Anticoagulation is the treatment and prevention of blood clots. These clots can block blood flow to important areas of the body such as the heart, brain, lungs or limbs. An anticoagulant is often prescribed to treat people with blood clots in the legs and lungs, atrial fibrillation or after heart-valve replacement surgery.
The most common anticoagulant prescribed is warfarin, also known as Coumadin®. MultiCare clinics also have experience dosing other anticoagulants such as low molecular weight heparins.
All of our Pharmaceutical Resource Clinics are designated Anticoagulation Centers of Excellence by the Anticoagulation Forum.
Participation in this program demonstrates our ongoing pursuit to achieve the highest level of care and the best possible outcomes for our patients.
There are only five other organizations in Washington State with this designation.
Your physician will need to complete a referral for you to be seen at one of MultiCare's Pharmaceutical Resource Clinics. You will be contacted by the clinic staff to schedule an initial appointment.
At each visit, you will see a pharmacist experienced in anticoagulation treatment. The pharmacist will:
Your first appointment may last 45 minutes. Comprehensive education is provided during the initial visit. Follow-up appointments take about 15 minutes. The INR will be checked about every four to six weeks, and more often when you first begin therapy.
Warfarin therapy must be closely monitored to ensure that patients are on the right dose. In the past, this meant monthly trips to the Pharmaceutical Resource Clinic for blood work. MultiCare is now offering an easier solution for patients. Patients can test their INR at home with a small, easy-to-use meter, rather than coming in monthly to the clinic. Pharmaceutical Resource Clinics will provide you with a meter, test strips, and all the necessary supplies so you can monitor your anticoagulation therapy at home. You will receive face-to-face training with a Pharmaceutical Resource Clinic specialist who is either a pharmacist or nurse. After you are trained, you will call or email us through MyChart your INR results every week. We will work with you to make any necessary dosing adjustments.
If you can answer YES to all the questions below, you likely are a good candidate and you should discuss this option with your Pharmaceutical Resource Clinic provider.
There are many reasons to choose MultiCare Pharmaceutical Resource Clinics:
We will follow your care closely but you need to take the responsibility to follow exact instructions for drug dosing. It is important to notify the clinic if you have had a recent visit to the Emergency Department, been hospitalized, started a new medication or had any diet changes.
If you are unable to keep your appointment, please notify the office to reschedule. Failure to keep your appointments or to follow any of the instructions given to you could result in serious health risks and/or termination from the program. Please notify the clinic if your telephone number changes.
Tacoma Pharmaceutical Resource Clinic
1901 S Union Ave, Bldg B, Suite #7009
Open: Mon-Fri, 8am-4:30pm (closed 12-1:15pm for lunch)
Auburn Pharmaceutical Resource Clinic
Auburn Medical Center - Plaza One
202 N. Division St. Suite #401
Open: Mon-Fri, 8am-4:30pm
Gig Harbor Pharmaceutical Resource Clinic
4545 Point Fosdick Drive NW, Suite #260
Open: Mon-Wed & Fri, 8am-4pm. Closed 12-1pm
Puyallup Pharmaceutical Resource Clinic
1322 3rd St. SE, Suite #020
Open: Mon-Wed, Fri, 8:30am-5pm, Thurs, 7:30-4pm, Closed 12-1pm