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Keep It Moving and Remember to P.A.C. (Pharmacology, Ambulation, and Compression) for Venous Thromboembolism Prevention

Wilson, Kathleen; Devito, Dawnmarie; Zavotsky, Kathleen Evanovich; Rusay, Mitch; Allen, Megan; Huang, Stephanie

doi: 10.1097/NOR.0000000000000497
Original Articles

The purpose of this article is to describe in detail how an academic hospital system took on the challenge of deep vein thrombosis (DVT) prevention. A VTE Prevention Task Force was formed in response to an increased incidence of hospital acquired DVTs. The interdisciplinary team reviewed the literature and examined the current state of organizational venous thromboembolism (VTE) prevention to identify gaps in process, determine opportunity and approaches for practice and process improvements, and develop standardized VTE prevention protocols. The article discusses the process taken in developing a highly motivated interdisciplinary team, the implementation of a care bundle, and the highly effective educational and surveillance tools used that helped improve patient outcomes by driving down the VTE rate.

Kathleen Wilson, MSN, RN, CNL, SCRN, Clinical Nurse Educator Ortho and Neuro, Robert Wood Johnson University Hospital Somerset, Somerville, NJ.

Dawnmarie Devito, BSN, RN, CPAN, Clinical Nurse Educator Perioperative Services, Robert Wood Johnson University Hospital New Brunswick, New Brunswick, NJ.

Kathleen Evanovich Zavotsky, PhD, RN, CCRN, CEN, ACNS-BC, FAEN, Assistant Vice President, The Center for Professional Development, Innovation and Research, Robert Wood Johnson University Hospital New Brunswick, New Brunswick, NJ.

Mitch Rusay, RPh, Performance Improvement Coordinator, Performance Improvement, Robert Wood Johnson University Hospital New Brunswick, New Brunswick, NJ.

Megan Allen, MSN, RN, CCM, CCDS, Performance Improvement Coordinator, Performance Improvement, Robert Wood Johnson University Hospital Somerset, Somerville, NJ.

Stephanie Huang, BS, RN, CCRN, Staff Nurse, Cardiothoracic Surgical ICU, Robert Wood Johnson University Hospital New Brunswick, New Brunswick, NJ.

The authors have disclosed no potential conflicts of interest, financial or otherwise.

© 2018 National Association of Orthopaedic Nurses