ANTICOAGULATION MTAC (AC-MTAC)

1. PRESCRIPTION

1.1. Pharmacist are authorised to transcribe warfarin prescriptions as needed where the prescription for warfarin will be counter-signed by the appointed doctor for medico-legal requirements (based on local policy/ approval)

2. DISPENSING

2.1. Pharmacist must ensure correct dose, quantity of warfarin or DOAC tablets be dispensed

2.2. Pharmacist shall emphasized on the correct dose, frequency and time of administration

3. MISSED APPOINTMENT

3.1. Pharmacist contact patient as soon as possible and reschedule a new appointment

3.2. Allow patient to walk-in during the next ACMTAC day

3.3. Pharmacist should document reasons of missed appointment in Missed Appointment Shee

4. EDUCATION

4.1. Pharmacist educate the patient on anticoagulation therapy at the initial visit and reinforce this education at each visit.

5. MONITORING

5.1. INR values

5.2. risk of bleeding

5.3. renal or liver profile

5.4. stop the antiplatelet

6. THEEVIA SUBRAMANIAM - 141634 - AC-MTAC