VTE

Indicator Documentation requirements
VTE prophylaxis All inpatients 18 and older must have VTE prophylaxis or documentation supporting contraindication to both mechanical and pharmacological VTE prophylaxis by hospital day 2
ICU VTE prophylaxis All patients admitted or transferred to ICU need to have VTE prophylaxis initiated or documentation supporting contraindication to both mechanical and pharmacological VTE prophylaxis by ICU day 2
Overlap therapy for confirmed VTE – note not needed for patients on Pradaxa or Xarelto All patients with confirmed VTE started on warfarin therapy require 5 days of overlap of parenteral anticoagulation (i.e. Heparin, Lovenox etc.) or documentation supporting rationale for early discontinuation. If discharging a patient and the INR is less than 2, patient must be discharged on overlap warfarin and lovenox until INR is greater than equal to 2

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