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The International Journal of Lower Extremity Wounds
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A Nurse-Led Ambulatory Care Pathway for Patients With Deep Venous Thrombosis in an Acute Teaching Hospital

Jennifer Deagle, RGN

Emergency Medical Unit, Southampton University Hospitals Trust NHS, Southampton, UK

James Allen, MPharm, MPharmS

Emergency Medical Unit, Southampton University Hospitals Trust NHS, Southampton, UK

Raj Mani, PhD, FACA

Vascular Laboratory, Southampton University Hospitals Trust NHS, Southampton, UK, rm1{at}soton.ac.uk

This article describes the management of deep vein thrombosis (DVT) using an ambulatory nurse-led pathway and the compression technique using duplex ultrasound. This pathway permits the management of the "walking wounded" as well as other patients at varying risks of having DVT and in so doing has changed the approach toward the management of this common clinical event. The success of the described pathway is attributed to the development of low molecular weight heparin and the reliability of diagnostics.

Key Words: deep vein thrombosis (DVT) • ambulatory home care • duplex ultrasonography • low molecular weight heparin (LMWH)

The International Journal of Lower Extremity Wounds, Vol. 4, No. 2, 93-96 (2005)
DOI: 10.1177/1534734605277637
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