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New Nurse Practitioners List Released

On Friday September 15, the Nurse Practitioner Association of Canada (NPAC) released their Choosing Wisely list of nine recommendations of tests, treatments or procedures nurse practitioners should question.

NPAC has partnered with Choosing Wisely Canada to help identify and reduce tests, treatments, and procedures commonly used that are not supported by evidence and may expose patients to harm. NPAC represents nurse practitioners across Canada and hopes the campaign will encourage thoughtful dialogue about necessary and unnecessary care among nurse practitioners and patients.

In presenting the NPAC list, the organization seeks to promote awareness of best practices and current evidence, while focusing on key topics that are frequently encountered in everyday practice.

The Nine Things Nurse Practitioners and Patients Should Question includes:

  1. Don’t prescribe any medication to patients over the age of 65 without conducting a thorough medication review.
  2. Don’t prescribe vitamin B12 injections to clients with low vitamin B12 levels as first line therapy.
  3. Don’t routinely measure Vitamin D levels in low risk adults.
  4. Don’t do annual complete physical examinations on asymptomatic adults with no significant risk factors.
  5. Don’t order screening chest X-rays in asymptomatic patients.
  6. Don’t order chest X-rays in patients with acute upper respiratory tract infections.
  7. Don’t order thyroid function tests as screening for asymptomatic, low risk patients.
  8. Don’t prescribe prophylactic antibiotics to prevent travellers’ diarrhea.
  9. Don’t screen women with Pap smears if under 21 years of age or over 69 years of age.

Engaging with Canadian Clinicians 

This partnership is another example of clinician groups joining Choosing Wisely to engage in conversations about unnecessary tests and treatment and make smart and effective care choices. Choosing Wisely Canada is excited to expand its efforts to collaborate with health professional groups who are focused reducing overuse and providing appropriate patient care.


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