Management of Anticoagulation Therapy for Pre-Selected Patients

Medical Directive ID: 
Lead Contact Person: 
Dawn Kruk
Physician/Nurse Lead: 
Dr. Sonny Cejic
Dr. Jo-Anne Hammond
Family Medicine - Byron Family Medical Centre
Family Medicine - Victoria Family Medical Centre
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, February 15, 2012
Revised Date: 
Thursday, September 15, 2016
To Be Reviewed Date: 
Sunday, September 15, 2019
This Medical Directive Applies to the following sites: 
This Medical Directive Applies to the following patient population: 


Registered Nurses (RN) and Registered Practical Nurses (RPN’s) will initiate:

  • 10 mg Warfarin Nomogram (the nomogram attached, as appendix A, is used to start patients on warfarin)

  • adjust warfarin dose to maintain a therapeutic target International Normalized Ratio (INR) after the patient has been anticoagulated for a minimum of 2 weeks by the physician

  • adjust warfarin dose as per Appendix B, for both new and long term patients. 


Click the link to view the entire medical directive in detail: 


SurnameKnown ByDate Signed
BhimaniMunsifMar 15 2016 06:52:30:683AM
CejicSonnyJun 12 2015 11:09:07:407AM
CooksonChristinaApr 29 2016 09:13:11:480AM
DalesLaurenceJul 16 2015 03:43:04:540PM
FreemanTomJun 25 2015 10:09:29:033AM
GrushkaDanielJun 16 2015 08:54:08:640PM
HammondJo-AnneJun 12 2015 06:58:20:287AM
JordanJohnJun 13 2015 03:52:58:020PM
KimGeorgeJun 17 2015 10:01:45:250PM
McKayScottJun 21 2015 09:01:45:447AM
McKeoughNancyJul 20 2015 07:00:39:747PM
Pawelec-BrzychczyAnnaJul 6 2015 12:23:45:950PM
ValiquetStaceyAug 31 2015 10:34:05:340AM
WetmoreStephenJun 12 2015 06:30:06:610AM
WickettJamieJun 30 2015 09:50:25:357AM