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Pneumatic compression device prescription12/27/2023 However 62.5% of new admission came out of hours leading to delay in decision and prescription of IPC devices. The stroke team has improved compliance to national standards following on unit teaching. Cycle 3 thus far has demonstrated 75% (N = 4) of OOH clerked patient and 85% (N = 7) of all patients as having appropriate IPC prescription.Ĭonclusion: A comprehensive approach to MDT teaching and system modification may improves IPC device usage in district stroke centres. Subdivided, 72% (N = 11) of patients clerked by the stroke team had appropriate documentation and 100% (N = 4) had a prescription when indicated, compared to 7% (N = 15) of out-of-hours (OOH) clerkings documenting a decision for IPC and 0% (N = 9) prescribing when indicated. Cycle 2 demonstrated 33% (N = 24) of patients as having appropriate documentation upon clerking and 31% (N = 13) requiring IPC having a prescription. Results: Audit cycle 1 demonstrated 17% (N = 30) of patients as having appropriate documentation for a decision for or against IPC usage upon clerking and 62% (N = 21) of patients who required IPC had a prescription. The first cycle’s action plan involved on unit teaching of all clinical staff types and grade, the 2nd cycle’s action plan included drug chart modification and instructional posters to clerking doctors placed in strategic places, the 3rd cycle is on-going. Method: Regular audit against NICE (CG 92) standards over a 6 month period was conducted of new admissions with a diagnosis of stroke and immobility admited to a district stroke centre and the incidence of acute DVT monitored. DVT risk is highest amongst stroke patients following immobilisation and NICE (CG 92) recommends application of IPC devices and documentation of a decision for or against them in this high risk patient group. Introduction: The CLOTS III randomised control trail demonstrated that “IPC is an effective and inexpensive method of reducing the risk of DVT and improving survival in immobile stroke patients.” 1.
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