Do you use a DVT/PE Risk Assessment Tool?

Does anyone currently use a standardized DVT risk assessment tool where they work? If so, which one do you use, what do you think of it, and do you think it is effective?

Thanks.
Yes. Ours addresses current anticoagulant use first of all. Then it goes on to identify risk factors pertaining to certain age groups. My concern with it, which I frequently verify with our pharmacy, is that the anticoagulants the form asks about doesn't address the use of newer ones like Effient and there is another one that the name escapes me at the moment. So, if I select 'no' to the question of usage of the ones listed, I always write on the form the one that they are taking and I call the pharmacy AND I flag the form for physician review before they go directly to ordering SQ injections. Not everybody does this but until the forms are updated to reflect the use of ANY or ALL anticoagulants, we need to be relentless with this. I even indicate if a patient has taken a regular strength aspirin several times a day. A lot of patient's deny this particular usage but when I ask about BC powders or Goody powders, I get the deer-in-the-headlights look from those who down those things so much that they are accustomed to the taste and need no water. Ive found that a lot of headache sufferers take these but with it being OTC, fail or don't think to mention these when they come to the hospital for other more pertinent injuries or illnesses. I know these two OTC are not intended for DVT/PE prevention but their usage or recent usage prior to being placed on anticoagulant therapy could have very undesirable effects. So.....that's my two cents worth.....for what it's worth.

Yes we have a dvt prophylaxis screen as part of the admission set. It sounds similar to the one previously mentioned. At the top it lists certain anticoagulants & if the patient is on any of the list you don't have to go through the rest of the assessment. The admission orders also have non-pharmacological interventions automatically checked which are implemented based on score. Something like for score 3-5 SCDs are automatically ordered. This was new when we rolled out the new admission sets to make it easier for the physicians as we switched to physicians entering their own orders this past March. The only problem we have had is that basically every patient is indicated to have SCDs & our hospital sometimes runs out now!

Our admission orders require a doctor to choose a pharma or mechanical VTE prophylaxis (usually lovenox or SCDs or both), or document a reason why they aren't ordering it. It's a fairly recent change; in January, we had to call docs on every admission to ensure we got those orders if they weren't done already. The docs complained, and now it's built into our system.We do also have the ability to assess & document on homan's sign and the rest as necessary; it's all built into our build of EPIC.

Thanks, I'm on a newly formed interdisciplinary DVT prevention committee and we're exploring the options. We are in the process of developing an order set for Epic. One of the ideas was doing DVT risk assessment at admission, like fall risk or braden.Most of the time the admitting is good about ordering interventions and the nurses catch the ones that dont, but there is the occasional patient that slips through the cracks. We have an above average DVT/PE rate for some reason. Trying to figure it out and improve.

We have one, but it's a tool the docs use as part of the standard admission order set

Quote from HyperSaurus, RNWe have one, but it's a tool the docs use as part of the standard admission order set