Emergency Department Quality Framework
Following feedback on the NZ ED Quality Framework to the ED Advisory Group, the final draft of the Quality Framework has now issued. A copy can be downloaded here.
NZOA Guidelines Regarding Venous Thromboembolism (VTE)
Venous thromboembolism (VTE) is the term used for a combination of the formation of a thrombus in a vein or veins of the systemic venous system, (usually in the lower limbs or abdomen/pelvis), and the embolisation of a thrombus to the pulmonary arterial system via the inferior vena cava and right heart chambers. The commonest clinical presentation in the spectrum of VTE is as a deep venous thrombosis (DVT), but it may present as a pulmonary embolism (PE).
The risk of developing VTE increases tenfold in patients admitted to hospital versus non-hospitalised persons, with contributing factors being general ill health, malignancy, reduced mobility and poor fluid intake, as well as surgical procedures, particularly orthopaedic and other high-risk surgeries.
The NZOA recommendation does not cover one particular set of guidelines as internationally there are several. Attached are Guidelines from:
- Australia and New Zealand Working Party on the Management and Prevention of Venous Thromboembolism
- NZ VTE Prevention Programme National Policy Framework
which are all acceptable.
If there is one action the NZOA requires it is that you do not do nothing, i.e. you should do something but what it is is up to you. But you MUST clearly document what you are doing and why you are doing it and refer to the set of guidelines you are using.
The National Policy Framework: VTE Prevention in Adult Hospitalised Patients in NZ produced in July 2012 is acceptable although the addition of aspirin is recommended.
The RACP has issued draft updated guidelines for Ethical Relationships between Health Professionals and Industry. These now cover the medical device industry as well as the pharmaceutical industry.
The following Guidelines for members are related to various sections of of the NZOA. If you have any questions relating to any of the Guidelines please contact the NZOA Staff.
AAOS-ADA - Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
ACC NZOA Process for Joint Recommendations
CPAC Prioritisation Guidelines
Ensuring Correct Patient, Correct Side and Correct Site Surgery
NZDA Guidelines for Antibiotic Prophylaxis
Guidelines for Industry Sponsorship
Guidelines for the Resolution of Disputes Between Members
Guidelines on providing expert advice
Hip Replacement Guidelines
Knee Replacement Guidelines
Knee Surgery Entitlements
Medsafe and NZOA Metal on Metal Guidelines
NZOA Member Code of Conduct
NZOA Position Statement on ASR Metal on Metal Hip Recall - June 2011
Shoulder Surgery Entitlements