VTE Prophylaxis: Implementing EBP to Enhance Knowledge and Compliance with Core Measures and Reduction in PSI 12

Abstract

4 VTE Prophylaxis: Implementing EBP to Enhance Knowledge and Compliance with Core Measures and Reduction in PSI 12 Pamela Mahaffey, DNP, ACNS-BC, RN, Capital University and Ohio Health, Circleville, OH Every hospitalized patient has increased risk for the development of vascular related complications; indeed, patents that have surgical interventions, trauma or prolonged bedrest have additional risk. This presentation will review the process of care and implementation of evidenced based strategies that were executed to decrease deep vein thrombosis (DVT) and pulmonary embolus (PE) and subsequently improve patient outcomes at a level 1 trauma center urban hospital. In addition, the core measures for VTE prophylaxis will be reviewed as well as the patient safety indicator (PSI) 12 which is post-surgical DVT/ PE. A hospital wide inter-disciplinary team formed to identify contributing factors and ultimately implement strategies to decrease the number of post-surgical DVT/PE cases. A preassessment with staff nurses was conducted and strategies comprising: journal club, management rounding and bedside report to review daily VTE prophylaxis were incorporated. A data collection tool was developed and the unit educator, evidence based practice (EBP) mentor and management team began weekly random assessments regarding VTE prophylaxis measures. Case studies will be presented to review the strategies and the vascular nurse’s role to assure good patient outcomes and a reduction in preventable DVT/PE. The sustainability of strategies include the importance of knowledge and enculturation among interdisciplinary staff. The steps taken to achieve this will be shared.