Anticoagulation Clinic Learning Experience Description Anticoagulation Clinic Rotation Anticoagulation Clinic is a required, four week, rotational learning experience. Residents will participate on a team consisting of nurses and pharmacists; and collaborate with physicians and mid level providers when therapy decisions require additional support from the patient's primary care provider. Activities will occur primarily in the Mayo Clinic Health System-Eau Claire Anticoagulation Service at the Midelfort Building West. Orientation to the Anticoagulation Department will include: Developing competency in use of the Cerner Electronic Medical Record program Power Chart Developing competency in the use of the clinic database program Standing Stone CoagClinic Developing and demonstrating competency in blood sample collection and processing using fingerstick lancets, point of care (POC) cartridges, and POC analyzer. Review of pharmacology of warfarin, heparin, low molecular weight heparin (LMWH). Use of dosing protocols for warfarin and LMWH. Reviewing current medications with patient for completeness and accuracy and potential warfarin-drug interactions. Interviewing patient to assess compliance with medication therapy and dietary recommendations, signs and symptoms of drug related toxicities. Teaching and reinforcing patients about anticoagulant administration, monitoring for side effects, potential medication and dietary interactions, appropriate actions for suspected toxicity. Appropriate documentation of clinical activities in EMR and Standing Stone Appropriate generation of anticoagulant prescriptions per protocol and transmittal to pharmacies Appropriate communication of clinical information and orders to other health care providers or agencies (i.e. nursing homes, home health care organizations, remote testing facilities) Referral to other health care providers for problems encountered during patient interactions beyond your
Anticoagulation Clinic -- Learning Experience Description
scope of practice PGY1 - Pharmacy Dave Zehms 3.0 Weeks Snapshot Evaluation Form 3.0 Weeks Snapshot (Use effective communication practices when documenting a direct patient-care activity.) 4.0 Weeks Learning Experience Evaluation 4.0 Weeks Preceptor Evaluation 4.0 Weeks Summative Evaluation Evaluated
R1.4: Demonstrate ownership of and responsibility for the welfare of the patient by performing all necessary aspects of the medication-use system.
R2.1: As appropriate, establish collaborative professional relationships with members of the health care team.
R2.2: Place practice priority on the delivery of patient-centered care to patients.
R2.3: As appropriate, establish collaborative professional pharmacist-patient relationships.
R2.4: Collect and analyze patient information.
R2.5: When necessary, make and follow up on patient referrals.
R2.6: Design evidence-based therapeutic regimens.
R2.7: Design evidence-based monitoring plans.
R2.8: Recommend or communicate regimens and monitoring plans.
R2.9: Implement regimens and monitoring plans.
R2.10: Evaluate patients’ progress and redesign regimens and monitoring plans.
R2.11: Communicate ongoing patient information.
R2.12: Document direct patient care activities appropriately.
R5.1: Provide effective medication and practice-related education, training, or counseling to patients, caregivers, health care professionals, and the public.
R6.1: Use information technology to make decisions and reduce error.
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