Are RNs in Ohio allowed to adjust Coumadin based on POCT results?

[Nurse Beth, MSN]

It is important to note that you cannot prescribe Coumadin or make any changes to its dosage without proper authorization (that would be prescribing). However, you can administer a dose change according to a standardized protocol provided by a healthcare provider.

It's essential that you are not prescribing, you are only administering, which is allowed. To avoid any confusion or complications, it's essential to get a clear policy from your employer.

Additionally, I have contacted the Ohio Board of Nursing to inquire about any other regulations and will update you once I receive a response. You can also reach out to them directly for any further information.

[JKL33]

As above. Can't think of a reason why you would be disallowed in Ohio from following an order protocol. Should be no different than any other order/protocol such as giving sliding scale insulin or adjusting a heparin gtt, etc.

[angelrn1]

Yes if there is a standard order /protocal for adjusting the dose but.....I always call the doctor tell him the lab results and what dose I am adjusting to.. never hurts to cross your t and dot your eyes so all on same page esp with drugs like blood thinners.

[subee, MSN, CRNA]

Nurses in my area of the woods cover the Coumadin clinic  but they are always NP's.

[toomuchbaloney]

subee said:

Nurses in my area of the woods cover the Coumadin clinic  but they are always NP's.

In the Alaska interior the Coumadin clinic is covered by pharmacists.