Coumadin Clinic

If you have been prescribed Coumadin (warfarin) or another anticoagulant to reduce your risk of developing a blood clot, you’ll need to manage your dosage carefully to avoid complications. The Coumadin (Anticoagulation) Clinic at Fairview Mesaba Clinics-Hibbing is designed to help you manage your Coumadin dosing, understand the reasons you’re taking the medication, and reduce your chance of developing complications.

The Coumadin Clinic uses a finger-stick method of analysis, which eliminates the need for uncomfortable blood draws. The INR/Protime result is available within two minutes, and if your Coumadin dose needs to be adjusted, we can do it right away.

A registered nurse specially trained in anticoagulation therapy manages your treatment, working in coordination with your health care provider. At each visit, the nurse will review your lab reports, your current medications, and your medical condition.

For questions about our Coumadin Clinic, contact our office located in the Fairview Mesaba Clinics- Hibbing at 218-362-6845.

Coumadin Clinic Patient Instructions

Warning Signs

Call the Coumadin Clinic right away if you are experiencing any of the following:

  • Persistent bleeding from a cut (lasting longer than 10 minutes)
  • Increased or unusual menstrual flow or vaginal bleeding 
  • A nosebleed that won’t go away 
  • Coughing up blood
  • Red or dark urine 
  • Unusually severe headache, or one that won’t go away
  • Unusual weakness or fatigue 
  • Any fall or injury 
Tips on Taking Anticoagulant Medications
  • Take your Coumadin (warfarin) or other anticoagulant medication in the evening at about the same time every day. 
  • If you forget to take a dose, take it as soon as possible the same day. 
  • If you skip an entire day, do not take a double dose. Tell the nurse at the Coumadin Clinic at your next visit. 
  • If anyone changes your daily medications in any way – even adding an antibiotic or an over-the-counter medication, please notify us. 
  • Keep your medications away from children. 
Special Instructions
  • To reduce your risk of injuring yourself:
    • Always wear shoes.
    • Place a nonskid mat in your bathtub.
    • Shave with an electric razor.
    • Wear gloves for gardening and similar activities.
    • Use a soft toothbrush. 
  • Remember to keep your Coumadin Clinic visits. If your blood tests show your blood isn't clotting at the appropriate rate, your medication dosage may need to be adjusted. 
  • Have laboratory work drawn when scheduled. If you are unable to make it on the day scheduled, please notify the Coumadin Clinic. 
  • If you need surgery or dental work done, please notify the Coumadin Clinic. 
  • If you plan to travel for an extended period of time, please notify the Coumadin Clinic.
  • Make sure that you let your other health care providers know you are taking Coumadin (warfarin). 
  • Wear a Medic Alert tag or card, identifying yourself as a warfarin user. 
  • Check with your doctor before beginning any strenuous exercise program. Avoid risky activities-for example, rough-housing with children or pets. 
  • If you are female and considering becoming pregnant, think about delaying your pregnancy. Coumadin can harm fetal development. Discuss this with your physician. 

Coumadin Clinic
Fairview Mesaba Clinics- Hibbing
3605 Mayfair Ave., Hibbing, MN 
218-362-6845 or 1-888-870-8626 ext. 6845.