Venous Thromlombolism Research Paper

Improved Essays
Overview
Venous thromboembolism (VTE) is the collective term used to describe deep vein thrombosis (DVT) and pulmonary embolism (PE). What is DVT? DVT is a clot formation within the deep vasculature in the legs. What is PE? PE is a clot within the lungs which usually derives from the DVT. There are multiple risk factors for VTE including venous stasis, hypercoagulable states, immobilization, surgery and trauma, pregnancy, oral contraceptives and estrogen replacement, and malignancy. It is believed that approximately 1 million cases of VTE occur in the U.S. each year, resulting in 300,000 deaths annually, but the exact incidence of VTE is unknown.
DVT and PE, are among the most common preventable causes of in-hospital mortality, according to
…show more content…
Implementing the appropriate prevention measure can prevent the occurrence of DVT formations and reduce mortality of hospitalized patients. Utilizing an evidence-based VTE prevention guideline and improving VTE prophylaxis rates for all medical and surgical inpatients is imperative in providing the best care for those who are unable to care for themselves.
Nurses play a crucial role in preventing VTE, not only by implementing evidence-based care but also by communicating current research and recommendations regarding best care practices. VTE often is preventable through use of collaborative care pathways with the use of recommended protocols as part of safe nursing practice (Tietze & Gurley, 2014). Nursing staff can help by identifying process changes that can be instituted to prevent the failure of VTE prophylaxis implementation. These process changes can include check offs imbedded in order sets, handoffs, and electronic
…show more content…
In reviewing current policies and protocols, it was found that the use of VTE prophylaxis is considerably less than expected. Nursing staff in general are not fully educated on how to utilize the protocol and have a lack of understanding of the benefits of VTE prophylaxis. The protocol is not clearly defined and many nurses leave the decision up to the physician to order a VTE set, essentially if the MD didn’t order it then the MD didn’t want it. Also, nursing staff fail to adhere to current orders and do not act progressively to reapply mechanical prophylaxis

Related Documents

  • Improved Essays

    (Brown & Edward, 2012) DVT: Thrombosis is the homeostatic mechanism by which the blood coagulates or clots, an important process of hemostasis after the creation of the wound. Red blood cells, white blood cells, platelets are the sites of thrombus formation is the valve cusp of veins, venous stasis that allows the accumulation of blood products. The patient suffering from the symptoms of DVT or leg swelling, pain in extremity, skin redness and temperature over 38º C. If the superior vena Cava is precluded, can be symptoms of the extremities, neck, back and face.…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Rationale. The patient safety team in collaboration with the Chief Nurse of each facility established hospital teams who would be responsible for determining the need for development of new or the amendment of existing policies and procedures. Physicians, nurses, clinical engineers, respiratory therapists that practice in particular service line settings are examples of typical members of the facilities’…

    • 1691 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    "What Is VTE?" World Thrombosis Day. Web. 17 Feb. 2016.…

    • 1044 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Survey suggests that VTE prophylactics are poorly implemented within the Australian hospital, therefore putting more patients at risk. Providing evidence-based practice to improve on this current issue should raise awareness. Nurse plays a vital role in assessing if VTE prophylaxis is suitable and improving this by ensuring that the patients are getting the right treatment in prevention of VTE. By informing the patient on how VTE can be prevented and the options available, they will be more aware of how the benefit will outweigh the risk in the long term. With good clinical care and appropriate timing, methods of pharmacological and mechanical prophylaxis will promote the prevention of VTE.…

    • 511 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Cocaine Case Summary

    • 316 Words
    • 2 Pages

    The patient is a 55 year old male who presented to the ED via LEO with visual hallucinations of individuals stealing from his yard without responding to him then disappearing. The patient reports crying and being scared. During the time of the assessment The patient was alert with his daughter by his side. The patient reports that 3 days ago his pain from his many illnesses as caused him unbearable pain.…

    • 316 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Central line associated bloodstream infections (CLABSI's) are one of the most deadly healthcare associated infections (HAI's). Approximately 12-25% of CLABSI's result in death and the average cost per case is about $26,000. In recent years, between 2001 and 2009, CLABSI incidences have decreased from 43,000 to 18,000. This has saved the health care industry 3-6,000 lives and approximately $414 million in ICU's in 2009 alone. To this day, many hospitals are now reporting zero CLABSI's.…

