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DVT Patient Safety Path 2.0 "Pathways"
WELCOME TO DVT Patient Safety Path:
Doctor: Welcome to DVT Patient Safety Path, an interactive resource providing important information regarding your hospital stay and post-discharge recovery.
We understand that planning for your hospital stay can be stressful and a little overwhelming. The information you'll find here will help you understand what to expect during your stay, and help you better communicate with your healthcare providers.
It's important to understand that you are the most important member of your healthcare team. The more you know, the more you can help your doctor, nurse or caregiver to ensure that you get the best care possible while in the hospital and at home.
Doctor continued: Ready? There are two ways to get started. If you're entering the hospital for medical reasons but not hip or knee replacement surgery, click on the Medical Conditions button.
If you are scheduled for surgery, such as hip or knee replacement, please click on the Upcoming Surgery button.
WHAT TO KNOW BEFORE YOUR HOSPITAL STAY:
Doctor: Welcome to the DVT Patient Safety Path Medical page. This is where you can learn more about what to expect during your hospital stay. The information you find here will help you better communicate with your healthcare team so that you can all work together toward a very important goal: Getting you home as soon as possible.
But first, let me explain how this works. This is a guided tour along what we call the Patient Pathway, taking you through the hospitalization experience from home to the hospital and back home.
You can tell us where you'd like to go by selecting on any of the navigation buttons below. You can pause at any time, or go back to another spot on the Pathway if there is an area you'd like to revisit. [Doctor steps over to an area with resources listed.]
Doctor continued: Throughout the presentation you'll have the opportunity to access any of the resources and tools we've provided here, such as important planning checklists, questions for your doctor, and other key information.
You'll also find all of this information in our Library section, which you can access directly at any time.
And you can use a special feature we call My Cart to help you save the important information you find here. Please note – there is no charge for any of the information or resources you want to access. You're not purchasing anything. My Cart is simply a convenient place to hold any information you may find important.
You can save the information in your cart then print it out when you're done, or have it sent to your email. It's pretty handy, and very easy.
You'll also notice a link called "Medical Conditions." This is for anyone who may have been diagnosed with an acute condition that requires hospitalization. These might include a flare up of chronic obstructive pulmonary disorder, congestive heart failure, cancer or acute infection.
Now let's talk a little about your hospital stay… simply select "Continue" to move on to the next section of our presentation.
WHAT TO KNOW BEFORE YOUR HOSPITAL STAY CONT'D:
Doctor: The most important things you can do to help reduce your risk for developing DVT blood clots is to understand any possible risk and ask questions of your healthcare team. Let them know your concerns. You can use this list of questions to help you.
[Questions for Your Doctor appears on list of resources/tools] [Doctor picks up Risk Assessment form]
After admission, you may be given a DVT blood clot Risk-Assessment Form like this one. It will help your healthcare team determine if you are at risk for DVT blood clots. If it's determined that you are at risk, your doctor has several options available to help reduce that risk.
One treatment is LOVENOX (enoxaparin sodium injection), an injection that helps reduce your risk for developing DVT blood clots while your mobility is limited following an acute illness. Your doctor will assess your risk for DVT blood clots and may prescribe LOVENOX to help protect you during your hospital stay and possibly after discharge. You'll only need LOVENOX for a limited time, depending on your doctor's recommendation.
To access the on-screen tools in this section, simply select on the link to view, then either print or add to action plan for later.
You have now reached the end of the Medical section of our tour and can move on to the "More Information to Help You" section.
Simply select "Continue" to move on to this section of our presentation.
WHAT TO KNOW BEFORE YOUR SURGERY CONT'D:
Doctor: The most important things you can do to help reduce your risk for developing DVT blood clots is to understand any possible risk and ask questions of your healthcare team. Let them know your concerns. You can use this list of questions to help you.
[Questions for Your Doctor appears on list of resources/tools] [Doctor picks up Risk Assessment form]
After admission, you may be given a DVT blood clot Risk-Assessment Form like this one. It will help your healthcare team determine if you are at risk for DVT blood clots. If it's determined that you are at risk, your doctor has several options available to help reduce that risk.
