Annual ed dvt.pe.vte10 10
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1) Deep vein thrombosis (DVT) and pulmonary embolism (PE) are collectively known as venous thromboembolism (VTE). DVT occurs when a blood clot forms in a deep vein, usually in the legs, and PE occurs when a blood clot travels to the lungs. 2) Risk factors for VTE include surgery, cancer, obesity, respiratory failure, older age, infection, trauma, and prior history of blood clots. Healthcare providers should conduct a risk factor screening to determine a patient's risk level and provide appropriate prophylaxis like compression stockings, anticoagulants, or blood thinners. 3) Signs of PE include sudden onset of breathing
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Annual ed mission vision4 2010
UT Southwestern University Hospitals' vision is to be the premier tertiary healthcare provider in the region through recognized experts providing the highest quality patient-centered care and advancing health. Their mission prioritizes safe, excellent care for patients and sets targets for clinical excellence, patient and staff satisfaction, and financial strength. For 2009, safety priorities include reducing codes outside ICUs, ventilator-associated pneumonia, central line infections, pressure ulcers, and falls resulting in injury using a failure mode and effect analysis of central line protocols.
Annual ed infection control.09
This document provides an annual update on infection control practices and transmission-based precautions. It discusses standard precautions like hand hygiene and personal protective equipment that should always be used. It also outlines the different types of transmission-based precautions - airborne, droplet, and contact - including the indications, required personal protective equipment, and special precautions for each. The document also mentions OSHA regulations regarding bloodborne pathogens exposure control plans and tuberculosis control plans.
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dolor
Chest pain is a common reason for emergency room visits. According to the document, chest pain accounts for over 2 million ER visits per year in the US. It can be difficult to accurately diagnose the underlying cause of chest pain. The document discusses several cases of patients presenting with chest pain and the process of gathering a history, performing a physical exam, ordering tests, and arriving at a diagnosis for each case, which include acute myocardial infarction, pericarditis, pulmonary embolism, and aortic dissection.
世界新建築
Chest pain is a common reason for emergency room visits. According to the document, chest pain accounts for over 2 million ER visits per year in the US. It can be difficult to accurately diagnose the underlying cause of chest pain. The document discusses several cases of patients presenting with chest pain and the process of gathering a history, performing a physical exam, ordering tests, and arriving at a diagnosis for each case, which include acute myocardial infarction, pericarditis, pulmonary embolism, and aortic dissection.
dolor
Chest pain is a common reason for emergency room visits. According to the document, chest pain accounts for over 2 million ER visits per year in the US. It can be difficult to accurately diagnose the underlying cause of chest pain. The document discusses several cases of patients presenting with chest pain and provides diagnostics and treatments for common conditions that cause chest pain, such as myocardial infarction, pericarditis, pulmonary embolism, aortic dissection, costochondritis, and gastroesophageal reflux disease. A thorough patient history and physical exam, along with diagnostic tests, are important for correctly identifying the source of a patient's chest pain.
dolor dolor
Chest pain is a common reason for emergency room visits. According to the document, chest pain accounts for over 2 million ER visits per year in the US. It can be difficult to accurately diagnose the underlying cause of chest pain. The document discusses several cases of patients presenting with chest pain and the process of gathering a history, performing a physical exam, ordering tests, and considering potential diagnoses for each case, including acute myocardial infarction, pericarditis, pulmonary embolism, and aortic dissection.
dolor again
Chest pain is a common reason for emergency room visits. According to the document, chest pain accounts for over 2 million ER visits per year in the US. It can be difficult to accurately diagnose the underlying cause of chest pain. The document discusses several cases of patients presenting with chest pain and the process of gathering a history, performing a physical exam, ordering tests, and arriving at a diagnosis for each case, which include acute myocardial infarction, pericarditis, pulmonary embolism, and aortic dissection.
