ࡱ> OQN bjbj 7J nn80^``````$^^2W@jJ0;.;;D.;n w: Autar DVT Risk Assessment Scale ADDRESSOGRAPHSPECIAL RISK CATEGORYTRAUMA RISK CATEGORY  Name: Unit No: Ward: Oral contraceptive: Score 20-35 yrs 1 35+ yrs 2 Pregnancy/Puerperium Score items(s) ONLY pre-operative Score Head 1 Chest 1 Spinal 2 Pelvic 3 Lower limb 4AGE SPECIFIC GROUPASSESSMENT PROTOCOLSURGICAL INTERVENTIONS Score only ONE appropriate item Score Minor Surgery (<30 mins) 1 Major Surgery 2 Emergency Major Surgery 3 Thoracic 3 Abdominal 3 Urological 3 Neurosurgical 3 Orthopaedic 4 Age Group Score 10-30 0 31-40 1 41-50 2 51-60 3 61+ 4 Score < 6 No risk Score 7-10 Low Risk (<10%) Score 11-14 Moderate Risk (11-40%) Score 15> High Risk (>41%) THROMBOPROPHYLAXIS Please tick the appropriate prescribed DVT prophylaxis Leg Elevation ( Graduated Elastic Compression stockings (GECS) ( Pneumatic Compression (PC) ( Intermittent or ( Continuous ( Heparin ( Heparin Sodium ( standard/unfractionated) Calciparine (heparin calcium) Minihep (heparin sodium) Minehep calcium (heparin calcium) Monoparin (heparin sodium) Monoparin calcium (heparin calcium Multiparin (heparin sodium) Pump-hep (heparin sodium Unihep (heparin sodium) Uniparin (heparin sodium) Low molecular Weight Heparin ( Fragmin (dalteparin sodium Clexane (enoxaparin Heparin) Innohep (tinzaparin) Logiparin (tinzaparin) Warfarin ( Others, please specify: ( No Prophylaxis ( BUILD BODY MASS INDEX(BMI)HIGH RISK DESEASES Build BMI Score Under weight 16-19 0 Average 20-25 1 Overweight 26-30 2  Score Ulcerative Colitis 1 Anaemia: Sickle Cell 2 Polycythaemia 2 Haemolytic 2 Chronic Heart Disease 3 Myocardial Infraction 4 Malignancy 5 Varicose Viens 6 Previous DVT or CVA 7MOBILITY Score Ambulant 0 Limited (users aids self) 1 Very limited (needs help) 2 Chair bound 3 Complete bed rest 4SCORING (within 24 hours of admission)Identify appropriate items, add record score below Assesor Date ScoreSan Antonio Association of Operating Room Nurses. Autar DVT Risk Assessment Scale. 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