Hi all,

I know this subject goes round and round but we are looking at a cutoff time

for performing venous duplex.  The options for the ER :

1) to medicate with low dose heparin and send them home, return the next AM

for the scan

2) to HOP the patient for 23 hours

3) or just send home and return for scan in AM

These suggestions are from our Medical Director, a vascular surgeon, and he

feels these are fine options.  Is anyone doing this?  He is somewhat of a

trailblazer but it worries me if this is the right thing for the patient.  If

you have a cutoff time what is it?

Shelly Burns LPN, RVT

Summa Health System

Akron, Ohio