Prevention Of Venous Thromboembolism (VTE)

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.
#Responsible Personsteps
1PhysicianA- 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.
2SurgeonConfirm appropriate peri-operative prescription of both pharmacological and mechanical prophylaxis where indicated.
3NursesA.       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.