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SEQUENTIAL COMPRESSION DEVICE (SCD) Purpose Things to remember to maintain safety

- Are inflatable sleeves that fit around your  As an adjunctive measure in patient  Remove the compression sleeves at
legs. The sleeves are attached to a pump receiving anticoagulant therapy intervals so that ‘you can inspect skin and
that inflates and deflates the sleeves. evaluate the adequacy of circulation
 Promote venous return from legs to
 Applying sequential compression device is a decrease the risk of deep vein thrombosis  Always check the compression pressure.
mechanical prophylactic treatment to and pulmonary embolism in clients with Leave one to two fingerbreadths between
reduce the incidence of venous reduced mobility sleeve and extremity
thromboembolism by enhancing the blood
flow in the deep vein of the legs.  To prevent postoperative complications (i.e, How to apply sequential compression
thrombophlebitis) device?
Consideration before the procedure
 To promote comfort in the lower extremities  Check the doctor’s order. Identify the
 Assess inflation and deflation of the sleeve
patient; explain purpose. Assess patient’s
to be sure the device is working Equipment
family member’s ability to participate
 Monitor for kinking or pinching of the  Sequential compression stocking/ hose  Wash hands and don on gloves
connecting tube
 Clean gloves
 Obtain equipment from central supply
 Monitor circulation, sensation and motion of
 Tape measure  Gather the equipment and place at bedside
the foot, including: Skin color, pulses,
temperature, capillary refill, sensation, and  Compression pump and adjust lighting
skin condition/integrity
 Washcloth and towel  Position patient in bed in Fowler’s position
 Movement and sensation of feet and lower
Things needed to be  Wrap stocking/hose around the leg. Starting
at the ankle, with the opening over the
 Assess skin integrity and s/sx of severe patella.
peripheral arterial disease  Date and time you applied the device
 Attach the stocking/ hose to the insufflator
 Assess cognitive level and level of  Note the type and size of compression and make sure the intermittent pressure is
consciousness. sleeve used over 35 to 40mmHg

Consideration after the procedure  Skin condition before the procedure.  Remove gloves and do hand washing
 Place the regulating pump for the sequential  Check stocking/hose and compressor
compression in a location that will ensure equipment periodically
patients safety
 Conduct patient or family health teaching
 Place the patient in a supine position about removal of stocking/hose as indicated
 Ensure proper fitting of the sleeve
Deep vein thrombosis
Blood clotting in the veins of the inner
thigh or leg.
The formation of a thrombus (blood clot)
in the lower leg.

Blood clots can break off (as an embolism)

and makes its way to the lung where it has
the potential of causing respiratory distress
and respiratory failure. compressi