Do not apply standard and additional precautions when assisting a patient with an “alert” multi-drug resistant organism without first evaluating the type of “alert” multi-drug resistant organism involved.
Often when assisting a patient with an “alert” multi-drug resistant organism, strict isolation in all areas (contact, aerial, oral, faecal, large droplets) tends to be applied. Before applying an additional isolation procedure, the source of the bacterium,...
Do not use antiseptic products routinely in addition to or in place of normal detergent in the pre-operative bath/shower.
During pre-operative patient pre-treatment it is common practice to use chlorhexidine-based antiseptics at 2%-4%. The 2%-4% chlorhexidine antiseptic solution is indicated in cases where decontamination/cleansing of the skin is required in patients with MRSA and...
Don’t follow the mobilization protocols and those for the treatment of pressure sores as “standard” protocols in the dying patient.
Given the limited temporal horizon, the mobilization and the wound care performed routinely do not bring any benefit to the dying patient. Instead, these procedures can engender discomfort and cause unnecessary pain. At the end of life you need to redefine the goals...
Do not use gloves as an alternative to hand hygiene with alcohol solution for performing non-biological care work, especially in the presence of a patient with multi-drug resistant organisms (MDRO). (Green recommendation)
In everyday practice disposable gloves are used and changed inappropriately (e.g., changing sheets, food and beverage administration, administering oral medicines, patient transport, etc.). These behaviours can increase the spread of microorganisms and their...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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