{"id":201358,"date":"2021-12-21T11:05:57","date_gmt":"2021-12-21T16:05:57","guid":{"rendered":"https:\/\/santemc.quebec\/icentre\/?p=201358"},"modified":"2021-12-21T11:12:33","modified_gmt":"2021-12-21T16:12:33","slug":"agrement-capsule-dinformation-no-1-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-cop-9","status":"publish","type":"post","link":"https:\/\/santemc.quebec\/icentre\/agrement-capsule-dinformation-no-1-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-copy-cop-9\/","title":{"rendered":"Agr\u00e9ment : capsule d&rsquo;information no 12"},"content":{"rendered":"<p><strong><span style=\"color: #e7242a;\"><a href=\"http:\/\/santemc.quebec\/santemc\/icentre\/wp-content\/uploads\/2019\/05\/agrement.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignleft wp-image-10364 size-thumbnail\" src=\"https:\/\/santemc.quebec\/santemc\/icentre\/wp-content\/uploads\/2019\/05\/agrement-150x150.png\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/span><\/strong><\/p>\n<p><strong><span style=\"color: #e7242a;\">Sujet : La prophylaxie de la thrombo-embolie veineuse<b><br \/>\n<\/b><\/span><\/strong><\/p>\n<p><strong><span style=\"color: #e7242a;\"><b><\/b>Public vis\u00e9 : Tous les m\u00e9decins, pharmaciens, membres du personnel infirmier et<br \/>\nprofessionnels impliqu\u00e9s dans les soins aux usagers<\/span><\/strong><\/p>\n<p><!--more--><\/p>\n<p><strong><span style=\"color: #e7242a;\">D\u00e9finition<\/span><\/strong><\/p>\n<p>La thrombo-embolie veineuse (TEV) est le terme compos\u00e9 d\u00e9signant la thrombose veineuse profonde (TVP) et l\u2019embolie pulmonaire (EP). La TEV est une complication grave chez les usagers hospitalis\u00e9s ou subissant une chirurgie. L\u2019incidence des TEV peut \u00eatre r\u00e9duite ou \u00e9vit\u00e9e en donnant<br \/>\nune thromboprophylaxie aux usagers \u00e0 risque.<\/p>\n<p><strong><span style=\"color: #e7242a;\">\u00c0 retenir<\/span><\/strong><\/p>\n<ol>\n<li>Les usagers admis en m\u00e9decine et en chirurgie qui risquent d\u2019avoir une thrombo-embolie veineuse sont identifi\u00e9s et re\u00e7oivent la thromboprophylaxie appropri\u00e9e. Certaines conditions cliniques ou interventions sont plus \u00e0 risque d\u2019exposer l\u2019usager \u00e0 la survenue d\u2019une TEV.<\/li>\n<li>La thromboprophylaxie peut prendre la forme d\u2019une prescription d\u2019un m\u00e9dicament (plusieurs options possibles), il s\u2019agit de la thromboprophylaxie pharmacologique ou encore, dans certains cas, la thromboprophylaxie peut \u00eatre m\u00e9canique (compression pneumatique).<\/li>\n<li>De nombreux guides de pratique clinique fond\u00e9s sur les donn\u00e9es probantes recommandent la thromboprophylaxie pour certains usagers. La pratique au CISSS est inspir\u00e9e de ces lignes directrices.<\/li>\n<\/ol>\n<p><strong><span style=\"color: #e7242a;\">Concr\u00e8tement<\/span><\/strong><\/p>\n<ul>\n<li>Trois r\u00e8gles d\u2019utilisation ont \u00e9t\u00e9 adopt\u00e9es par le conseil d\u2019administration (C. A.) de l\u2019\u00e9tablissement le 22 novembre 2021 :<br \/>\n\u2022 thrombopropohylaxie pour les usagers hospitalis\u00e9s en m\u00e9decine ou toute autre sp\u00e9cialit\u00e9 non chirurgicale;<br \/>\n\u2022 thromboprophylaxie pour les usagers ayant une chirurgie orthop\u00e9dique;<br \/>\n\u2022 thromboprophylaxie pour les usagers ayant une chirurgie non orthop\u00e9dique.<\/li>\n<li>Ces r\u00e8gles d\u2019utilisation ont \u00e9t\u00e9 r\u00e9vis\u00e9es par plusieurs cliniciens. Elles ont \u00e9t\u00e9 pr\u00e9sent\u00e9es au comit\u00e9 de pharmacologie, \u00e0 l\u2019ex\u00e9cutif du conseil des m\u00e9decins, dentistes et pharmaciens (CMDP) et au conseil des infirmiers et infirmi\u00e8res (CII) avant d\u2019\u00eatre approuv\u00e9es par le C. A.<\/li>\n<li>Des ordonnances pr\u00e9imprim\u00e9es pr\u00e9voient d\u00e9j\u00e0 la prescription de la thromboprophylaxie dans certains contextes cliniques. Ces ordonnances sont disponibles sur intranet.<\/li>\n<\/ul>\n<p><strong><span style=\"color: #e7242a;\">O\u00f9 trouver les documents?<\/span><\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/intranetcisssmc.rtss.qc.ca\/mon-cisss\/conseils-et-comites\/comite-pharmacologique\" target=\"_blank\" rel=\"noopener\">https:\/\/intranetcisssmc.rtss.qc.ca\/mon-cisss\/conseils-et-comites\/comite-pharmacologique<\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/santemc.quebec\/santemc\/icentre\/wp-content\/uploads\/2021\/12\/No12-ProphylaxieThromboTEV_21dec.pdf\" target=\"_blank\" rel=\"noopener\">Version PDF pour impression et pour affichage dans vos secteurs<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sujet : La prophylaxie de la thrombo-embolie veineuse Public vis\u00e9 : Tous les m\u00e9decins, pharmaciens, membres du personnel infirmier et professionnels impliqu\u00e9s dans les soins aux usagers<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/posts\/201358"}],"collection":[{"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/comments?post=201358"}],"version-history":[{"count":4,"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/posts\/201358\/revisions"}],"predecessor-version":[{"id":201364,"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/posts\/201358\/revisions\/201364"}],"wp:attachment":[{"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/media?parent=201358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/categories?post=201358"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/santemc.quebec\/icentre\/wp-json\/wp\/v2\/tags?post=201358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}