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1 Running Head: POLICY DEVELOPMENT FOR SAFE SEQUENTIAL Policy Development for Safe Sequential Compression Device Use in Surgery Nursing 409 December 3 rd , 2018 Improper use of the sequential compression device (SCD) can lead to adverse events affecting surgical patients, it would be in the University of New Mexico Hospitals (UNMH) best
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2 Running Head: POLICY DEVELOPMENT FOR SAFE SEQUENTIAL interest to develop a written policy and procedure, as well as provide surgical team members with education, training, and competency verification. Venous thromboembolism (VTE), defined as either a deep venous thrombosis (DVT) or pulmonary embolism (PE), is a preventable cause of postoperative morbidity and mortality (Albadawi, et al., 2017). Literature verifies establishing an organization-wide protocol (such as, policy and procedure) can prevent less than optimal outcomes in regards to VTE formation and decrease mortality and morbidity. The structure of UNMH, in addition to its mission, vision, and philosophy is fortified to support this change. There are several considerations that need to be considered when establishing a policy and procedure within the UNMH organization that include: completing and presenting an evidence-based project (EBP), cost to train and educate staff, and time to complete all of the recommendations and requirements. In the end, the process of developing a surgical policy and procedure, as well as preparing and educating surgical staff will integrate teamwork, implement a vital policy and procedure, allow surgical staff to provide competent care and ensure better outcomes for all surgical patients. Issue Currently, UNMH surgical services does not have a written policy and procedure to indicate proper use of SCD’s during surgical procedures. There is also no additional education, training or competency verification that is offered to surgical staff that are responsible for operating SCD's, which are imperative in patient care. There are many parties involved and affected by the lack of a proper policy and procedure; patient, family, surgical team members and other health care staff and personnel. The lack of a readily available policy and procedure and uneducated staff can result in miscommunication, unknown responsibilities, and unsafe safety checklists that lead to minor and/or major complications that negatively affect patient outcomes.
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3 Running Head: POLICY DEVELOPMENT FOR SAFE SEQUENTIAL In the literature it is verified that DVT is a preventable cause of morbidity and mortality which affect many individuals each year. There are many factors associated with DVT and PE formation. Virchow’s Triad distills the multitude of risk factors for DVT into three basic elements favoring thrombus formation: venous stasis, vascular injury, and hypercoagulability (Albadawi et al., 2017). In the operating room, patients are anesthetized and can stay lying in one position for several hours, improper SCD use in the operative setting can result in DVT and/or PE. Although the prevention of DVT and PE should be a priority of the entire health care system,
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  • Spring '18
  • UNMH, Van Wicklin

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