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Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Critical Care Nurses (ANIARTI)

The routine replacement (or at regular intervals) of peripheral venous catheters has a lower cost-benefit than a replacement following clinical criteria. The decision to replace the peripheral venous catheter should be based on the assessment of the patient's conditions; the vascular access site; the skin integrity and used vein; the duration and type of prescribed therapy; the integrity, patency and stability of the device; the fastening dressing. Replacement strategies of the catheters as ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Critical Care Nurses (ANIARTI)

Endotracheal suctioning of secretions through a ventilatory prosthesis (orotracheal or tracheostomy tube) is not a riskless procedure. Despite international literature is lacking both on the ways and on the times of suction, since long ago the main recommendations are that the procedure should be carried out with the minimum frequency or when clinically indicated by the presence of secretions in the ventilatory prosthesis. The early indicators for the diagnosis of bronchial secretions retention ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Critical Care Nurses (ANIARTI)

The infections related to care practices are an important cause of morbidity, mortality, prolonged hospital stay and have a significant economic impact. Patients admitted to intensive care units (ICU) are at high risk of acquiring infections due to reduced immunity (eg. trauma outcomes, corticosteroid therapy), and frequent exposure to invasive procedures. The entry of family members in ICU highlighted the importance of controlling any infectious risk, but the use of personal protective ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Critical Care Nurses (ANIARTI)

Routine replacement of the mechanical ventilator circuits is not recommended. These should only be replaced if they are visibly dirty (with plenty of moisture and / or secretions). VAPs produce increased morbidity and mortality and rise the costs for hospitalized patients in intensive care (ICU) with the presence of endotracheal tube (ETT). Routine replacement of the ventilation circuit does not decrease the risk of infection. Effective interventions to reduce VAPs can be inserted in a ...

Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association of Urology Nurses (AIURO)

The increasingly widespread use of "advanced dressings", i.e. of devices for the treatment of surgical wounds made up of biocompatible materials enhancing their healing, is the result of ongoing pharmacological, epidemiological and infectious diseases research. In order to ensure an appropriate patient care, it is necessary that nurses know the different types of products, both for choosing the most suitable one and to schedule how and when to replace it. It is therefore necessary to neglect ...