One treatment is LOVENOX (enoxaparin sodium injection), an injection that helps reduce your risk for developing DVT blood clots while your mobility is limited following an acute illness. Your doctor will assess your risk for DVT blood clots and may prescribe LOVENOX to help protect you during your hospital stay and possibly after discharge. You'll only need LOVENOX for a limited time, depending on your doctor's recommendation.
To access the on-screen tools in this section, simply select on the link to view, then either print or add to action plan for later.
You have now reached the end of the "What to Know Before Your Surgery" section of our tour and can move on to the "More Information to Help You" section.
Simply select "Continue" to move on to this section of our presentation.
WHAT TO KNOW BEFORE YOUR SURGERY CONT'D:
Doctor: Now we'd like to help you with information that's more specific to your type of surgery. Go ahead and select one of the buttons at right and we go from there.
WHAT TO KNOW BEFORE YOUR SURGERY:
Doctor: Welcome to the DVT Patient Safety Path Surgery page. This is where you can learn more about what to expect as you prepare for your scheduled surgery. The information you find here will help you better communicate with your healthcare team so that you can all work together toward a very important goal: Getting you home as soon as possible after your surgery.
This is a guided tour, but you're in charge. You can tell us where you'd like to go by clicking on any of the navigation buttons below. You can pause at any time. Throughout the presentation you'll have the opportunity to access any of the resources and tools we've provided here, such as important planning checklists, key questions for your doctor, and other key information.
You'll also find all of this information in our Resources section, which you can access directly at any time. You can use a special feature we call My Cart to help you save the important information you find here. Please note – there is no charge for any of the information or resources you want to access. You're not purchasing anything. My Cart is simply a convenient place to hold any information you may find important.
Doctor continued: Simply select My Cart and it opens to a window. You can save this window and then print out the information when you're done, or have it sent to your email. It's pretty handy, and very easy.
Now let's talk a little bit about what you can do before you leave for the hospital. Simply select "Continue" to move on to the next section of our presentation.
WHAT TO KNOW BEFORE YOUR HOSPITAL STAY CONT'D:
Doctor: Sharing information, including your current medications, is important also. I know this seems like a lot to remember, and that's why we've included these tools to help you.
(Doctor gestures to bottom left showing Hospital Care Log, Important Medical Information.)
Oh… and don't forget this list of items to bring with you to the hospital. You'll find it to be a big help. To access one of the on-screen tools, simply select the link to view, then either print or add to your cart for later.
[As Doctor speaks, "Hospital Checklist" is added to the list]
Next, we'd like to share some of the ways that your hospital staff is working to ensure your safety. Simply select "Continue" to move on to the next section of our presentation.
WHAT TO KNOW BEFORE YOUR HOSPITAL STAY CONT'D:
Doctor: Sharing information, including your current medications, is important also. I know this seems like a lot to remember, and that's why we've included these tools to help you.
[Doctor gestures to bottom left showing Hospital Care Log, Important Medical Information.]
To access one of the on-screen tools, simply select the link to view, then either print or add to your cart for later.
Next, we'd like to share some of the ways that your hospital staff is working to ensure your safety. Simply select "Continue" to move on to the next section of our presentation.
PREPARING YOURSELF FOR SURGERY:
Doctor: Chances are you're feeling a little anxious about your upcoming surgery, and maybe you're a little overwhelmed with all the details. That's natural. One of the ways you can feel a little more in control is to start preparing for your hospital stay now, while you're still at home.
In this window you'll find a list of things to do before you leave for the hospital. It includes simple things you can do right now to help yourself get organized, like checking your insurance coverage, planning your at-home recovery area and others.
We put together a list of things to do before you leave for the hospital. It includes simple things you can do right now to help yourself get organized, like checking your insurance coverage, planning your at-home recovery area and others.
Patient: Using the list beforehand helped me to relax and stay focused on the important things, like a successful surgery and my recovery. Another thing my doctor did to make things easier for me was to enroll me in the Home Program – speak to your doctor for more information.