Chest pain is a common reason for emergency room visits. According to the document, chest pain accounts for over 2 million ER visits per year in the US. It can be difficult to determine the underlying cause of chest pain based on symptoms alone. A thorough history and physical exam is important to help differentiate between potentially life-threatening causes like heart attacks versus more benign causes like costochondritis or gastroesophageal reflux. Proper diagnosis and treatment is key to improving outcomes for patients experiencing chest pain.
dolor 2
Chest pain is a common reason for emergency room visits. According to the document, chest pain accounts for over 2 million ER visits per year in the US. It can be difficult to determine the underlying cause of chest pain based on symptoms alone. A thorough history and physical exam is important to help differentiate between potentially life-threatening causes like heart attacks versus more benign causes like costochondritis or gastroesophageal reflux disease. Proper diagnosis and treatment is crucial, as patients who experience a heart attack but are mistakenly discharged have high short-term mortality rates.
Vte risk assessment program presentation 2.ppt
Sarawak General Hospital Venous Thromboembolism Risk Assessment and Management in Antenatal and Postanatal Patients
02. Diagnosis and Treatment Manual author Patestos Dimitrios.pdf
This document is the 2016 Diagnosis and Treatment Manual from Doctors of the World Greece. It was edited by Dr. Patestos Dimitrios and represents the views and recommendations of the organization. The manual provides guidelines for health professionals to use in making treatment decisions for patients, while allowing for clinical judgment based on each individual case. It includes protocols, definitions, and summaries of diagnosis and treatment for various medical conditions like shock, seizures, and status epilepticus.
Pulmonary embolism
Pulmonary thromboembolism is caused by obstruction of pulmonary vessels, usually by blood clots. Clots can form in the lungs (primary) or originate elsewhere and travel to the lungs (secondary). Symptoms range from none (silent) to chest pain, dyspnea, tachycardia, and hemodynamic instability. Diagnosis involves evaluating likelihood based on risk factors and symptoms, d-dimer testing, imaging like CT, lung scan, or echocardiogram. Treatment is anticoagulation with heparin or warfarin long term. For some high risk cases thrombolysis or embolectomy may be considered.
St. David's Prophylaxis Program
The document summarizes a hospital's venous thromboembolism (VTE) prophylaxis program over 7 years. It shows that the program reduced hospital-acquired deep vein thrombosis and pulmonary embolism by over two-thirds, saving over $6 million in costs. Moving forward, the hospital aims to further improve prophylaxis practices by focusing on areas like daily ambulation and administering prophylaxis in the emergency department and throughout a patient's care. The goal is continuous quality improvement to help more patients and potentially achieve outcomes like preventing all hospital-acquired infections.
2 vte education for healthcare professionals
1. Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is common in hospitalized patients and can be fatal if unprevented.
2. The risk of VTE is increased by patient factors like age, obesity, and immobility, as well as medical conditions and treatments including surgery, trauma, and cancer.
3. VTE is preventable through the use of prophylactic measures like low molecular weight heparins, and preventing VTE is considered the standard of care for most hospitalized patients.
Venous Thromboembolism
This document provides an overview of venous thrombo-embolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE). It discusses the prevalence and impact of VTE, defining key terms like anticoagulants and thrombolytics. The presentation contents are outlined as covering the prevalence, diagnostic modalities and algorithm, and updates to the medical management of VTE. Diagnostic tests for VTE include ultrasound Doppler, D-dimer testing, and imaging studies like CT scans. Treatment involves anticoagulation or thrombolysis to prevent clots from growing or causing harm.
Rheumatic Heart Disease (RHD)
Rheumatic heart disease is a chronic condition that results from rheumatic fever, which causes inflammation of the heart valves and surrounding tissues. It is most commonly caused by an untreated streptococcal infection of the throat. The mitral and aortic valves are usually affected, leading to scarring, narrowing, and improper closing of the valves. Treatment involves long-term antibiotic prophylaxis to prevent recurrent streptococcal infections, as well as medications, surgery, and lifestyle changes to manage heart failure symptoms and repair or replace damaged valves. Nursing care focuses on pain management, monitoring for heart failure, educating patients, and reducing anxiety.
