SCD's and TED hose - page 2

by arkierns 50,162 Views | 30 Comments

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 effect. What does your hospital... Read More


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    I work at a rehab facility. We use SCD's at night and TEDS during the day while they are at therapy. Shoes are mandatory, or slipper socks to prevent falls. The TEDS are stocked on the unit and easy to comply with. The SCD's come from central supply. The hospital at times have been out of SCD's so we have to wait. Then the physician orders dopplers to scan for DVTs prior to using the SCDs when they finally arrive. At times there have been a couple of days with no SCDs due to lack of availabilty.
  2. 0
    I worked a med surgical unit 7 y/o--we used both.

    I changed hospitals--my unit the patients were short stay so no SCD's (couldn't tell you hospital policY)

    Current hospital either/or not both--SCD/Ted
  3. 0
    Quote from askater11
    I worked a med surgical unit 7 y/o--we used both.

    I changed hospitals--my unit the patients were short stay so no SCD's (couldn't tell you hospital policY)

    Current hospital either/or not both--SCD/Ted
    (and not TEDS)...perhaps this "image" will help you when you tell your patients about it: to me, it was like have someone massaging my legs all the time. I wanted to take them home with me. . As for the noise, well, they had run out of med/surg beds so put me on the maternity ward...needless to say, it was not the loudest noise I heard!!!

    NurseFirst
  4. 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!
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    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.
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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.
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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.
  8. 0
    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.
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    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.
  10. 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.


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