Doctor: To access the on-screen tools in this section, simply click on the link to view, then either print or add to your cart for later.
Select "Continue" to move on to the next section of our presentation where we will discuss your specific surgery.
MORE INFORMATION TO HELP YOU:
Doctor: Thanks for spending time with us at DVT Patient Safety Path. We hope that the information you've found here is helpful to you. There are more resources available to help you prepare for you hospital stay and understand the risk for developing DVT blood clots.
Patient: (holding DVT Patient Safety Path kit) The DVT Patient Safety Path kit has been a big help to me. It contains a lot of information to help you understand your rights and responsibilities as a patient. And it has some terrific tools to help you get organized before you go to the hospital.
If you'd like a copy, click on the image at right to receive it by mail. You can also ask your hospital to provide you with a copy.
Nurse: We want to be sure that you're prepared for your discharge, too. So you should know about these additional resources to help you after you leave the hospital.
MORE INFORMATION TO HELP YOU:
Doctor: if your doctor does prescribe LOVENOX, you may need to continue taking it after you leave the hospital. Our Patient Hotline offers live telephone help to patients self-administering LOVENOX at home, so you'll have answers when you need them.
[Show Enrollment Sheet]
Nurse: While you're in the hospital, you may be enrolled in our Patient Reminder Service. This service contacts patients within 24 hours after discharge, reminding them to continue their LOVENOX therapy as prescribed.
[Show Patient Reminder Service Enrollment Sheet]
This Patient Discharge Kit is full of information to help you transition out of the hospital. You can ask your hospital. You can ask your hospital to give you one before you leave.
[Show Discharge Kit]
You can find out more about DVT blood clot risk reduction at lovenox.com, and learn more about the ways that hospitals are working to protect you at www.jointcommission.org
And don't forget… all of the tools and resources you've seen as we've gone through this presentation can be found in our Library section. You can access that section directly at any time, without repeating this presentation, by using the Library button.
IMPORTANT INFORMATION FOR HEALTHCARE PROVIDERS:
Doctor: Welcome to the Healthcare Provider section of the DVT Patient Safety Path 2.0. We hope that this interactive tool will help support your efforts as you work to meet and exceed guidelines for patient satisfaction and safety.
Nurse: This video informs patients of what they can expect during hospitalization for medical conditions or surgery. It contains useful information that will help them understand the entire hospitalization process, and give them a better idea of the many ways in which healthcare professionals like you are working to ensure their safety.
Doctor: This is an excellent way to educate patients on their rights and responsibilities, as well as raise awareness of conditions like Deep Vein Thrombosis, or DVT blood clots, which is the number one cause of preventable hospital deaths.
Nurse: In fact, the content directly supports your efforts to comply with The Joint Commission's National Patient Safety Goals 13A and 03.05.01, formerly 3E. These goals require hospitals to increase patient education efforts and reduce the risk of hospital-acquired conditions such as deep vein thrombosis.
Doctor: This video is only one of many resources available to help you meet increasing mandates regarding patient safety and quality care. This implementation guide shows you how to put an effective DVT awareness program to work in your hospital or healthcare facility … While this patient kit includes several tools to help you educate patients concerning DVT risk.
IMPORTANT INFORMATION FOR HEALTHCARE PROVIDERS CONT'D:
Doctor: Both are available to you free of charge. To get these materials, use the Professional Resources link below.
Nurse: We've also included a link to the Surgeon General's recent press conference in which he calls on healthcare professionals to join a nationwide effort to reduce DVT blood clot risk. If you'd like to watch this video, please select the Surgeon General's Call To Action link below.
Doctor: Thank you for your interest and participation.
Select the continue button and go back to the beginning screen to take either the "What to Know Before Your Hospital Stay" or "What to Know Before Your Surgery" interactive video tour.
ADDITIONAL QUESTIONS LINK:
Doctor: Asking questions might just be the most important thing you can do as a patient. This list will help you communicate your questions and concerns to your healthcare team. To print out or add to your cart, click here.