Deep vein thrombosis (dvt)
Deep vein thrombosis (DVT) is a common and potentially fatal condition. It can lead to pulmonary embolism (PE), which is a leading cause of preventable hospital death. While DVT often has no symptoms, it puts patients at risk for long-term complications. Standard diagnostic tests include ultrasound, CT scans, and D-dimer tests. Risk factors include surgery, trauma, immobility, and cancer. Prophylaxis with blood thinners, compression devices, and stockings can significantly reduce the risk of DVT, especially in high-risk hospitalized patients. Early diagnosis and treatment are important to prevent fatal PE and long-term issues.
Diagnosis and managment of pulmonary embolism
A pulmonary embolism is a sudden blockage in a lung artery, usually caused by a blood clot breaking off and traveling to the lungs. PE is a common cause of death in hospitalized patients. Risk factors include genetic mutations, cancer, obesity, smoking, and surgery. Symptoms may include dyspnea, chest pain, and cough. Diagnosis involves assessing risk factors, blood tests, imaging like CT scans, and echocardiograms. Treatment involves immediate anticoagulation with blood thinners, potentially thrombolytic therapy for severe cases, and inferior vena cava filters for high-risk patients. Anticoagulation may continue for several months depending on the underlying cause of clotting.
Infective Endocarditis Pediatrics
Children with congenital heart disease or rheumatic heart disease are at highest risk for developing bacterial endocarditis. It commonly presents with fever, heart murmur, and embolic phenomena. Diagnosis is made using modified Duke criteria, which considers major and minor clinical criteria as well as positive blood cultures. Treatment involves prolonged intravenous antibiotics targeting the causative organism. Surgery may be needed for complications like heart failure or abscesses. Prevention focuses on antibiotic prophylaxis for high-risk patients during certain medical procedures.
VTE Prophylaxis Focus on Prevention
1. Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is common in hospitalized patients and can be fatal if unprevented.
2. VTE prophylaxis with low molecular weight heparins (LMWHs) or mechanical methods is the standard of care for nearly all hospitalized patients to prevent DVT and PE in a safe and inexpensive way.
3. Despite the risks of VTE, international studies have found that only about half of at-risk patients in hospitals receive the recommended prophylaxis, showing a need for improved guidelines and compliance.
Pulmonaryembolism
1) Pulmonary thromboembolism (PTE) is caused by obstruction of pulmonary vessels, usually by blood clots. Risk factors include hypercoagulability, recent surgery or trauma, pregnancy, genetic mutations.
2) Diagnostic tests include D-dimer, chest CT, lung scan, echocardiogram. Chest CT has replaced lung scan as the primary imaging test.
3) Treatment involves resuscitation for massive PTE, anticoagulation with heparin or low molecular weight heparin initially followed by warfarin for at least 3 months, and potentially thrombolysis for selected high-risk cases or inferior vena cava filters for recurrent clots despite
CONGENITAL HEART DISEASE & ANAESTHESIA by Dr.Sravani Vishnubhatla
1) Congenital heart defects are the most common birth defects, affecting 1 in 125 live births. They range from simple shunt lesions to complex defects involving multiple structures.
2) The anesthetic goals vary depending on the type of shunt (left-to-right vs right-to-left) and aim to balance systemic and pulmonary vascular resistances.
3) Preoperative evaluation and optimization is important. Regional techniques may be used when hemodynamically appropriate but general anesthesia allows better control of ventilation and hemodynamics for high risk surgery.
