Armor, Rachel L., BSN, RN

Brewer, Elizabeth A., BSN, RN

Fidishum, Ashley M., BSN, RN

Pavlovsky, Elizabeth A., BSN, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingSequential Compression Device Education in Post-Operative Spine PatientsAshley M. Fidishum BSN, RNLehigh Valley Health Network, ashley_m.fidishun@lvhn.orgElizabeth A. Brewer BSN, RNLehigh Valley Health Network, elizabeth_a.brewer@lvhn.orgElizabeth A. Pavlovsky BSN, RNLehigh Valley Health Network, elizabet_a.pavlovsky@lvhn.orgRachel L. Armor BSN, RNLehigh Valley Health Network, rachel_l.armor@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtFidishun, A., Brewer, E., Pavlovsky, E., & Armor, R. (2015, November 6). Sequential Compression Device Education in Post-OperativeSpine Patients. Poster presented at LVHN UHC/AACN Nurse Residency Program Graduation, Lehigh Valley Health Network,Allentown, PA.© 2014 Lehigh Valley Health Network Lehigh Valley Health Network, Allentown, Pennsylvania Sequential Compression Device Education in Post-Operative Spine Patients • Within the hospital environment, research has shown that DVT prophylaxis decreases the occurrence of deep vein thrombi among patients – Within 30 minutes of applying sequential compression devices (SCDs) , the formation of clots can be prevented.  – However, within 10 minutes of cessation of SCD use, effects return to baseline. This indicates that best use of the devices is to wear them continuously to prevent DVTs in the hospital setting.   • DVT events occur in 117 out of 100,000 people in the general population   • Surgical patients have an increased risk of DVTs – Surgical patients have a 29-60 percent chance of developing DVTs during the immediate post-operative period – Anticoagulation therapy such as heparin is often contraindicated in this population due to risk for bleeding – Population often sedentary due to pain, leading to increased risk for deep vein thrombi  • Nurses are the frontline of SCD use as they are most likely to encourage patient compliance in addition to having the opportunity to educate post-operative spinal patients on benefits of continued SCD use.  • RNs filled out a questionnaire on every shift with each post-operative spinal patient on 7ANS to determine SCD use – Selected RNs were part of a focus group that provided education to patients using a standard education sheet with specific points while all other RNs provided no educational intervention   • Education focused on benefits of SCDs as well as risks of non-compliance.   • Study took place over 2 week period. At the end of the study period, data was compared between patients who received no education to those that received the standard education.  – Purpose: to determine if education increased compliance in SCD use • Education provided by the focus group led to a 20 percent increase in compliance with SCD use.   • Education provided to patients  was extremely well received  – Patients in the educational group expressed support and desire for education to continue throughout hospitalization.   • There were fewer patients in the educational group (n = 12) versus the control group (n = 36) , there were also fewer educators in the focus group as compared to overall staff on the floor.  – Additionally, some crossover is believed to have occurred since patients were assigned to both members of the focus group as well as general floor staff (the control group) Ashley Fidishun, BSN, RN; Elizabeth Brewer, BSN, RN; Elizabeth Pavlovsky, BSN, RN; and Rachel Armor, BSN, RN Background Process Results REFERENCES     Ashworth, S.C. (2014). Ask the Experts: Sequential Compression Devices and  Clots. Critical Care Nurse, 34. 68-69      Bockheim, H., McAllen, K., Baker, R., & Barletta, J.F. (2009). Mechanical prophylaxis to prevent venous thromboembolism in surgical patients:  A prospective trial evaluating compliance. Journal of Critical Care, 24. 192-196      Caple, C. & Schub, T. (2015). Evidence-Based Care Sheet: Deep Vein Thrombosis – Prevention. Cinahl Information Systems. 1-4.       Kakkos, S.K., Caprini, J.A., Geroulakos, G., Nicolaides, A.N., Stansby, G., &  Reddy, D.J. (2011). Combined intermittent penumatic leg compression   and pharmacological prophylaxis for prevention of venous thromboembolism In high risk patients (Review). The Cochrane Collaboration. 1-35.       Stewart, D., Zalamea, N., Waxman, K., Schuster, R., & Bozuk, M. (2006). Prospective Study of Nurse and Patient. The American Surgeon, 921-923.       Koo, K.H., Choi, J.S., Ahn, J.H., Kwon, J.H., & Cho, K. (2013). Comparison of  Clinical and Physiological Efficacies of Different Intermittent Sequential Pneumatic Compression Devices in Preventing Deep Vein Thrombosis: A Prospective Randomized Study. Clinics in Orthopedic Surgery. 468-475.        

Sequential Compression Device Education in Post-Operative Spine Patients

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1586&context=patient-care-services-nursing

Sequential Compression Device Education in Post-Operative Spine Patients

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