Venous Thromboembolism (VTE) Screening Guideline
Authors: Cristina Botero, Walter Ramsey, Brandon Parker – 1/24/24
Approval: Lineen, Namias – 1/24/24
Purpose
- Identify patients at high risk for VTE and intervene early.
Procedure
- Use dot phrase “.ticuscreenV1” – can be copied on Cerner from Brandon Masi Parker under the “autotext copy utility” function
- Patients should be screened on admission and weekly (On TUESDAYS)
- For Trauma patients:
RAP Score (Risk Assessment Profile for Venous Thromboembolism)
-Calculate using: https://www.medicalalgorithms.com/risk-assessment-profile-rap-of-greenfield-et-al-for-venous-thromboembolism-in-adult-trauma-patients
-Refer to AIS Scoring handout below for AIS
RAP Score >10 denotes high risk. In these patients DVT screening is recommended. - Order: US Duplex Veins Lower Ext Bilateral
- Indication- “Rule out DVT- Screening”
- Order: Urine Creatinine 24hr
Order: Vitamin D25 Hydroxy level - For Non-trauma patients:
Caprini Score
-Calculate using: https://www.mdcalc.com/caprini-score-venous-thromboembolism-2005
-Patient score: _
Caprini score >9 denotes high risk. In these patients DVT screening is recommended. - Order: US Duplex Veins Lower Ext Bilateral
- Order: Urine creatinine 24hr
- Order: Vitamin D 25 Hydroxy level
Purpose
- Identify patients at high risk for VTE and intervene early.
Procedure
- Use dot phrase “.ticuscreenV1” – can be copied on Cerner from Brandon Masi Parker under the “autotext copy utility” function
- Patients should be screened on admission and weekly (On TUESDAYS)
- For Trauma patients:
RAP Score (Risk Assessment Profile for Venous Thromboembolism)
-Calculate using: https://www.medicalalgorithms.com/risk-assessment-profile-rap-of-greenfield-et-al-for-venous-thromboembolism-in-adult-trauma-patients
-Refer to AIS Scoring handout below for AIS
RAP Score >10 denotes high risk. In these patients DVT screening is recommended. - Order: US Duplex Veins Lower Ext Bilateral
- Indication- “Rule out DVT- Screening”
- Order: Urine Creatinine 24hr
Order: Vitamin D25 Hydroxy level - For Non-trauma patients:
Caprini Score
-Calculate using: https://www.mdcalc.com/caprini-score-venous-thromboembolism-2005
-Patient score: _
Caprini score >9 denotes high risk. In these patients DVT screening is recommended. - Order: US Duplex Veins Lower Ext Bilateral
- Order: Urine creatinine 24hr
- Order: Vitamin D 25 Hydroxy level