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02. Diagnosis and Treatment Manual author Patestos Dimitrios.pdf
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CONGENITAL HEART DISEASE & ANAESTHESIA by Dr.Sravani Vishnubhatla
CONGENITAL HEART DISEASE & ANAESTHESIA by Dr.Sravani Vishnubhatla
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Annual ed personal prep for disaster alerts10 10
The document discusses the importance of personal preparedness and having disaster plans in place. It recommends that all hospital staff have plans to ensure the safety of their family, pets, and themselves in case they are needed at the hospital during an emergency. Some key elements of an effective plan include designating a meeting place for family, an out-of-area contact, and assembling emergency supply kits with at least a three day supply of necessities. Advance planning and practicing the plan can help ensure staff are able to fulfill their roles as disaster responders while knowing their family is also prepared.
Annual ed restraint and seclusion.10 10
The document discusses guidelines for the use of restraint and seclusion in healthcare settings. It defines restraint and seclusion and provides guidance on their appropriate uses in emergency situations. Risks of restraint are outlined, including injury, psychological impacts, and reduced mobility. Alternatives to restraint are recommended, including environmental changes, observation, and personal assistance devices. Medical and behavioral indications for restraint are described, along with safe application, monitoring, and discontinuation procedures.
Annual ed pt fam views of restraints.10-10
The document discusses the perspectives of patients, families, and staff regarding the use of restraints. It notes that appropriate restraint use involves considering the needs of all three groups. It provides quotes from patients expressing sadness, fear, and feeling like prisoners when restrained. Families may worry for safety but also be concerned about their loved one's well-being. Staff feel torn between safety and dignity concerns. The document recommends educating patients and families on restraint reasons, communicating openly, accommodating needs, encouraging family involvement, and regularly evaluating the need for restraints.
Annual ed recognition of abuse.neglect.09 10
Healthcare providers have a legal responsibility to report suspected cases of abuse, neglect, or exploitation of elderly, disabled, or child patients. They should immediately speak to their manager if they suspect abuse occurring in one of the hospitals. Physicians, nurses and other providers are mandated to report suspicions of elderly abuse to Adult Protective Services and child abuse to Child Protective Services. When reporting abuse, providers may need to provide a firsthand account of the suspected abuse. Family violence and child abuse statistics highlight the severity of these issues. Providers should know the legal definitions of abuse, neglect, exploitation and penalties for failure to report.
Annual ed core measures.09 10
The document discusses "core measures", which are evidence-based guidelines established by CMS and the Joint Commission for treating patients with certain diagnoses. The core measure patient groups include CHF, pneumonia, AMI, surgical care improvement, psychiatry, and patient satisfaction. Hospitals must follow specific treatment protocols for these patients and are audited to ensure compliance. Identifying core measure patients early and using established protocols and tools is key to improving outcomes and quality measures.
Annual ed pain mgt.clin staff.09.10
1) Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is important to assess pain in older adults as they may underreport it.
2) Infants and toddlers express pain through crying and body language while older children can verbalize the intensity and location of pain. Adolescents may deny pain around peers.
3) An effective approach to pain management addresses the somatic, psychological, social, and cultural factors influencing a patient's pain experience. Non-pharmacological and pharmacological methods should be used.
Annual ed pain mgt nonclinical staff.09.10
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. People of different ages express pain differently, such as babies crying, children pulling away or crying, teenagers changing sleep or eating behaviors, and older adults being reluctant to admit pain. Hospitals assess and reassess patients' pain, ask patients to set pain goals, and work as a team to help patients meet those goals. Unrelieved pain can increase health risks and prevent normal activities. Many patients do not complain about pain due to beliefs that it is expected or will bother staff. You can help patients by believing them, not judging, remembering they know their own pain best, and alerting nurses to possible signs of pain.
Annual ed never events and poa.7 10
The document discusses never events and present on admission/hospital acquired conditions. It defines never events as clearly identifiable, preventable events that indicate issues with a healthcare organization's safety systems. It lists various categories of never events including surgical, product/device, care management, environment, and criminal events. It explains that never events will be reviewed on a case by case basis and charges may be waived. It then discusses present on admission and hospital acquired conditions, noting that CMS no longer provides higher payments for certain conditions if they were not present on admission. It stresses the importance of properly documenting whether conditions were present on admission.
