Risk-based mechanical/pharmacological VTE prophylaxis.
Indications
- • Hospitalized patients per risk
Contraindications
- ⚠ Active bleeding
- ⚠ Severe thrombocytopenia (pharm)
Equipment
- • Padua/Caprini form
- • LMWH/UFH/DOAC
- • GCS/IPC
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
Padua ≥4 or Caprini ≥5.
2. Assess bleeding
3. Choose modality
4. Prescribe
5. Review daily
Immediate complications
- ⚠ Bleeding
- ⚠ HIT
Delayed complications
- • Osteoporosis
Recognition
- • Falling platelets
Initial management
- • Stop, investigate
Prevention
- • Daily review
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
