If I remember correctly, Lovenox is given every 12 hours, correct? So, why can't the hours of the vascular lab availability (open or on call) only cover 12 hours? Therefore, anyone coming in with high suspicion of DVT can be given Lovenox, go home, and come back the next morning for a scan.
What the vascular lab needs to do to make this more palitable for the ED docs is make the scheduling easy for the ED nurse and the patient. Therefore, the vascular lab needs to allow a time slot or block of time that they can schedule a patient (electronically, of course) before the patient leaves the ED.
This always worked great for us. Everybody was happy.
Connie McCoy, RVT
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