National Nursing Week is May 6 to May 12, 2019. This week, Choosing Wisely Manitoba is proud to celebrate the dedicated and hard-working nurses who play an integral role in the health and well-being of Canadians.
Nine things nurses and patients should question:
- Don’t insert an indwelling urinary catheter or leave it in place without daily assessment.
- Don’t advise routine self-monitoring of blood glucose between appointments for clients with type 2 diabetes who are not taking insulin or other medications that could increase risk for hypoglycemia.
- Don’t add extra layers of bedding (sheets, pads) beneath patients on therapeutic surfaces.
- Don’t use oxygen therapy to treat non-hypoxic dyspnea.
- Don’t routinely use incontinence containment products (including briefs or pads) for older adults.
- Don’t recommend tube feeding for clients with advanced dementia without ensuring a shared decision-making process that includes the known wishes of clients regarding future care needs and the perspective of carers and the health care team.
- Don’t recommend antipsychotic medicines as the first choice to treat symptoms of dementia.
- Don’t recommend antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present.
- Don’t routinely recommend antidepressants as a first-line treatment for mild depressive symptoms in adults.
More Choosing Wisely Canada nursing resources:
- Six Things Nurses and Patients Should Question in Nursing Gerontology
- Seven Things Nurses and Patients Should Question in Infection and Prevention Control
- Lose the Tube – A toolkit for appropriate use of urinary catheters in hospitals