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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

60
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Reducing Venous Thromboembolism Risk Through a Collaborative Team Approach.

Melissa LeCuyer1, Victoria Nyman2, Frances Sykes2

  • 1Northwestern Medicine Valley West Hospital, Sandwich, IL.

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|April 30, 2021
PubMed
Summary

Implementing a collaborative team approach significantly reduced venous thromboembolism (VTE) rates post-surgery. This strategy enhanced patient safety and care quality by focusing on best practices and shared decision-making.

Keywords:
evidence-based practiceinterdisciplinary collaborationnursing autonomynursing protocolrisk assessmentvenous thromboembolism (VTE)

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Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Surgical Outcomes

Background:

  • Venous thromboembolism (VTE) is a significant, preventable cause of surgical mortality.
  • VTE is linked to increased healthcare costs and adverse patient outcomes.
  • Effective VTE prevention strategies are crucial for surgical patient care.

Purpose of the Study:

  • To detail a collaborative, interdisciplinary strategy for reducing VTE incidence in a healthcare organization.
  • To enhance the quality and safety of surgical care through VTE rate reduction.
  • To outline a model for organizational VTE prevention.

Main Methods:

  • An interdisciplinary team conducted a literature review to identify VTE best practices.
  • Key areas of focus included risk assessment, nurse-driven protocols, and interdisciplinary collaboration.
  • Implementation of evidence-based initiatives was guided by shared decision-making principles.

Main Results:

  • A sustained decrease in the organization's VTE rate was achieved.
  • The VTE rate has remained below the established benchmark for over 18 months.
  • Improvements targeted the patient safety indicator-12 for perioperative pulmonary embolism/deep vein thrombosis.

Conclusions:

  • An interdisciplinary committee successfully reduced VTE rates through strategic initiatives.
  • The findings underscore the effectiveness of best practices implemented via shared decision-making and autonomy.
  • This collaborative approach demonstrates a significant positive impact on patient safety and care quality.