aseptic non touch technique wound dressing

2.5 Aseptic Non Touch Technique (ANTT) - This is a method of working where the practitioner follows the principles of asepsis to ensure that the sterile component (key part), for example, a needle, does not come into contact with non-sterile surface. The incident happened due to inadequate knowledge of aseptic non-touch technique, Rowley and Clare (2015)emphasised that qualified nurses lack adequate knowledge relating to wound dressing, despite washing my hand with soap and water, put on the sterile gloves and aprons; there may be possibility of cross infection when arranging dressing equipment (World Health Organisation,2018). Loading ... Aseptic non-touch technique (ANTT) - Duration: 7:15. I checked the patient care plan and observation note and noticed that the wound was oozing with fluid. Cost-effectiveness - staff would unnecessarily wear expensive sterile gloves for the most simple intravenous procedures and wound management. It is important to prevent contamination of all sterile equipment . An examination of nurses’practices when performing aseptic technique for wound dressings. I will continue to clean and redress wound in the way I have been taught and believe that this is the way forward in fighting wound infections. This technique should be used when the patient has a surgical or non-surgical wound in or around the eye. 2. Buckinghamshire: (Placement hospital). Aseptic Non Touch Technique is both accurate and achievable in both clinical and non-clinical settings such as on hospital wards or a patient’s home. The technique is achieved by identifying and protecting key sites (such as wounds or puncture sites) and key parts (equipment that c… All work is written to order. Aseptic non-touch technique. A poor technique maybe instrumental in causing a Healthcare Acquired Infection (HCAI). (Aseptic Non-Touch Technique – ANTT) for clinical procedures across Wales. ANTT is an international set of principles aimed to:Standardise practiceSupport health care workers to practice safely and effectivelyIncrease patient safety by reducing the risk of introducing infection into a susceptible body site during procedures such as intravenous therapy, wound care and In future, I will aim to acquire adequate knowledge and experience, to make sure that client well-being is maintained. Policy: Aseptic Non Touch Technique This document reflects what is currently regarded as safe practice. being able to identify the “key parts” of any procedure and not touching them directly or indirectly), is an important component of achieving asepsis. The incident happened due to inadequate knowledge of aseptic non-touch technique, Rowley and Clare (2015)emphasised that qualified nurses lack adequate knowledge relating to wound dressing, despite washing my hand with soap and water, put on the sterile gloves and aprons; there may be possibility of cross infection when arranging dressing equipment (World Health Organisation,2018). The Nurse informed me that this was perfectly suitable for the procedure I carried out as the wound was still kept as clean as possible and dressings and equipment used were sterile. Use - sterile gloves if key parts must be touched. ASEPTIC NON TOUCH TECHNIQUE (ANTT) ANTT is a method used to prevent contamination of wounds and other susceptible sites by ensuring that only sterile objects and fluids come into the contact with these sites and that the risk of contamination is minimised. It also states that the Non Touch Technique should be performed without directly touching the wound or any other surface it may come into contact with. It is simpler to work with and use the non-touch technique. Registered Data Controller No: Z1821391. Its been 5+ years since Ive practised nursing in a U.S. hospital at the bedside and while living in the U.K., have come across wound care using Aseptic Non Touch Technique (ANTT). ASEPTIC NON-TOUCH TECHNIQUE & WOUND CLEANSING ASEPTIC NON-TOUCH TECHNIQUE (ANTT) ANTT refers to the infection control methods and precautions necessary during invasive clinical proce-dures to prevent the transfer of microorganisms from health professionals, procedure equipment or the immediate environment, to the patient. A non-touch technique is used wherever possible. National Institute for Clinical Excellence (2018) Continence Care, Privacy and Dignity.NICE.London. Keywords Aseptic technique/Wound dressing/Procedure This article has been double-blind peer reviewed T he term asepsis has been defined as “freedom from infection or infectious (pathogenic) mate- rial” (Taylor, 2019). Aseptic non-touch technique (ANTT) To help address these types of problems the ANTT was developed. I cleaned the wound with sterile saline because it is an effective wound cleanser as required by the policy of the hospital (Hospital Placement, 2018). An aseptic non touch-technique, ANTT (i.e. endstream endobj 892 0 obj <>/Metadata 43 0 R/Pages 889 0 R/StructTreeRoot 90 0 R/Type/Catalog>> endobj 893 0 obj <>/MediaBox[0 0 595.32 841.92]/Parent 889 