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Air Force Medical Service, AFMS, Trusted Care Anywhere for treatment of acute VTE, as well as during "bridge therapy" when warfarin is temporarily held prior to invasive procedures. See more on heparin in Section 4. WARFARIN Warfarin is the primary agent for anticoagulation in the BOP. • Warfarin therapy must be individualized and closely monitored. Warfarin is among the top 10CLINICAL PHARMACIST COMPETENCIES ACCP variety of institutional and ambulatory care settings are viewed by other health professionals as essential to ensuring rational medication use. To achieve the ACCP’s vision, the profession must ensure that there will be an adequate supply of appropriately educated and skilled clinical OAC following an informed discussion between the clinician and the person about the risks and benefits of warfarin compared to a . DIRECT. oral anticoagulant (D.Pharmacogenetic tests are intended to provide the healthcare practitioner and patient with additional information when selecting drug treatments and dosages. For a better understanding, patients may want to consult with a genetic counselor prior to and after having a pharmacogenetic test performed.