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What is your unit's policy on Venodyne use for non-stat sections? Do you put them on and have them turned on during the section or do you do it immediately afterwards in recovery?Does anyone have any references for me?
Altalorraine
We put them on pre-op and keep them on throughout surgery, into recovery and until the patient is ambulating.
HEHE - i was wondering what vendoyne was too. We use what we call SCD's, which sounds like the same thing, plastic boots that inflate and deflate periodically. We put them on prior to going into surgery, they run during surgery and after until mom it up ambulating regularily. Don't think we actually have a policy, we just go by what our docs prefer - and all of them want the SCD's for at least the surgery and immediately post-op. One doc wants them on till the pt is walking out the door - a bit excessive i think.
OBNurseryRN2006
My unit now puts them everyone prior to the surgery and is supposed to use them until the pt is fully ambulatory. This is a fairly new policy -- the last year or two. Before that, we would only use them after the surgery when the doc ordered them (which they only did occasionally) -- Now, it is on our standing order sheet for c-sections. Of course, in an emergent case, we don't waste our time.
Hope this helps!
P.S. I also have never heard of Venodyne -- we just call them SCD's.
We have one Dr. who orders them, and even now not often because her pt's complain so much about them. We ambulated early in the past, but now that we are using Duramorph in the spinals, our patients are wanting to get up even sooner they feel so good! Only had 1 patient in 5 years with a DVT, and she had it before she came in. We have had a few lady partsl deliveries develop a DVT after D/C from hospital, one died en route to the Dr's office to let them evaluate "this red area on my leg".
Our standard is to have them on ALL c/s patients before, during, and after until they are able to ambulate well. It wasn't anything we did routinely until a couple of years ago when one of the docs in our largest group went through a lawsuit. Now all the other docs are following suit.
We call ours Kendalls.
Altalorraine
109 Posts
What is your unit's policy on Venodyne use for non-stat sections? Do you put them on and have them turned on during the section or do you do it immediately afterwards in recovery?
Does anyone have any references for me?
Altalorraine