Annual ed workplace violence.07.10
The document discusses workplace violence prevention at University Hospitals. It defines workplace violence, provides examples of basic types of violence, and notes that healthcare settings experience more assaults than other industries. The hospital has a zero tolerance policy for violence. Elements of a prevention program include staff education, risk assessment, documentation, and following up on incidents. The document outlines warning signs, recommended responses, new emergency codes, and available resources to address workplace violence concerns.
Annual ed transplant awareness6 2010
The Transplant Services Center at UT Southwestern Medical Center in Dallas is Texas' longest continually accredited tissue and eye bank. In 2005, they distributed over 7,000 grafts including bones, corneas, sclera, and skin. When a 13-year-old girl named Danni died from a car accident, her family donated her organs and tissues, allowing two people to receive corneas and many more to receive bone grafts. The Center provides tissues and organs including hearts, lungs, skin, bones, corneas, and more to improve and save lives across the United States and worldwide.
Annual ed transplant awareness6 2010
The Transplant Services Center at UT Southwestern Medical Center in Dallas is Texas' longest continually accredited tissue and eye bank. In 2005, they distributed over 7,000 grafts including bones, corneas, sclera, and skin. When a 13-year-old girl named Danni died from a car accident, her family donated her organs and tissues, allowing two people to receive corneas and many more to receive bone grafts. The Center provides tissues and organs including hearts, lungs, skin, bones, corneas, and more to help improve and save lives.
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This document provides an annual update on infection control practices and transmission-based precautions. It outlines the key elements of standard precautions like hand hygiene and personal protective equipment. It also describes the additional precautions required for airborne, droplet and contact transmission routes, including the indications, required personal protective equipment and special precautions for each. It mentions OSHA regulations for bloodborne pathogens exposure control plans and tuberculosis control plans.
Annual ed patient satisfaction6 2010
The document discusses patient satisfaction surveys conducted at hospitals. It mentions two survey companies, Press Ganey and Professional Research Consultants, that are used to survey inpatients, outpatients, ambulatory surgery patients, and emergency department patients. Survey results are compared to other large medical centers. As of mid-2009, two hospitals ranked in the 81st and 99th percentiles for patient satisfaction based on Press Ganey surveys. The surveys assess patient experiences related to care from nurses and doctors, responsiveness, pain control, communication, cleanliness, and discharge information. Hospitals also participate in government-led HCAHPS surveys to allow patients to compare providers.
Annual ed conflict of interest4 2010
A conflict of interest can arise when a person's professional duties may be compromised by their personal interests or financial gains. The Texas legislature has established standards of conduct for state employees to avoid conflicts of interest, such as not accepting gifts that could influence work duties or engaging in outside work that requires disclosing confidential information. UT Southwestern Medical Center has implemented policies consistent with these standards, including credentialing vendors, requiring appointments for vendor visits, limiting gifts, and restricting promotional materials.
Annual diversity 4 2010
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Annual ed risk and safety2 2010
The document discusses risk and patient safety at a university hospital. It identifies various quality, security, and environmental safety risks and provides guidelines for minimizing and reporting these risks. Staff, licensed practitioners, students, and volunteers are responsible for patient safety. Risks include issues with procedures, equipment, security, and the environment. The document outlines actions like obtaining consent, verifying protocols, monitoring patients, and reporting any safety issues or concerns.
Annual ed medical equipmen feb2010
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Annual ed patient safety
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Annual ed fire&life safet2 2010
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Annual ed dvt.pe.vte10 10
- 1. 2009 Annual Training Module DVT + PE = VTE
- 4. Definitions Continued: PE An embolus is a blockage of an artery in the lungs by fat, air, tumor tissue, blood clot, foreign object or substance, amniotic fluid, and bone marrow etc.
- 13. Don’t Gamble! Don’t roll the dice and gamble with your patient’s success!
- 14. THE KEYS TO SUCCESS! Accurate Assessment with appropriate VTE prophylaxis interventions ARE the KEYS to success!