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DVT RISK ASSESSMENT & ORDER FOR DVT PROPHYLAXIS ADULTS Patient Name: NURSING DVT RISK ASSESSMENT: MR#: Allergies: Each box 1 risk point Obesity ( 120% IBW) see table back page Current use of oral.

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A Caprini score of ≥ 5 points was considered the criterion of a reliably increased risk of DVT in surgical patients with standard thromboprophylaxis. Predicting DVT using a cumulative risk score ≥ 4 is recommended for nonsurgical patients.

Patients at low risk of VTE (Caprini 1 to 2) are recommended to receive either mechanical or pharmacological prophylaxis. Patients at moderate (Caprini 3 to 4) to high risk of VTE (Caprini 5) are recommended pharmacological prophylaxis either alone or combined with mechanical prophylaxis.

A Caprini score of 10 or greater is considered high risk and a score of 9 or less is considered low risk.

The Padua prediction score, indicating a high risk, was defined as a score of 4 or higher. The Caprini VTE risk assessment identifies high risk as a score of 5 or higher.

The Caprini risk score is a risk assessment tool for the occurrence of venous thromboembolism among surgical patients. The Caprini risk score includes 20 variables and it is derived from a prospective study of 538 general surgery patients.

Originally developed for surgical patients, the Caprini RAM facilitates the derivation of VTE risk by summing individual risk factors so as to place patients into four categories: “low risk” (0-1 points), “moderate risk” (2 points), “high risk” (3-4 points), and “highest risk” (≥5 points).

Three-tier model ScoreResult3 or higherHigh risk of DVT1 or 2Moderate risk of DVT0 or lessLow risk of DVT

A Caprini score of 10 or greater is considered high risk and a score of 9 or less is considered low risk. The 2013 version of the Caprini RAM retrospectively stratified 7 of the 8 VTE events correctly, while only 1 VTE was identified with the prospective department protocol.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232