SCD's and TED hose - pg.2 | allnurses

SCD's and TED hose - page 2

I work at a VA hospital and it is common practice for our MD's to order sequential compression devices and TED hose to be used simultaneously. From the research I have done, there is no additive... Read More

  1. Visit  sunfirebsn profile page
    0
    That is what I told some of my pts on ortho about the SCD's NurseFirst! lol Some of them agreed it was like a massage and others said like a BP cuff around their legs! I have seen SCD's & TEDS used alot together where I went to school on the ortho floor. Some complained their legs were hot and felt itchy when having both on. The pts didn't usually complain alot about the TEDS, probably the SCD's more. On numerous times, I would find the SCD's on the bed or floor not attached to the pt., sometimes it was a case of not being reattached or the pt refusing to have them put back on. Guess it depends on the pt!
  2. Visit  lapappey profile page
    0
    We always, always, always use both. I never really questioned it, but I have actually seen the research that says it's not necessary to. Another sacred cow? Who knows. A lot of surgeons really like them, even, I would say, order them to excess. I guess there's no real harm barring pre-existing clots, but it sure is obnoxious to the pt...

    By the way, have y'all seen the research that one SCD is as good as two? Interesting.
  3. Visit  begalli profile page
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    We used to use both teds and scds until the last 6-8 months. Now we use just scd's. This is CTICU.
  4. Visit  arkierns profile page
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    Quote from lapappey
    We always, always, always use both. I never really questioned it, but I have actually seen the research that says it's not necessary to. Another sacred cow? Who knows. A lot of surgeons really like them, even, I would say, order them to excess. I guess there's no real harm barring pre-existing clots, but it sure is obnoxious to the pt...

    By the way, have y'all seen the research that one SCD is as good as two? Interesting.
    No I have not seen anything about this. Would you know where I could see that research? I would be very interested.
  5. Visit  arkierns profile page
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    I have heard of a new product that may dramatically improve compliance with SCD's. It runs on a battery and goes around just the feet. Research has also shown that SCD's on the feet are just as effective as calf or thigh high SCD's.
  6. Visit  Marie_LPN, RN profile page
    0
    Oooooh, we have one surgeon that orders the thigh-high TEDS, the thigh-high SCD leggings AND the booties.

    I feel REEEEEEEALLY sorry for his pts. when they had to pee. I used to put a bedpan in their bathrooms, just in case they felt they weren't going to make it before i got them unhooked.
  7. Visit  Marie_LPN, RN profile page
    0
    Quote from arkierns
    I have heard of a new product that may dramatically improve compliance with SCD's. It runs on a battery and goes around just the feet. Research has also shown that SCD's on the feet are just as effective as calf or thigh high SCD's.
    I know what you're talking about, but i can't think right off-hand who makes it. The pt. supposedly can walk around with the devices on, but where the tubing comes out at, not to mention there was a big length of the tubing, it wasn't realistic for them to walk in it. Too much of a risk for tripping and falling.
  8. Visit  suzanne4 profile page
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    What you are referring to are called Kendall Foot Pumps. They are blue and wrap around the foot held in place with velcro. They are not made to walk around in, and should be removed before getting the patient up. I have used them in the OR quite a few times on leg cases. Nice thing about them is that you can turn on just one side, also they work well when the patient is quite large and the SCDs won't go around the leg properly.

    Hope that this helps.........
  9. Visit  Marie_LPN, RN profile page
    0
    There's now a leg-sleeve device that comes with a battery pack that you can walk around in.

    The same company said the same thing about their footie version, but that's just as dangerous as their leg-sleeved one.
    Last edit by Marie_LPN, RN on Feb 5, '05
  10. Visit  NurseFirst profile page
    0
    Quote from Marie_LPN
    Oooooh, we have one surgeon that orders the thigh-high TEDS, the thigh-high SCD leggings AND the booties.

    I feel REEEEEEEALLY sorry for his pts. when they had to pee. I used to put a bedpan in their bathrooms, just in case they felt they weren't going to make it before i got them unhooked.
    My SCDs were from my ankles to my hips. It was the SCDs on the thighs that I found particularly nice. I have to admit that it did immobilize me...but I wasn't going anywhere: pca, pulse ox, 0-2, foley (thank god!) and abdominal surgery (so, sleeping bowels!). When they wanted me to get up and walk they just unhooked the hoses.

    NurseFirst
  11. Visit  TishLN profile page
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    There's some controversy about SCD's on the Spinal Cord Injury Unit at the VA where I work. Some staff think that the part that inflates belongs on the posterior foreleg, others think it belongs anteriorly. I will not divulge my opinion in order to not effect responses. Thanks.
  12. Visit  becauseicare profile page
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    This is from the little experience I have with SCDs, having the part that inflates on the posterior side seems to make sense b/c the muscles are on the back on the leg. SCDs are suppose to promote circulation in pt. who are unable to ambulate enough to stimulate the circulation on their own.
  13. Visit  arkierns profile page
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    The reason SCDs work is that they compress striated muscle which causes the muscles to produce nitrous oxide into the circulatory system. The nitrous oxide is a great vasal dilator which helps prevent blood clots. This is why SCDs are also effective when used on the arms, even one arm or one leg. Therefore the inflatable part should be used over the posterior part of the leg over the muscle.


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