Anti-Xa Monitoring

This online module is provided in partnership with Swedish Pharmacy Education.

The goal of this online module is to provide participants with the information about Anti-Xa monitoring. Anti-Xa monitoring will be used instead of aPTT as the standard of care at Swedish Medical Center to manage intravenous unfractionated heparin (UFH) infusions by clinical pharmacists.  The evidence-based protocol provides a decision support framework and has shown to improve outcomes, decrease cost, and have greater provider satisfaction. Monitoring with anti-Xa achieves therapeutic anti-coagulation more rapidly, maintains the values within the goal range for a longer time, and requires fewer adjustments in dosage and repeat tests. This module will provide pharmacists and providers with important updates to clinical care processes to ensure consistency in care and that new hospital protocols are followed.  See the "CME Info" tab below for more information.

Target Audience

Any Swedish Medical Center or Swedish Medical Group physician, pharmacist or medical staff member.  Currently this module is not available for outside providers.

Online Module

To complete this course and claim credit a score of 80% on the quiz questions throughout the module is required. Register for and access the module via the blue "Start Module" button below.  You will be required to register for the course to access the module.  The link to the module will be at the bottom of the registration confirmation page.  *Please note you will not receive credit or a certificate for this program if you do not continue the steps after passing the module/quiz, listed below.  Additional relevant instructions can be found at the bottom of our CME Portal website.


After completing the online module and quiz, you will be directed to:

  • Click on the Next button to be directed to the CME Portal and evaluation of this activity
  • Log-in again using your CME profile information
  • Complete the course evaluation
  • Claim CME/Completion credit and print your certificate. If you are not able to print, log into your CME Portal to access your Transcript at any time and print your record of course completions.

CME Info

CME & CE Accreditation

Accreditation with Commendation
Swedish Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA PRA Category 1 Credits
Swedish Medical Center designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

acpe logoSwedish Medical Center Department of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education

ACPE Universal Activity Number: 0599-0000-20-002-H01-P
Activity type: Knowledge-based
CPE credits: 1.0 contact hours (0.1 CEU)

Learning Objectives

At the completion of this eLearning activity, the participant should be able to:

  • Discuss the advantages and disadvantages of monitoring heparin using aPTT and anti-Xa.
  • Describe the factors that influence the accuracy of anti-Xa monitoring. 
  • List 3 reasons that a patient may need to be monitored by PTT rather than anti-Xa.


The planning committee members and faculty have no relevant financial relationships with commercial interests to disclose.

Commercial Support

No commercial support was used in the development of this CME activity.


Additional information and resources are listed throughout the presentations in slide notes or the references sections.


Livia Hegerova, M.D.
Director of Benign Hematology Program
Swedish Center for Blood Disorders and Stem Cell Transplantation

Planning Committee

Diem Pham, PharmD
Livia Hegerova, M.D.
Kristina Croonquist, Pharmacist
Danielle Posadas, CME Specialist Sr.

Oversight:  Pharmacy Clinical Committee; Pharmacy Education Committee (via the representatives above).

General Info

This is a self-learning module requiring reading and answering questions related to the content. The learner must complete all parts in order to successfully complete the course and receive an 80% or higher on the module quiz.

View General System Requirements

Estimated Time to Complete
Allow one hour to complete the training module and exam.

Registration Fee
There is no fee to complete this module, however, you must be on Swedish Medical Staff or a Pharmacist at Swedish Medical Center.

Contact Information
Technical Questions: Swedish Pharmacy Education or Swedish CME at 206-386-2755

Important Dates
Start Date: March 12. 2020
End Date: December 31, 2022

Privacy & Confidentiality
The department of Continuing Medical Education at Swedish Medical Center is committed to protecting the privacy of those who utilize its Web site. The CME department will not release individual information about use of its site, including visitor e-mail addresses, to any third party. We will not transfer, sell or rent visitor e-mail addresses to any third party. The CME department may report general information about the activity to third parties. We will report only aggregate statistics, for instance, total number of page views, overall duration of visits, or similar aggregate data. The CME Department at Swedish Medical Center has taken reasonable steps to keep all information secure against unauthorized access and use. We will review our privacy policy regularly. Please direct any questions about this privacy statement to Swedish CME.

This learning activity is the property of Swedish Medical Center.