Our protocol is initiated by ED and GP’s

Do the Wells Score and the D-Dimer – even if the wells score is high risk we still need a D-Dimer as will guide what happens in the event of a negative initial scan.

Ambulatory Vs MAU – is Rivaroxaban contraindicated, or patient won’t mange ambulatory care.

Ambulatory Patients – order U/S on EPR and prescribe 3 weeks of Rivaroxaban (3 x weekly scripts). Ultrasound will tell them to stop if scan negative and refer to DVT clinic or back to GP.

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