Unless there is any complication, don’t renew the dressing of the surgical site in the first 48 hours after surgery. Physical restraint to prevent falls For the management of vascular access, in particular for washing and closing operations (Flushing and locking) don’t use syringes with direct filling from the IV fluid solution bottle, but prefer the use of pre-filled syringes. For patients in isolation rooms, do not place isolation supplies, equipment and medical devices of no immediate use at the bedside. FNOPI ped #1 FNOPI #1 Don’t use the bladder catheterization if not expressly recommended. If necessary, follow the guidelines as far as the choice of the devices, the insertion procedure, the management, the early removal and patient education are concerned. Don’t use physical restraint as a first choice during painful procedures in children Don’t use bladder training (repeated closure of the catheter) before urinary catheter removal. (AIURO – ANIMO) Don’t use abrasive disinfectants on intact skin in the elderly, who are bedridden and with fragile and/or damaged skin. (AIUC) Don’t run the newborn hearing screening at birth but at least after 48 hours of life in a 1st level birth center. Don’t routinely use personal protective equipment (gowns, masks, hats, gloves, ….) for the access of family members in ICU. (Green recommendation) Don’t resort to bladder catheterization for managing incontinence or performing simple diagnostic tests. Don’t replace regularly the mechanical ventilator circuits to reduce the risk of VAP (Ventilator Associated Pneumonia) Don’t replace devices without assessing the skin integrity. Don’t renew the advanced dressings placed on complicated and/or infected surgical site with different timing than indicated by the guidelines and the product specifications. Don’t reheat several times artificial or breast milk before feeding it to the baby. Don’t practice bladder catheterization with 2-ways latex catheters; caliber of less than 22 ch for men and 20 ch for women; in patients with suspected or confirmed diagnosis of macrohematuria. Don’t perform preoperative hair removal with a razor blade in anticipation of surgery (AICO). Don’t mince and disguise medications in foods to administer them to patients with dysphagia and/or via NG-tube (nasogastric tube) or PEG (Percutaneous Endoscopic Gastrostomy) if not specifically indicated. Don’t make regular use of restraint as a falls risk management tool. Don’t maintain routine preoperative fasting since the midnight preceding the elective surgery. Don’t leave in place any type of venous catheter (central; peripheral; short, medium or long term) if the problem for which it was set is no longer present. Don’t incorrectly use collection devices for ostomy with convex plate. (AIOSS). Don’t incorrectly use chemicals for clearing the stomatal complex. (AIOSS) Don’t heat the milk to inappropriate temperatures to prevent nutrient decomposition and store it properly. Don’t follow the mobilization protocols and those for the treatment of pressure sores as “standard” protocols in the dying patient. Don’t carry out the assessment of pain without using standardized scales in the immediate post-operative period. 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) Do not use double pair of non-sterile gloves in patient care. Do not use disposable adhesive surgical sheets with the intent of reducing surgical site infections (Surgical Site Infections – SSI) Do not use antiseptic products routinely in addition to or in place of normal detergent in the pre-operative bath/shower. Do not replace surgical dressings before 48 hours have elapsed from the operation. Do not maintain precautionary isolation upon symptom resolution in patients with Clostridium difficile diarrhoea. Do not consider only surgical clinics, operating rooms and interventional x-ray as the only option for the implantation of peripherally Inserted Central Catheter (PICC) and peripheral venous catheters (Midline) but, preferably, to favour the implant procedure at the patient’s bedside. 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. ANIPIO #2 ANIPIO #1 ANIMO #1 ANIARTI #1 AIURO #1