Thromboprophylaxis for Medical and Surgical Patients

All patients must have their risk of venous thromboembolism (VTE) assessed at admission (+/- at pre-admission clinic) using the appropriate risk assessment tool and then regularly during their stay in hospital. A record of these assessments must be made (e.g. on the specialty-appropriate Risk Assessment sheet) and documented in the thromboprophylaxis section of the kardex.

Assess the patient within 24 hours of admission using the following flowchart and indicators as guidance and reassess risk of bleeding and VTE within 48-72 hours of admission and regularly thereafter.

Different specialty specific algorithms apply for orthopaedics, ENT and obstetrics.

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Editorial Information

Author(s): Adult Therapeutic Handbook.