Focused nursing lectures and patient education may have incremental value. The device includes a pump and an attached sleeve. Using a sequential compression device helps prevent this. 100 patients undergoing inpatient urologic surgery were enrolled. Sequential Compression Device (SCD) While intubated, patients don’t move as they normally would, which increases their risk of developing blood clots. We investigated causes for noncompliance, examining both hospital and patient related factors. A nursing unit's daily experience is the most important factor in their compliance rates with SCD use. Sequential compression devices (SCDs) are commonly used for thromboprophylaxis in postoperative patients but compliance is often poor. After nursing and patient education on the busiest surgical floor, compliance rates on the surgical ward increased to 65 per cent, a difference that was not of statistical significance (P = 0.515). Implementation Poster training of all nurses on the process occurred for 2 weeks before implementation of the practice, with nurses signing off on understanding the process. This difference was significant (P = 0.014). Sequential compression devices (SCDs) will be placed on all women until the second stage of labor or birth, immediately before placement of epidural analgesia in labor. Before education, surgical units had a compliance rate of 61.5 per cent, whereas nonsurgical units had a 48 per cent compliance rate. A handout that emphasized SCD importance was also given to patients on surgical units. Surgical floors had a history of resident and attending interactions regarding SCD, whereas nonsurgical floors did not. The main outcomes were compliance rates with SCD use before and after nurse and patient education. This was a prospective study involving a single teaching hospital. A Sequential Compression Device (SCD) is a clinically proven, non-invasive method of prophylaxis to reduce the incidence of deep vein thrombosis (DVT). The aim of this study was to assess the affect of patient and nurse education by surgeons on SCD compliance. However, compliance with SCD has traditionally been poor. This represents a high value based care SCD utilization initiative at our institution which is currently underway. Sequential compression devices (SCD) have become the most common form of prophylaxis against the formation of deep venous thrombosis (DVT) among surgical patients. We observed heterogeneity in SCD use across medical, intensive care, and surgical units with up to 75 patients at-risk for inappropriate use when SCD orders are in place.
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