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NUR 590 Week 7 Assignment; Benchmark - Evidence-Based Practice Proposal Final Paper $12.99   Add to cart

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NUR 590 Week 7 Assignment; Benchmark - Evidence-Based Practice Proposal Final Paper

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Abstract Venous Thromboembolism (VTE) can occur after major general surgery. It is one of the common cause of death in hospitalized patients in United States. There is higher risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) in the patient with cardio- vascular surgery. VTE preve...

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  • July 7, 2022
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Evidence Based Practice Proposal-Final Paper


Evidence Based Practice Project


December 23, 2020


Rita Shrestha


Grand Canyon University

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Abstract


Venous Thromboembolism (VTE) can occur after major general surgery. It is one of the common

cause of death in hospitalized patients in United States. There is higher risk of deep venous

thrombosis (DVT) and pulmonary embolism (PE) in the patient with cardio- vascular surgery.

VTE prevention is considered as a patient- safety measure in quality initiatives. In healthcare the

current culture is focused on patient safety and providing quality health care. Culture safety only

cannot create change within an organization. Venous thromboembolism (VTE) requires

coordination of care across from multidisciplinary team supported by a system that assists in the

process of delivering and tracking the care outcomes. In this paper, I have describe the measures

of VTE prevention which include mechanical methods and pharmacologic methods. I have

describe the use of the evidence- based, intervention, implementation, system support, VTE

Safety Toolkit assessment. Patients undergoing surgery should be manage according to the VTE

risk based on risk factors related disease and procedure.


Keywords: venous thromboembolism, deep venous thrombosis, pulmonary embolism,

prevention, mechanical methods, pharmacologic methods, risk stratification

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Section A: Organizational Culture and Readiness Assessment


Venous Thromboembolism (VTE) is a common and potentially life threatening condition. Deep

vein thrombosis (DVT) and pulmonary embolism (PE) are the blood clots formed. Common site

of thrombosis occur is in deep veins, which is specified risk factors and found in over 80 percent

of VTE patients. These are severe form of complications which are associated with high

morbidity and mortality. This also increase the length of stay in hospital and make costly as well

as causes of readmission. The high risk of VTE are among the general surgeries, orthopedic,

cardiovascular and abdominal surgeries. Preventing DVT and PE after the surgery is most

important. DVT/VTE prophylaxis is recommend according to the international guidelines after

immediate postoperative period after general, orthopedic and cardio thoracic surgery. The

prophylaxis include pharmacology and mechanical intervention (Sutzko, 2018). The necessitates

organizational readiness and cultural changes focused on resolving this problem. In my

organization, there is a flow sheet tab in EPIC to chart under the patient daily assessment for

head to toes assessment where nurses have to chart which VTE/DVT prophylaxis is on patient,

whether it's applied or not if not the reason need to document and notification to provider is

necessary. The protocol have been place in high standards for patient safety. There are the VTE

collaborative those who monitor on these orders. However, an implementation barrier exists

following lack of policies reinforcing these protocols. Due to lack of acceptance of standardized

protocols, policy awareness and time pressure it causes barrier in implementation.

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