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Unless there is any complication, don’t renew the dressing of the surgical site in the first 48 hours after surgery.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Italian Association of Urology Nurses (AIURO)
The dressing of the surgical wound is always source of debate for what concerns: methods, materials and frequency of renewal. Currently, replacing the dressings positioned in the operating room during the first day, i.e. before 24 hours from placement, is routinely. Leaving the dressing in place for 48 hours after surgery is the gold standard to limit infection and complications of the surgical site and to promote the natural tissue regeneration.
ver más ... 2016Don’t carry out the assessment of pain without using standardized scales in the immediate post-operative period.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Italian Association of Urology Nurses (AIURO)
In many surgeries the administration of post-operative analgesic therapy is a standard practice. However, the pain previously perceived by the patient it is not always rated. If there is a prescription for a pain killer treatment "under condition", i.e. with the possibility of opting for different active ingredients prescribed by shared interdisciplinary protocols, the choice should be guided by a systematic assessment of pain as a symptom. The use of standardized scales (eg. Numerical Rating ...
ver más ... 2016Don’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.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Italian Association of Urology Nurses (AIURO)
An improper indication and subsequent management of bladder catheterization can determine up to 40% of infections related to care practices, resulting in increased morbidity and costs. In case of macrohematuria it is indicated to use catheters that have as minimum requisites the indicated size and are 3-ways silicone devices. From this data comes the need of standardizing the knowledge and skills of all professionals who have to perform the procedure of bladder catheterization, especially in ...
ver más ... 2016Don’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 ...
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Italian Association of Urology Nurses (AIURO)
The practice of bladder catheterization appears to be, long since, among the most prevalent in health facilities - including private hospitals and home care - thus resulting in a procedure with a significant transversal scope. An improper indication and subsequent management of bladder catheterization can determine up to 40% of infections related to care practices, resulting in increased morbidity and costs. From this data comes the need to standardize the knowledge and skills of all workers ...
ver más ... 2016Do not use scopolamine butylbromide (Buscopan®) in the treatment of renal colic.
Recomendaciones "No hacer". SemFYC [SemFYC Do not Do recommendations]
Grupo de Trabajo Urgencias y Atención Continuada
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ver más ... 2016