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 894 0 obj <>stream Within any wound care procedure there must be separation of the activity of wound cleansing with tap water, e. g. he washing of a patients leg ulcer and the application of a dressing using an aseptic technique. Recalling the incident, I realised that I should have make sure that I avoid putting on gloves before preparing dressing equipment to avoid the incident of putting the patient well-being at risk. 1.1 Aseptic non‐touch technique “Aseptic non‐touch technique” is a term applied to a set of specific practices used to ensure asepsis and prevent the transfer of potential pathogens to a susceptible site on the body (eg, an open wound or insertion site for an invasive medical device) or to sterile equipment/devices. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. The goal is to reach asepsis, which means an environment that is free of harmful microorganisms. Eikeland, S., O’Regan, S.and Nestel, D. (2017) ‘Reflective practice and its role in simulation’, Nursing Standard, 29(10) pp. Wound dressing. In a logical order, staff identifies and protects the key parts of any procedure, performs effective hand hygiene, institutes a non-touch technique, and wears the … 891 0 obj <> endobj Nursing and Midwifery Council (2018) The NMC Code for Professional Conduct: Standards for conduct, Performance and Ethics London: Nursing and Midwifery Council. What is Non touch technique? The incident happened due to inadequate knowledge of aseptic non-touch technique, Rowley and Clare (2015)emphasised that qualified nurses lack adequate knowledge relating to wound dressing, despite washing my hand with soap and water, put on the sterile gloves and aprons; there may be possibility of cross infection when arranging dressing equipment (World Health Organisation,2018). What you will need. However, as in any clinical situation, there may be factors which cannot be covered by a single set of guidelines. Nursing and Midwifery Council (2018) Standards for Medicine Management. At that moment, Adams laid down on the bed: however, I felt concerned that Adams demeanour had changed, he explained that he does not like seeing blood, insomuch as Christopher (2016) suggests that in such circumstances, by demonstrating both sympathy and empathy whilst providing verbal reassurance have a more positive impact on patients wellbeing. Although at the time I thought I was performing the procedure using the Aseptic Technique upon evaluation of the experience I have realised that the procedure was not carried out using the Aseptic Non Touch Technique. Oxford: Oxford Polytechnic. Further information and resources. 3 The recommendations in this document have been developed as consensus statements by a diverse group of healthcare professionals from across Australia who represent the hospital and community sectors, general practice, residential care, rural … Infection Control Components of ANTT. Requires a main general aseptic , micro critical aseptic fields and nonsterile gloves. Wash your hands. He was calm, knowing fully well that I was a student nurse, he still trusted me. 13 Non‐touch (of key parts and key sites) is an integral component of ANTT and is … Just wanted to do a demo on a basic dressing without the use of gloves. Aseptic Non Touch Technique (ANTT)ANTT refers to Aseptic non – touch technique. A widely used method of aseptic technique is known as Aseptic Non Touch Technique (ANTT®). To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! (2014) ‘Aseptic non-touch technique (ANTT) competency training and assessment’, Healthcare infection Journal, 17(4), pp.143-144. Wash your hands. It is essential to F J Bree‐Williams BSc(Hons) DipN SRN RNT . Open and apply the dressing without touching wound contact layer. National Institute for Health and Care Excellence (2016) Demonstrated competency in communication skills. It can be used for removal of an indwelling urinary catheter, smear taking, high vaginal swab. h�bbd```b``�"j@$�?�d9 New national targets for reducing healthcare associated bacteraemia will soon be issued and prevention of device-associated Aseptic technique is an infection control measure, which helps to reduce the presence of pathogenic organisms coming in contact with a wound. It is essential to Study for free with our range of nursing lectures! A clear available work space. If you try to do it fast there, you can save some time. hޤ�_O1��J�Jb;�$���&�=4&M{����TZ�����k�+��Ni��v\�w�%c�Q�X�E�G�����u�� ��,Xb!