gary m. besinque, pharmd, fcshp; jaime e. murillo, md; juvairiya pulicharam, md; ralph j. riello iii, pharmd, bcps; and peter salgo, md, highlight the benefits of managing a patient with nonvalvular atrial fibrillation in an anticoagulation clinic. juvairiya pulicharam, md: in our organization, we have an anticoagulation clinic. when there are issues, we usually… peter salgo, md: he’s blushing. peter salgo, md: i always say, and have said many times, that the day that we got monitoring in my intensive care unit was the day that our pharmds started rounding with us. peter salgo, md: do the pharmacists typically manage these anticoagulation clinics? ralph j. riello iii, pharmd, bcps: yes. peter salgo, md: how do they work? how does all of that actually get put together? that’s what i’ve seen with the pharmacists who manage these patients, as well as the primary care physicians and the cardiologists. this is where i think we have many opportunities among many healthcare organizations across the nation. i sometimes get a notification about the inr. so, the lack of a team approach—that’s where we have a tremendous opportunity with the pharmacists, primary care physicians, and cardiologists.
that’s where anticoagulation clinics, for instance, can preferably be managed better by someone with expertise—someone who takes the time to explain interactions and potential side effects to the patients. to be honest, the doctors don’t spend that time. juvairiya pulicharam, md: i just want to add that the pharmacists really take the time to see which patients may benefit from an anticoagulation method. peter salgo, md: when i was a house officer, we actually had a clinic. each of us had a day in the box. we had to be down there to look at it. we all had clinic and other things to do. it’s nice to have somebody who is focused on that. is this something that pharmacists actually look forward to doing? we have an anticoagulation clinic rotation on both campuses at yale. we’re running a pretty good doac [direct-acting oral anticoagulant], serum creatinine shop, where we bring our patients back, especially the ones who we’ve converted from warfarin therapy over to a doac. we make sure that they’re still affording all of those copays and provide them with options for other payment programs that can help them get the drug cheaper, if we can.
with the increasing use of direct oral anticoagulants (doacs) as an option for anticoagulation, it is clinical and safety impact of an inpatient pharmacist‐directed anticoagulation service. j. hosp. med. 2011 july the pharmacist-led direct oral anticoagulation (doac) clinic at northwick park hospital in harrow, , anticoagulation pharmacist salary, anticoagulation pharmacist salary, anticoagulation pharmacist jobs, anticoagulation pharmacist job description, anticoagulation pharmacist certification.
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