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We are currrently using a similar protocol ofor evening and weekend coverage
of venous call's after hours.  This procedure has been in effect since
January, and we have had good results.  Prior to implementation we had a 7 %
positive rate for DVT's of which 3% were already on some form of treatment
or had a chronic DVT.  We have yet to run the numbers again as we are
waiting 6 months to collect data, but our late night and weekend call in
have substantially decreased.
Sherry Guthrie RVT
Tech Director
CPMC San Francisco, CA
----- Original Message -----
From: Shelly Burns <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, April 13, 2000 7:15 PM
Subject: venous after hours


> 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
>