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Don’t initiate plain X-ray for foot and ankle trauma unless criteria of the Ottawa Ankle Rules are met
Choosing Wisely Australia
Australian College of Nursing
Traumatic injury to the foot and ankle are a common reasons for presentation to the emergency department. The Ottawa Ankle Rules (OAR) are an effective screening tool to guide the use of plain x-ray in the evaluation of these injuries. Validation studies have found that the OARs have an almost 100% sensitivity in many studies in a number of clinical settings. The correct application of the OARs can identify patients who are likely to have a clinically significant fracture and reduce unnecessary ...
ver más ... 2016Don’t use urinary catheters to manage urinary incontinence unless all other appropriate options have proved to be ineffective or to prevent wound infection or skin breakdown
Choosing Wisely Australia
Australian College of Nursing
Urinary tract infections (UTIs) are the most common healthcare associated infection, the majority of which can be associated with the use of indwelling urinary catheters (IDC). Urinary tract infections in hospitalised patients increase morbidity and mortality, antibiotic exposure and often prolong length of hospital stay. The use of indwelling urinary catheters to manage incontinence is not recommended unless as a last resort or to prevent wound infection or skin breakdown and should be removed ...
ver más ... 2016Don’t routinely administer antipyretics with the sole aim of reducing body temperature in un-distressed children
Choosing Wisely Australia
Australian College of Nursing
Fever is defined as a rise in body temperature above the normal range of approximately 37.8 degrees Celsius and is commonly seen as a primary indication of illness in children. It is a normal physiological response to infection and illness and will not place a generally healthy child at harm. The benefits of fever in slowing the growth and replication of bacteria and viruses are well documented within the literature, however the administration of pharmacological antipyretic therapy to reduce ...
ver más ... 2016Don’t restrict the ability of people with diabetes to self-manage blood glucose monitoring unless there is a clinical indication to do so
Choosing Wisely Australia
Australian College of Nursing
Imposing unnecessary blood glucose monitoring regimes that needlessly change a person’s routine, and are random, low frequency or do not provide patients or health care professionals with information that is of value in managing diabetes, will not enhance therapeutic goals. Glycaemic control is pertinent to the management of Diabetes Mellitus (DM), with self-management a valuable tool in reducing the incidence of complications, improving HbA1c levels*, enhancing quality of life and reducing ...
ver más ... 2016Don’t replace peripheral intravenous catheter unless clinically indicated
Choosing Wisely Australia
Australian College of Nursing
Peripheral intravenous catheters (IV) are routinely used for vascular access. The unnecessary removal and replacement of a functional IV catheter breaches skin integrity, posing an increased risk of healthcare-associated infection and trauma to patients. This in turn, frequently results in increased length of stay, less than optimal health care outcomes and unnecessary use of health resources. Evidence suggests there is no significant difference in cases of phlebitis if peripheral IV catheters ...
ver más ... 2016