Monday, April 23, 2007

E-Journal Club #2

Deep Vein Thrombosis in Hospitalized Patients: A Review of Evidence-based Guidelines for Prevention

Kehl-Pruett, Wendy ARNP, MSN, CCRN

Dimensions of Critical Care Nursing, Volume 25(2), March/April 2006, pp 53-59

Author’s Abstract

“Deep vein thrombosis affects many hospitalized patients because of decreased activity and therapeutic equipment. This article reviews known risk factors for developing deep vein thrombosis, current prevention methods, and current evidence-based guidelines in order to raise nurses' awareness of early prevention methods in all hospitalized patients. Early prophylaxis can reduce patient risk of deep vein thrombosis and its complications.”

I originally found this article too simplistic, since at our hospital we utilize the “vent bundle” concept in which anticoagulation therapy and compression teds are highlighted at our unit rounds which take place each day, usually day shift and night shift. Does your unit utilize “unit rounds”?

The “unit rounds” we have for both night shift and day shift seem to be the best way we have to disseminate evidence based practice, from all participants of the healthcare team. It is also the best way to educate and remind staff of a process, old or new, that we intend to focus on until it is accepted practice. Some of our physicians order both the stocking TEDS as well as the compression teds. Is this overkill?

1 comment:

Anonymous said...

Thanks for the article. I agree that it is simplistic yet pertinent to our rounds and practice.