Wednesday, March 2, 2011

Clot Prevention After Surgery

Earlier today, I received a new post laparoscopic appendectomy patient from recovery room and immediately assessed the patient and monitored for stability of the patient's condition. I always make sure to apply anti-embolism stockings and sequential compression devices (SCD's) to all my post operative patients as preventive measures for clot formation. It is of great importance in my nursing profession to prevent possible complications of surgery and one thing to avoid is clot formation. Deep vein thrombosis (DVT) and embolus are common complications of patient after surgery and may even lead to death if not prevented. Blood clot and embolus are absolutely preventable. The use of anti-embolic stockings and sequential compression devices is important in preventing such post operative complications. Certain nursing considerations need to be observed when applying these clot prevention measures such as the right stocking size to be applied and frequent observation of the neurovascular status of patient's extremities. Ensuring patient safety is important in applying any mechanical devices for the patients and so making sure SCD machines are functioning properly is great concern. Administering prescribed anti-coagulation at appropriate time such as heparin and lovenox as DVT prophylaxis is another effective way of preventing clot formation in patients after surgery. Adhering to hospital policies and procedures are vital to ensure patient safety and this includes the proper way of applying anti-embolism stockings and sequential compression devices for clot prevention.

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