider or LRH specialty provider involved in their ongoing care, including decisions about their long-term anticoagulation therapy plan of care.

The Anticoagulation Clinic is not able to accept patients with Ambetter insurance.

LOCATIONS & CONTACT:

Pablo Campus

130 Pablo Street

Lakeland, Florida 33803

(863) 284-5117

Morrell Internal Medicine Clinic

300 Parkview Place

Lakeland, Florida 33805

(863) 284-3983

Warfarin (Coumadin, Jantoven)

Warfarin is an anticoagulant, or blood thinner, that prevents blood clots. Warfarin does not have standard dosing and requires routine monitoring with a blood test called INR to ensure safety and efficacy. Sometimes the INR will fluctuate due to numerous outside factors interfering.

Guidance on achieving a stable INR:

Take Warfarin as prescribed; never miss a dose or take an extra dose
Take Warfarin around the same time every evening
- Read – Oral Anticoagulant Therapy: Warfarin
Avoid cranberry-containing products
Consume consistent intake of green vegetables, or vitamin K foods each week
- Read – Vitamin K: Managing Your Intake – Oral Anticoagulant Therapy (Warfarin)
- Read – Warfarin & Your Diet
Avoid alcohol, tobacco, and illicit drugs
Contact the anticoagulation clinic if any new prescription medications, over-the-counter products, or dietary supplement are started or stopped
- Read – Warfarin Interactions
Contact the anticoagulation clinic if any procedures or surgeries are scheduled
Keep all scheduled clinic appointments or call promptly to reschedule

Internet Resources

Lakeland Regional Health

Anticoagulation Management Service

Anticoagulation Management Service at Lakeland Regional Health offers therapy management for patients on warfarin (Coumadin, Jantoven) with a focus on maximizing safety, quality, and outcomes. This service gives warfarin patients a consistent method for assessment, monitoring, and education.

Expert Team, by Your Side

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