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...
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...
Don’t maintain routine preoperative fasting since the midnight preceding the elective surgery.
Even today, in many surgical units patients are invited to fast solids and liquids since the midnight preceding surgery, even though it is shown that this practice does not reduce the possibility of aspiration into the airway in case of general anesthesia. Indeed,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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