HELPFUL TOOLS:
Doctor: Your hospital is very concerned about the safety, and is working to protect you against a condition called DVT, or deep vein thrombosis. DVT blood clots may occur in certain hospitalized patients. One of the reasons it may occur is because a patient has restricted mobility due to an illness or following surgery. Up to 2 million people in the United States are affected annually by DVT blood clots.
[This is where Glassman video starts and transitions to patient and healthcare team in hospital patient room working together.]
Doctor continues: Hospital staff are aware of the risk posed by DVT blood clots are working to reduce that risk. They are very serious about your safety. In fact, there is a nationwide effort by healthcare providers to increase DVT risk awareness and to reduce that risk. National guidelines have been established to ensure that you are properly screened for any DVT risk, and that you receive prompt treatment to safeguard against that risk.
Nurse: How important is DVT awareness? So important that the US Surgeon General recently called on the nation's medical professionals to help him spread the word about DVT through a national public awareness campaign. You can view the Surgeon General's Call to Action here. (Link to OSG)
To move on to the next section of our presentation, simply click "Continue."
HOSPITAL PATIENT SAFETY:
Doctor: Your hospital is very concerned about something called "Hospital Acquired Conditions." That's a term that refers to infections or conditions that may occur during a hospital stay. They are unlikely, but we don't like to take any chances when it comes to your safety.
One of these conditions is DVT, or deep vein thrombosis. DVT may occur in certain hospitalized patients. One of the reasons it may occur is because a patient has restricted mobility due to an illness or following a surgery. Up to 2 million people in the United States are affected annually by DVT blood clots.
[This is where Glassman video starts and transitions to patient and healthcare team in hospital patient room working together]
Doctor continues: Hospital staff are aware of the risk posed by DVT blood clots and are working to reduce the risk. They are very serious about your safety. In fact, there is a nationwide effort by healthcare providers to increase DVT risk awareness and to reduce the risk. National guidelines have been established to ensure that you are properly screened for any DVT risk, and that you receive prompt treatment to safeguard against any risk.
Nurse: How important is DVT awareness? So important that the US Surgeon General recently called on the nation's medical professionals to help him spread the word about DVT through a national public awareness campaign. You can view the Surgeon General's Call to Action through the Office of the Surgeon General website by clicking the link on your screen.
To move to the next section of our presentation, simply select "Continue."
WHAT TO KNOW ABOUT KNEE SURGERY:
Nurse: Thanks for joining us in the Knee Surgery section of DVT Patient Safety Path. This is where we talk a little bit about your upcoming knee surgery so that you have a better idea of what to expect.
Patient: If you haven't done it already, be sure to check out the Hospital Preparation Checklist. It gives you great ideas for preparing yourself and your home for recovery after your discharge.
Nurse: You are going to need help at home after your surgery. Please don't hesitate to ask for this help – if you don't have a family member to help you, you can ask your healthcare team to assist you in making arrangements for home care following your knee surgery.
Patient: That's important. I'm pretty independent, but even I knew that I would need a little help and that my recovery would depend of teamwork.
Nurse: Even though you may be able to get around with the help of crutches or a walker, you will still need help with many everyday tasks, like bathing or cooking. You need to plan now so that you have this help later. And of course, talk to your doctor about specific instructions you may need to follow before surgery.
WHAT TO KNOW ABOUT KNEE SURGERY CONT'D:
Doctor: Now, about the surgery itself. Your total knee-replacement surgery may take about 2 hours. Your orthopedic surgeon may remove the damaged cartilage and bone, then position new metal, plastic or ceramic joint surfaces to restore the alignment and function of your knee. Usually, you will stay in the hospital for a few days.
Nurse: You can expect to be very stiff, but your healthcare team will recommend that you move your foot and ankle following the surgery to increase blood flow in your leg to prevent swelling and blood clots. Your doctor or physical therapist can help you with specific exercises.
Doctor: Because you won't be moving around much following your surgery, you may be at increased risk for Deep Vein Thrombosis, or DVT. DVT blood clots are a serious concern for total knee-replacement patients, but you healthcare team is aware and ready to help reduce that risk. More about that in a minute.
