Please follow these guidelines when discharging a patient on warfarin:

I. Patients who were taking warfarin prior to admission:

1. Determine who regularly manages the patient's warfarin therapy
2. Call the provider currently managing anticoagulant therapy to re-refer the patient
3. Schedule an appointment:
   1. in 1-3 days if patient and/or therapy are not stable
   2. in 3-7 days if patient and/or therapy is stable
4. Fax the inpatient Anticoagulation Flow Sheet, as well as a complete discharge summary, to the provider currently managing anticoagulant therapy

II. Patients new to warfarin therapy:

• Select an appropriate management strategy. Options include:
  • UWMC primary care provider
  • non-UWMC primary care provide
  • Outside anticoagulation clinic
  • UWMC Anticoagulation Clinics

• If UWMC Anticoagulation Clinics is selected,
  call 206-598-4874
  • Leave the following information on voice mail or with the receptionist:
    1. patient name and hospital number
    2. current inpatient service and floor
    3. intern's or resident's name
  • Fax a UWMC Anticoagulation Clinic referral form to
    206-598-6217 after all information has been filled in
  • The UWMC Anticoagulation Clinic will contact you to obtain additional information and to determine an appropriate date and location for follow-up

• If the primary care provider or an outside anticoagulation clinic is selected:
  • Call the follow-up provider or anticoagulation clinic to refer the patient
  • Schedule an appointment:
    1. in 1-3 days if therapy is not stable
    2. in 3-7 days if therapy is stable
  • Fax the inpatient Anticoagulation Flow Sheet to the follow-up provider or anticoagulation clinic, as well as a complete Discharge Summary