Anticoagulation Service

The Anticoagulation Service is an outpatient program of Staten Island University Hospital, which was established for the purpose of managing and ensuring high quality care to patients requiring anticoagulation therapy.

Anticoagulants are the drugs of choice for the treatment and prevention of many blood-clotting disorders including venous thrombosis, pulmonary emboli, mechanical heart valves, embolic stroke, atrial fibrillation and certain thrombophilias, both underlying like Factor V Leiden and temporary, like surgery.

The Nurse Practitioners, collaborating with their Medical Director, will manage the therapy with the patient. The Nurse Practitioners (NPs) are registered nurses (RNs) who are prepared through advanced education and clinical training leading to a Masters' degree and National Board Certification. They diagnose and treat medical conditions and therefore, provide a wide range of preventative and acute health care services to individuals of all ages. NPs practice in all 50 states.

Benefits of a Nurse Practitioner Model Anticoagulation Service

Your NP will perform a health history and physically assess health conditions to best individualize safe anticoagulation management

  • Your NP will make necessary referrals to other health care professions as needed.
  • Your NP obtains the INR by a simple finger stick and the results are discussed immediately with you.
  • Your NP adjusts the warfarin dose at the time of the finger stick, if necessary, according to the ACCP National Guidelines.
  • Your prescriptions for appropriate anticoagulation are provided when needed by your NP.
  • Patients receive comprehensive education regarding anticoagulation therapy including use, administration, adverse reactions to be aware of, interaction of with dietary intake of Vitamin K, other medications, including herbs and your health status can affect anticoagulation therapy.
  • The Nurse Practitioner will consult with you and your physician, dentist, ophthalmologist, surgeon and other health care professionals as to when and if you can safely start and stop your anticoagulation when necessary.
  • Your referring physician will receive a progress report after each visit, on how your therapy is being managed.
  • This holistic, comprehensive approach to the management of anticoagulation therapy help prevent complications through increased understanding, communication, anticipation of potential issues and close monitoring.

    Come Meet Us:

    Anticoagulation Service
    Nalitt Institute for Cancer & Blood-Related Diseases
    256C Mason Avenue, 1st Floor
    Staten Island, N.Y. 10305
    Program Manager:
    Maureen Howard, APRN, BC
    Phone: (718) 226-6231
    E-mail: mhoward@siuh.edu