Patient: You can find out more about the risks of DVT blood clots for total knee-replacement surgery patients by watching this short video clip called New Joints, New Beginnings. You can receive the full video at home, free of charge, by clicking here.
Nurse: Now let's learn more about your upcoming hospital stay. We'll cover some important information on your rights as a patient and tell you what your healthcare team is doing to ensure your safety – including steps to help reduce your risk of developing DVT blood clots.
Select continue to move on to our next section.
WHAT TO KNOW ABOUT HIP SURGERY:
Nurse: You're now in the Hip Surgery section of DVT Patient Safety Path, where you can learn a little bit about your upcoming surgery and get a better idea of what to expect.
Patient: Don't forget to look at the Hospital Preparation Checklist. It helps you prepare for your return home following your hip surgery.
Nurse: Everyone recovering from hip surgery needs some help at home. Please don't hesitate to ask for this help – if you don't have a family member to help you, you can ask your healthcare team to assist you in making arrangements for home care following your surgery.
Patient: I know firsthand that recovery depends on teamwork… with a little planning, you can make it happen.
Nurse: You'll probably be getting around a bit after your surgery, maybe by using crutches or a walker. But you'll need some help with everyday tasks, like bathing or cooking. It's important that you have this help lined up by now, before you go in for your surgery. And of course, talk to your doctor about specific instructions you may need to follow before your surgery.
WHAT TO KNOW ABOUT HIP SURGERY CONT'D:
Doctor: Total hip-replacement surgery may take a few hours. Your orthopedic surgeon may remove the damaged cartilage and bone, then position new metal, plastic or ceramic joint surfaces to restore the alignment and function of your hip. Usually, you will stay in the hospital for a few days.
Nurse: You can expect to be very stiff, but your healthcare team will recommend exercises like walking and light activity to strengthen your hip and restore movement for normal daily activities. Ensuring normal blood flow to your leg is important to prevent swelling and blood clots. Your doctor or physical therapist can help you with specific exercises.
Doctor: Because your movement will be restricted following surgery, you may be at increased risk for developing Deep Vein Thrombosis, or DVT blood clots. DVT blood clots are a serious concern for total
hip-replacement patients, but your healthcare team is aware and ready to help reduce that risk. We'll tell you more about this in just a little while.
Patient: You can find out more about the risk of DVT blood clots for total hip-replacement surgery patients by watching this short video clip called New Joints, New Beginnings. You can receive the full video at home, free of charge, by clicking here.
Nurse: Now let's learn more about your upcoming hospital stay. We'll cover some important information on your rights as a patient, and tell you what your healthcare team is doing to ensure your safety, including steps to help reduce your risk of developing DVT blood clots.
Select continue to move on to our next section.
MEDICAL CONCERNS (CO-MORBIDS) LINK:
Nurse: There are some acute medical conditions that may increase the risk for developing a DVT blood clot. The risk may be higher if you are hospitalized or are off your feet for an extended period of time due to illness.
Some of these medical conditions include…
Heart Failure. Certain people who suffer from congestive heart failure may be at increased risk for developing a DVT blood clot, depending on the severity.
Cancer. People fighting cancer are at risk for a developing DVT blood clot, depending on the type of cancer and therapy.
Respiratory disease. A respiratory condition known as chronic obstructive pulmonary disorder or COPD may also increase risk.
Acute infection. If you have an acute infectious disease, the risk of developing a DVT blood clot increases.
If you suffer from any of these conditions, you should consult your doctor about any possible risk for developing a DVT blood clot.
PATIENTS RIGHS LINK:
Nurse: The more you know, the more prepared you will be to talk to your doctor. This list outlines your rights as a hospitalized patient and will help you better communicate with your healthcare team. To print out or add to your cart, click here.
HOSPITAL CARE LOG LINK:
Nurse: It's sometimes hard to keep track of everything that goes on in the hospital, but this Hospital Care Log will help. Use it to note your tests, exams or consultations with your healthcare team. To print out or add to your cart, click here.
