Drive-Through Anticoagulation Clinic During the COVID-19 Pandemic

J Nurse Pract. 2022 Jan;18(1):92-96. doi: 10.1016/j.nurpra.2021.08.026. Epub 2021 Sep 8.

Abstract

An innovative approach to anticoagulation management during the COVID-19 pandemic was used at our center that allowed patients to stay in their vehicle while our anticoagulation advanced practice registered nurse obtained blood for point-of-care international normalized ratio (INR) testing while education and counseling were completed. A significant improvement in the median percentage of INR within the therapeutic range was observed among the patients who used the drive-through clinic. A small group of patients improved compliance to anticoagulation monitoring. Clinical care models, such as this clinic approach may improve patient compliance and adherence to anticoagulation beyond the pandemic needs.

Keywords: COVID-19 pandemic; anticoagulation management; drive-through clinic; point-of-care monitoring.