    • 415 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Administering medications to patients is a daily task performed by almost all nurses. In the Bachelor of Nursing curriculum, the 7 rights and 3 checks of medication administration is taught, practiced and performed by all nursing students to ensure proper habits are developed. The problem occurs when health care providers are no longer under supervision of an instructor, and short cuts are acquired. These short cuts, although time saving, ultimately cause more complications for the patient and the health care system. As a group, we have found that CARNA’s Medication Administration Guideline (2016) is not being implemented or enforced as it should to prevent medication errors.…

    • 1087 Words
    • 4 Pages
    Superior Essays
  • Great Essays

    Safe Staffing in Nursing The American Nurses Association’s State Government Affairs program monitors numerous nursing and healthcare related bills each year. They assess each bill for significance of relation to current healthcare issues and trends (American Nurses Association [ANA], 2015). One of the issues being addressed in 2015 is nurse staffing. This is not a new legislative issue, as it has been reviewed for several years now.…

    • 1775 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    In recent years, our ever increasing information and technology has played a vital role in changing nursing practice. Evidence based practice (EBP) will continue to have a positive impact on the care that we provide our patients and will continue to advance our healthcare system. There have been various quality improvement initiatives that have been adopted to advance patient care and safety. In these articles, a major goal that has been identified in the hospital setting is effective preventive management of venous thromboembolism (VTE). In 2005, a healthcare research and quality improvement program recognized that assessing and identifying patients that are at a high risk for VTE is imperative in improving patient safety and outcomes (Fein…

    • 355 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Acute Pulmonary Embolism

    • 265 Words
    • 2 Pages

    Acute pulmonary embolism (PE) is a common diagnosis throughout the world. In the US it affects approximately 1 in 1000 people and ranks as the 3rd most common cause of death in hospitalized patients. More than 80% of PEs are associated with DVTs in hospitalized patients with risk factors being recent trauma, surgery, immobility or obesity. While it can be entirely asymptomatic, nearly 25% of patients are thought to experience sudden death as their only manifestation of disease.1 Because of this breadth it can be easily missed, and so the true prevalence and manifestations of this condition are not well understood.…

    • 265 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    1. Discuss the pathophysiology related to CVA due to thrombus vs. embolus. Describe the stages in the development of an atheroma. There are a few different pathophysiologies that can lead to a stroke.…

    • 1404 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Introduction Mrs Beecham’s condition requires immediate attention and frequent monitoring during hospitalisation to prevent and reduce the risk of further damage to Mrs Beecham’s future health. The risk of recurrent DVT is high post hospitalisation. Therefore, it is crucial to educate Mrs Beecham how to identify recurrent symptoms of DVT and when to seek medical attention, to discuss the complications of untreated DVT, encourage lifestyle changes, importance of continuous thrombolytic therapy and compression therapy. Recurrent DVT is influenced by risk factors such as immobility, smoking, diabetes and age.…

    • 1358 Words
    • 6 Pages
    Great Essays
  • Great Essays

    Abstract Patient safety is the absence of preventable harm to a patient during the process of health care and considered the cornerstone of high-quality health care. Nurses play an important role in that vital care. Nurses need to know what proven techniques and interventions they can use to enhance patient outcomes.…

    • 1151 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Patient safety, my last key point, aligns with the supporting resource, Professional Collaboration: Who Should Determine Safe Staffing for Nurses?" because this resource demonstrates that when there is enough staff to care for clients, the rate of mortality decreases…

    • 943 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Essay On Thrombosis

    • 398 Words
    • 2 Pages

    This may arise from prolonged bed rest, long periods of immobility, pregnancy, hormone usage, surgery and cancer (Cushman, 2007). Pulmonary embolism is a severe complication that can follow from patients who suffer from deep vein thrombosis. This form of venous thrombosis is when a fragment of the blood clot detaches and moves into the blood stream. Eventually, this fragment circulates back to the lungs, which can lead to difficulties with breathing, an increased heart rate and feeling sharp pain sensations in their chest. The annual incidence rate in the United States for venous thrombosis is approximately 1 in every 1000 adults (White, 2003).…

    • 398 Words
    • 2 Pages
    Improved Essays