Background: Venous thromboembolism (VTE) is a significant hospital-acquired complication. Initiatives directed towards reducing hospital-acquired VTE require close consideration of how VTE prophylaxis is administered to patients.
Aims: To explore current nursing practices associated with the administration of VTE prophylaxis which could be targeted as part of a hospital district VTE stewardship program.
Methods: An electronic survey was designed to ascertain:
1) the level of self-assessed nurse knowledge and confidence in determining VTE prophylaxis appropriateness,
2) frequency of VTE prophylaxis education provision to patients,
3) patient education resource availability and
4) current mechanical VTE prophylaxis practices.
A convenience sample of nurses working on inpatient wards completed the survey during a World Thrombosis Day health promotion across a Sydney metropolitan hospital district.
Results: One hundred surveys were completed across three teaching hospitals on October 16th 2020. A majority of nurses agreed or strongly agreed they had the knowledge to determine the appropriateness of VTE prophylaxis (94%) and had the confidence to discuss appropriateness with the prescribing team (89%). Provision of VTE prophylaxis education to patients often or always occurred for 76% of respondents. Most commonly used education aids were pamphlets (32%), hospital intranet resources (14%) and video (12%). Almost half of the respondents (42%) reported no access to educational resources to support patient education on the ward. Upon refusal of VTE prophylaxis, most respondents would provide patient education (77%) and notify the prescribing team (73%), only 23% would document in the patient notes. A majority of nurses (65%) agreed or strongly agreed that nursing staff could administer mechanical prophylaxis without a doctors order. Lack of patient compliance with mechanical prophylaxis was highlighted as a major practice issue.
Conclusions: Educational toolkits focusing on patient refusal and mechanical prophylaxis could be developed through our VTE stewardship program to enhance future service delivery and patient compliance with VTE prophylaxis.
To cite this abstract in AMA style:Chong J, Gad F. An Exploration of Venous Thromboembolism (VTE) Prophylaxis Administration Practices across a Hospital Network [abstract]. Res Pract Thromb Haemost. 2021; 5 (Suppl 2). https://abstracts.isth.org/abstract/an-exploration-of-venous-thromboembolism-vte-prophylaxis-administration-practices-across-a-hospital-network/. Accessed December 7, 2021.
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