HOSPITAL CHECKLIST (THINGS TO BRING) LINK:
Nurse: Now is a good time to start thinking about what you'll need to have with you while you're in the hospital. Use this list while you're packing so that you have all you need during your stay. To print out or add to your cart, click here.
DVT BLOOD CLOT RISK ASSESSMENT FORM LINK:
Nurse: After admission to the hospital, your healthcare team will use a form like this to help determine your risk for developing DVT blood clots. We've included one of these forms so that you can see the type of information your hospital is looking for. To print out or add to your cart, click here.
IMPORTANT MEDICAL INFORMATION LINK:
Doctor: A list of your medications – any prescriptions or over-the-counter medications you take regularly – is important to share with your healthcare team. You may have been instructed to bring all of your medications with you to the hospital as well. This form is a handy way to list everything in one place. To print or add to your cart, click here.
WHAT TO EXPECT WHILE YOU'RE HOSPITALIZED:
Doctor: There are a couple of very important things that you should know before you enter the hospital. First, your privacy will be protected. State and federal laws as well as hospital operating policies were established to safeguard the privacy of your medical information.
When you're admitted, you'll be offered a Notice of Privacy Practices that describes that ways in which your information is used and how it's protected. It's very important that you understand your privacy issues.
Patient: Knowing your rights as a patient is key. You also have the right to ask questions and discuss any issues concerning you care. In fact, your healthcare team will be able to do their jobs better if they have more input from you.
Doctor: And speaking of your healthcare team… you will be working with a lot of different people during your hospital stay. It may seem a bit confusing at times, but it's important to remember that all of these professionals are working to make you as comfortable as possible… and get you home as soon as they can.
To access the on-screen tools, simply select the link to view, then either print or add to your cart for later. Or simply select "Continue" to move on to the new section of our presentation.
PREPARING YOURSELF FOR SURGERY:
NOTE: We see the patient packing for his hospital stay. He seems pensive and a little overwhelmed. Shoot coverage of the patient packing and looking out of his bedroom window. Also shoot coverage of him reading the Patient Kit.
US.ENO.08.10.012 (Not Spoken)
[End of Transcript]
LOVENOX® Full Prescribing Information
Certain procedures, called "epidural/spinal anesthesia" and "spinal puncture," may be used as a normal part of hospitalization. Patients requiring these procedures while being treated with LOVENOX® or other low-molecular-weight heparins are at risk of developing a blood clot in or around the spine. This condition may result in long-term or permanent paralysis.
LOVENOX® is not the same as "unfractionated heparin" or other drugs called "low-molecular-weight heparins." Therefore, these drugs cannot be used interchangeably with LOVENOX®.
LOVENOX® can alter the blood’s ability to clot. Patients treated with LOVENOX®, who also have conditions affecting the clotting system, must be carefully monitored by their physician. Adjusting the dose of LOVENOX® may be necessary for patients who have certain forms of kidney disease. All patients receiving LOVENOX®, as well as other anticoagulants, should be carefully monitored for bleeding by their physician. Bleeding can occur at any site with LOVENOX® use.
Platelet drops, known as "thrombocytopenia," can occur with LOVENOX® use. Cases of a related condition called "heparin-induced thrombocytopenia" have been observed in clinical practice. If you have had this condition, you must notify your healthcare professional. Your physician may perform blood tests to monitor for the occurrence of any drop in platelet count.
The use of LOVENOX® has not been adequately studied in pregnant women with artificial (mechanical) heart valves.
LOVENOX® should not be used in patients with an allergy or sensitivity reaction to the active ingredient called enoxaparin sodium, heparin, or pork products, and in patients with active major bleeding.
Common side effects include mild local reactions or irritation at the site of injection, pain, bruising, and redness of skin.
For specific questions about your health, you should always consult your physician or a qualified healthcare professional who is responsible for your care.
Please see Full Prescribing Information including boxed WARNING for additional important information.
Click here for information on drug anti-counterfeiting.