(K�,De��,$e��*Y�Έ�Y�J��ɉ�n�y+�������k�y'�ϪǏu3�oU����v&�ɬ����,��x�x�q�l�kʢKb�3/~�j=Z6���S[͚���Wm�������EBZ6��b��w��3��? Commonly candidates loose time in assembling the things. (Aseptic Non-Touch Technique – ANTT) for clinical procedures across Wales. h�b```�Pf�]� cB�FN��00�gH^��d�x�]�a��Dɓ��>0$�կ���h"i"Yf�)��11�C��S��cb����D��Ŏ�8::�:=:8:%-:$XA� l�J����' ��\ g2�3Y�x�+�� 1]� �����+ ��27O&��``�^R��2H�2p��s� �`9� Within any wound care procedure there must be separation of the activity of wound cleansing with tap water, e. g. he washing of a patients leg ulcer and the application of a dressing using an aseptic technique. My discussion with my mentor helped me to realise the need to acquire more knowledge and experience. If dressing your own wound at home with a sterile product purchased at a local pharmacy, life is simple: Gather supplies and set them on a clean surface. Cleaning Wound, Applying Dressing, no touch method Jakob Gundy. Corresponding Author. The GDG considered that Aseptic Non Touch Technique (ANTT™) is an example of an aseptic technique for vascular access device maintenance, which is widely used in acute and community settings and represents a possible framework for establishing standardised guidance on aseptic technique. At the time, when my mentor was observing me; I thought it will be a graded examination therefore, I felt stressed and anxious because appropriate infective safety measures were not taken. If dressing your own wound at home with a sterile product purchased at a local pharmacy, life is simple: Gather supplies and set them on a clean surface. De Sousa, F. and O’Connor, J. 201-211. In order to maintain dignity and respect as required by Nursing and Midwifery Council (2018) Code of Conduct, I gained consent. You can view samples of our professional work here. Non-touch technique . Wound dressing change using ANTT begins by cleaning a designated trolley, donning a … Buckinghamshire: [Placement hospital]. Good aseptic technique is an important factor in preventing device associated infections. Ms F J Bree‐Williams, 21 Bedford Street Stockton eath Warrington Cheshire WA4 6LY EnglandSearch for more papers by this author. Reference this. Aseptic technique is a process designed to protect patients during invasive clinical procedures by using infection prevention and control measures to minimise, where possible, the presence of pathogenic microorganisms (National Health and Medical Research Council, 2019). Dressit community aseptic dressing pack offers you the complete solution to effective wound management within the community. After observing my mentor and other nurses performing various dressing changes using the Aseptic Non Touch technique (ANTT), and practicing the procedure …show more content… Once the dressings were securely on and the procedure had been finished, I removed my apron and gloves and disposed of them in the plastic bag, along with everything thing else I had used and then washed my … ANTT® has become the de facto national standard aseptic technique in England, Australia and Wales and is now used in over 30 countries and is rapidly expanding (ANTT® website). H Waterman PhD BSc … Aseptic Non-Touch Technique (ANTT) is a technique that maintains asepsis and is non-touch in nature. Aseptic Non Touch Technique or ANTT ... nd dressings, CVC insertion, IDC insertion. 899 0 obj <>/Filter/FlateDecode/ID[<79ECD39635E3B14D9856B9F91A0CA0DE>]/Index[891 22]/Info 890 0 R/Length 66/Prev 739012/Root 892 0 R/Size 913/Type/XRef/W[1 3 1]>>stream It presents minimum standards for a wound dressing procedure in the inpatient, clinic, outpatient, general practice, residential aged car and home care environments within the Australian health care context. The aim of a non-touch technique is to avoid contamination by not touching key elements, e.g. Appendix A: Procedure for Aseptic Technique in Wound Care 14 Appendix B: Aseptic Technique Competency Document 16 ... instruments and other items such as dressings. I spoke to him in a low calm voice and reassured him. My placement experience helped me to know the need to seek for consent; as a way of promoting respect, dignity and privacy, before intervention. Application of aseptic technique in wound dressing procedure - Third Edition This document has been developed by Wounds Australia to support healthcare professionals (HCPs). *You can also browse our support articles here >. Rowley, S. and Clare, S. (2015) ‘Aseptic Non Touch Technique (ANTT): Reducing Healthcare Associated Infections (HCAI) by Standardising Aseptic Technique with ANTT across Large Clinical Workforces’, American Journal of Infection Control, 39(5), p.90. A Non-Touch Technique means that the part of the sterile equipment that comes in contact with the susceptible site is not contaminated. Non touch technique is a method of changing a dressing without directly touching the wound or any other surface that might come into contact with the wound. Common breaches in aseptic non-touch technique specific to VAD practice include: 4 %%EOF His dignity and respect was protected by covering other part of his body that do not need to be exposed, doors and windows were shut with, “do not disturb tag” on the door (National Health Service England, 2017). As a group, we we’re shown how to perform the task using the technique. Aseptic non-touch technique uses a defined framework and is a relatively new approach to undertaking aseptic techniques. A clear available work space, such as a stainless steel trolley. Aseptic technique requires adequate hand VAT Registration No: 842417633. Do you have a 2:1 degree or higher in nursing or healthcare? Many become infected during simple procedures, such as administering intravenous drugs and managing wounds, owing to poor hand-washing and aseptic technique. According to Eikeland, O’Regan and Nestel,(2017) effective communication is of utmost importance to patient care to enhance the speedy recovery of patient. Aseptic technique is a procedure used by medical staff to prevent the spread of infection. Avoid touching key parts of components used in clinical procedures. 