Teds and SCD's?

I think Mary probably did the right thing. Sounds like the pt needed all the help she could get. Most of our Gynae pts get TEDS as standard with SCDs for longer ops.

according to a study done by orthopedic surgeons, elastic antiembolism stockings were actually linked to causing emboli in immobile patients. study recommended scd's while in bed / sitting -- stockings fine for ambulatory patients.

Can you provide the details of this study please?

We rarely use TEDs (I honestly don't remember which surgeon/specialty does and when) But I would have definately used the SCDs... obese+smoker+stirrups (if used) Sometimes a diagnostic lap takes longer than expected, too. I've had a few arguments with other circs too- "But they're not on the pref sheet/ But they're not ordered" I was taught it's a nursing measure and I'm not above going a step further than the orders to keep my pt safe.

Can you provide the details of this study please?

i will look among my notes, etc. in the meantime, i hope that someone else details / link. it goes back probably about 5 years.

At my hospital, TEDS and SCDs require a doctors order. In surgery we have a list of surgeons (lots) that want them on all cases, no matter how quick. Those we write a verbal order for. Other surgeons just order on a case by case basis, usually they say no on short cases. I wouldn't bother arguing with another nurse about this, just ask the surgeon if he wants to order them or not.

Thanks for the input-all of our general surgeons like teds and scd's on their cases(except for I&D's or other quick cases). Mary didn't start the argument, the other nurse did. She's not that great of a nurse and she is rough on the newbies.

psalm 55,

If you happen to run across that info I would love to see it. At my past facility, we didn't use scd's and teds nearl as much as the facility I am at now does. For cystos on 35 yr old low risk pts? C'mon.....

I am trying to touch base with one of the GYN Attendings at my old place that was very up to date on dvt research and prophylactic use of devices in the perioperative setting. He drew the line at knee high's in high risk pt's.

Also, many of our General Attendings gave heparin pre-op if it wasn't contraindicated instead of hose and scd's.