VTE Case Study

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“The risk of VTE is significantly increased in patients who are hospitalised after trauma, surgery or immobilising medical illness, and also in pregnant and puerperal women, and DVT is common in such individuals.” (Scottish Intercollegiate Guidelines Network, 2010, p. 2) So my primary goal is to learn how to prevent Venous Thromboembolism for post-surgical patients and be familiar with the different guidelines set in the UK and in the hospital that I am working in.

I decided to choose this topic because, in the hospital that I came from, VTE is not given much importance especially in patients who just came from surgery or patients who has not mobilized for a long period of time. This may be due to the fact that VTE prophylaxis treatments there
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According to NICE (2010) “A UK survey suggested that 71% of patients assessed to be at medium or high risk of developing deep vein thrombosis did not receive any form of mechanical or pharmacological VTE prophylaxis”. The guideline emphasized the need for mechanical or chemical prophylaxis especially for post-surgical patients because these are the patients who have significant reduced mobility and are much more at risk. But of course, the guidelines also emphasized the importance of assessing which patients may need either chemical or mechanical prophylaxis. “All adult patients admitted to (Name Withheld) will be individually assessed on admission for their risk for VTE and bleeding using the (Name Withheld) VTE risk assessment tool.” (NHS Trust Policy, Name Withheld, 2014) So, during my exposure to the ward, I have seen my mentor and other staff nurses do the Assessment forms for VTE and how it is part of the hospital policy to always measure the legs of the patient and provide TED stockings upon admission unless it is contraindicated, and tried doing these forms and do the interview with the supervision of my mentor, so that I can experience how to accurately gain information about the VTE risks of …show more content…
During one of my shifts, a patient came from Recovery Room and in the post-surgery notes, the surgeon said that the patient be placed on Flowtrons. This is the first time that I was able to see this specific device so I asked my mentor why the surgeon ordered this and I found out that this is used to provide intermittent compression to stimulate the flow of blood through the deep veins. Then the staff nurse would also check if the patient was prescribed any chemical prophylaxis like Enoxaparin. If it was not prescribed, it is part of the nurse’s job to check and confirm with the doctor if the patient does or does not need it. The only time I saw that the patient did not have any TED stockings or chemical prophylaxis like Enoxaparin was when the patient had wounds in their legs, oedematous legs or if the patient has a wound drain or is bleeding. According to a study by Kakkos et al., (2008), using 2 types of VTE prophylaxis is more effective in reducing the incidence of VTE compared to single

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