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Andrew Pollack-Gray

Nursing Notes

Anti-Embolism Stockings

3 min read

When & Why?

Anti-embolism stockings, sometimes called TED hose, provide graduated compression to support venous return and help reduce venous thromboembolism risk in appropriately selected patients.

Before You Start

  • Confirm the order, care plan, and prescribed wearing schedule.
  • Verify that the stockings are the correct type and professionally determined size.
  • Confirm that the resident has been assessed for contraindications by the appropriate clinician.
  • Inspect the legs and feet for redness, wounds, swelling, discoloration, or other skin changes.
  • Ask about pain, numbness, tingling, or discomfort.
  • Explain the procedure and position the resident comfortably.

When to seek nursing guidance before applying:

  • Suspected or known peripheral arterial disease or impaired circulation.
  • Peripheral neuropathy or reduced sensation.
  • Fragile, injured, or irritated skin.
  • Significant leg swelling or a recent change in leg size.
  • A device that appears too tight, damaged, or incorrectly sized.

CNAs observe and report concerning findings. They do not independently determine whether compression therapy is medically appropriate.

Steps

  1. Remove stockings when directed and inspect the skin.
  2. Ensure skin is clean and dry.
  3. Gather the stocking and position it over the foot and heel.
  4. Gradually extend it over the leg without excessive pulling.
  5. Smooth wrinkles and check heel alignment.
  6. Ensure the upper edge is not rolled or folded.
  7. Check comfort, skin color, and circulation.

Safety & Observations

  • Stockings must fit correctly; folds or rolled edges can create concentrated pressure.
  • Never roll down the top edge to form a constricting band.
  • Follow the prescribed schedule for wearing, removal, hygiene, and skin inspections.
  • Remove stockings for routine skin inspection according to the care plan and facility procedure.
  • Pay particular attention to heels, ankles, toes, and other areas vulnerable to pressure.
  • If pain, blistering, significant skin marking, discoloration, or other concerning changes occur, stop application or remove the stocking when appropriate, and notify the nurse promptly.
  • Do not independently choose a different size, compression level, or wearing schedule.
  • Do not apply stockings when contraindications are suspected or unresolved; seek nursing guidance.
  • Follow manufacturer instructions and facility policy.

What Should I Remember?

  • Correct size, smooth fit, no wrinkles.
  • Follow the prescribed wearing and removal schedule.
  • Check skin and comfort during routine care.
  • Follow manufacturer instructions for laundering.

Practice

  • Studied
  • Observed
  • Practiced
  • Passed checkoff

Sources

Flashcards

Why avoid wrinkles or folds in anti-embolism stockings?03-application / clinical-skills
Answer

They can create pressure or impair proper fit.

Who determines whether and how long stockings are used?03-application / clinical-skills
Answer

The prescribed care plan and clinical orders.

Why might anti-embolism stockings be unsafe for a resident with peripheral arterial disease?03-application / clinical-skills
Answer

Compression may worsen impaired circulation.

What should a CNA do if anti-embolism stockings cause pain or skin discoloration?03-application / clinical-skills
Answer

Stop application or remove as appropriate and notify the nurse promptly.

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