Venous thromboembolism (VTE) is a disease includes deep venous thrombosis (DVT) and pulmonary embolism (PE) and is a significant potential health complication for hospitalised patients. Serious adverse outcomes may occur, including an increased risk of recurrent thrombosis, morbidity from post thrombotic syndrome or death.
- All patient 18 years and above admitted to the Hospital, must be assessed for risk of VTE.
- Day cases surgeries are excluded from VTE risk assessment.
- Patients identified at risk of VTE should receive preventive measures most appropriate to that
risk and their clinical condition.
|PREVENTION OF VENOUS THROMBOEMBOLISM (VTE)|
|1||Physician||A- VTE risk assessment is performed to all patients 18 years and above who admitted.
|B- Review the patient's related risk score and based on that assessment; ensure prescription and administration of appropriate prophylaxis as required.|
|C- Discuss the reason for treatment, risks and consequences of VTE prophylaxis with the patient on admission.|
|D- Document of the prophylaxis treatment including any relevant dosage adjustment in the patient's medical record.|
|E- VTE Risk Factor Assessment Form should be completed upon admission.|
|F- All patients who develop a VTE during hospitalization must have the incident documented in the patient's medical record and a completed report through E-OVR.|
|2||Surgeon||Confirm appropriate peri-operative prescription of both pharmacological and mechanical prophylaxis where indicated.|
|3||Nurses||A. Ensure VTE risk assessment and prophylaxis measures are ordered by the treating physician.|
|B. Ensure ordered VTE prophylaxis measures are in place.|
|C. Continue ongoing monitoring of the patient for relevant signs and symptoms of VTE.|
|D. Assess patient and families awareness on VTE prophylaxis measures.|
|E. Refer the patient to patient educator and pharmacy|
|F. Encourage early ambulation unless contraindicated.|