{"text":"NHS GG&C RISk Assessment for Venous Thromboembollsm VTE \nTrauma and Orthopaedic surgery \nRisk Assessment should be completed for all \npatients on admission to hospital \nPatients should be reassessed every 48 - 72 \nhours or sooner if condition.changes \nAssessment.should be documented in Kardex \nProvide patient information on VTE prevention \n\" \n\u00ae \n-Ogefative patients start here \nN |I\ufb02\\\\lNlll\\lll\\llllill!\\l|\\\ufb01lll\\l\ufb02l\u201cl\\l\\l\\l\\ll\\ * \nD \n2;5:? N 03)09\/195\u2018 \n39 Rennie Road . . \nKiisyth : \nrishire \nGlasgow, Lana G65 9PQ \npu\u2014\u2014\u2014\u2014 \npp\u2014\u2014\u2014\u2014\u2014\u2014\u2014 \nU TS \nNon-operative patients start here \nT \nYes \nIs the patient bed-bound or expected to have reduced \nmobility relative to normal state for2 2 days? \nIndicators of patients at standard and increased risk o.f VTE (tick all that apply) . \n\" STANDARD RISK | INCREASED RISK No \nM Acute traumaysurgical admission L1 Critical care admission [] Varicose veins with phiebitis \nB})ehydrah\u2018on \u2018 .| L4 Obesity (BMI>30Kg\/m?) ] Current significant medical \nAge >60 years \" | \u00a3 Active cancer or cancer treatment condition e.g. \nSurgical procedure with total ] Thrombophilia \u00bb Serious Infection \nnaesthetic\/surgical time >80 minutes, or | ] Personal history or first degree relative e Heart Failure \n>60 minutes if surgery of lower limb with a history of VTE e Respiratory Failure \nQ{xnpected significant reduction in [ Pregnancy or <6 we\u00e9ks post partum s Inflammatory Disease \nmobility relative to their normal state for \nmore than 2 days - \nD Hip or knee replacement surgery or . \nother major orthopaedic elective surgery \nseek specialist advice) \nHormone replacement therapy, \ntamoxifen \n[[] Oestrogen containing contraceptive pill \n3 _ \nA Yes \u2014__ Standard\/Increased \nv Risks \nN_o.'_____..____,, \nDoes. the patlent have any bleeding risk factors? (tick all that apply) \n\u00a3 \n\u2014 \n[ JSurgery expected within the next 12 hours . \n[[surgery expected within the next 48 hours andjor risk of cllnlcally |mportant bleeding \n[Active bleeding or risk of bleeding including \ns New-onset stroke \ne Platelet count <75 x 10%\/L \n\u00a2 Acute liver failure \ne Active duodenal:ulcer or gastric ulcer \n[CIconcurrent use of therapeutic antlcoagulant \n\"_JAcute bacterial endocarditis \u2019 \n*[TJAny spinal intervention: (prophylactic enoxaparin\u2018is contmmdtcated for 12 hours before- \nspinal and epidural anaestheti\u00a2s and lumbar puncture. Enoxaparin-contraindicated for 4 \n\u2018hours after spinal and epidural anaesthetics and removal of epidural catheter.) \n[persistent cncontrolled hypertension (BP > 230\/120 mmHg) : \n[Juntreated inherited bleeding disorder (e.g. haemophilia or Von Willebrands) \n[Jspinal surgery (seek specialist advice) \nEIProllfemtlve diabetic retinopathy \nYes Bleeding \nv Risks \nv \n\u00bb Discuss with senior dinical staff before prescribing pharmacological prophylaxis \n\u00bb Consider mechanical prophylaxis e.g. AES unless contra-indicated. \n\u00bb Reassess patient every 48 hours or sooner if condition changes\u2019 . \n\u00ab Complete risk assessment resylt box at foot of page \n\u00a2 Risk assessment now complete \n\u00ab No thromboprophylaxis required \n= Complete Risk Assessment \nResuit box at foot of page \n\u201c& Continue to review every 48 \u2014.72 \n\u2018hours or sooner if condition \nchanges. \n+ Document all-assessments on \nkardex * \ne Tick to confirm [ \nNO BLEEDING RISKS \n\u00a2 Prescribe thromboprophylaxis for \n. standard\/increased risk as \n* denoted overleaf \n+ Complete Risk Assessment \nResult box at foot of page \n\u00ab Continue to review every 48 - 72 \n\", hours or sooner if-condition \nchanges \n_\u00bb Document ali assessments \non kardex \ne Tick to confirm (O \nRisk Assessment Result (tick all that apply) \nVTE Risk factors assessed \"[CIYes [INo Bleeding Risk factors assessed \nPrescribed: [IThromboprophylaxis in accordance with Table overleaf [JAES CINONE \nAssessors Name: Assessors signature: \n(PRINT NAME) \n[Oyes (o \u2019 \nPatient Informed \nDate: \n3 \n[Cdves [ No \n\u2018Information leaflet supplied [JYes DNo \nVTE RAT Ortho V.14 10\/03\/14 \n@mmmc@d \u201d\u2019pr\u00e9. Op a&Scssmet' dw\\\\(_ \ntAS{_(o[:\u2019I 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