Administer the anticoagulant per order; for warfarin, interpret the INR and adjust per the protocol; for a DOAC, monitor renal function and adherence.
Provide daily bleeding surveillance with parameter-based escalation; after any fall/head strike, apply delayed-bleed monitoring (route to Falls).
Recognize supratherapeutic anticoagulation and active bleeding and coordinate holding/reversal and labs as ordered.
Teaching / training (to mastery)
Teach the resident/representative the anticoagulant’s purpose, bleeding precautions and warning signs, INR/diet (for warfarin) or adherence/renal (for a DOAC), interacting medications, and when to seek help, with teach-back.
Train CNAs on bruising/bleeding reporting, fall precautions, and prompt reporting of any bleeding or a fall/head strike, with documented understanding.