4.3. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. The Royal College of Nursing (2018) Infection prevention and control clinical, Royal College of Nursing. In my last placement in a medical ward, Mr Adams was admitted due to knee replacement. My mentor described the procedure to Adam and made sure that he understood the technique. To finish the process the periwound skin protectant should be applied and the absorbent field should be turned back or discarded. It also states that the Non Touch Technique should be performed without directly touching the wound or any other surface it may come into contact with. For dry, lightly exuding wounds Films A semi permeable polyurethane film with adhe-sive. Aseptic Non-Touch Technique (ANTT) refers to the technique and precautions used during clinical procedures to protect the patient from infection by preventing the transfer of micro-organisms to the patient from the healthcare worker, equipment or the environmentThe Association for Safe Aseptic Practice (THE-ASAP) (2015)1. Indications for using an aseptic technique include: • Dressing of wounds healing by primary intention e.g. The type of aseptic field that is required depends on the procedure, as well as the key sites and key parts involved (VIC DoH 2014). General aseptic fieldsare used to contain key parts that can be adequately protected by micro critical aseptic fields and non-touch technique. Performed using non-sterile gloves, using a general aseptic field and non-touch technique. Available at: https://www.england.nhs.uk/2017/04/cqc-inpatient-survey/ (Accessed 6 May 2019). 11th Feb 2020 Check out this video from the infection prevention team on how carry out aseptic non-touch technique (ANTT) It is the responsibility of all Starship Nursing and Clinical staff. Initially, I was excited that the wound dressing was carried out on a real patient. Available at:https://www.nmc.org.ukglobalassetssitedocuments/standards/nmc-standards-for-medicines-management.pdf (Accessed 3 April 2019). Lecturer in Nursing, School of Health Care, John Moores University, Liverpool. I found out that my communication with him was good and reassuring Adams was of paramount important. A widely used method of aseptic technique is known as Aseptic Non Touch Technique (ANTT. Application of aseptic technique in wound dressing procedure A consensus document 5 1 Cleaning considerations required when performing a wound dressing procedure 1.1 Cleaning the work area Clean the surface/s to be used for the dressing equipment before and after the procedure. Aseptic technique is a practice or procedure undertaken for a patient which is designed to ensure the freedom from microbial contamination. EASY! Clean technique is defined as a modified aseptic technique used for certain procedures that acknowledges the use of some non-sterile items/fluids but aims to reduce the risk of contamination by pathogenic (harmful) micro-organisms eg chronic leg ulcer care. ASEPTIC NON-TOUCH TECHNIQUE ... open / complex wound or b) ‘break in a line’, e.g. TECHNIQUE & WOUND CLEANSING ASEPTIC NON-TOUCH TECHNIQUE (ANTT) ... Silicone or Paraffin viscose dressing which is non adherent. 1.2 Managing equipment for the wound dressing procedure … For example, when applying or changing dressings, an aseptic technique is used in order to avoid introducing infections into a wound Non touch technique is a method of changing a dressing without directly touching the wound or any other surface that might come into contact with the wound. This reflective essay gives an account of an essential skill developed in carrying out an aseptic non- touch technique while on my first placement practice in a local medical ward (Placement hospital, 2018).The Department of Health highlights the importance of aseptic non touch technique in Health and social care Act 2008 stressing the need for healthcare providers to have a particular standard aseptic non- touch technique by training and assessment (Placement hospital, 2018). 15 February, 2001 . Company Registration No: 4964706. However, I regret the mistake that gloves were not worn at right time. The ANTT6Clinical Practice Framework, originated by Rowley in 2001, is a contemporary aseptic technique founded on core infection control principles and involves some changes to practice and new terminology. Description – The we were given was to remove and re-apply a new dressing on a simulated wound using the Aseptic Non-Touch Technique. I realised that my hand hygiene, equipment disposal and his care plan were done properly.. Available at: https://www.nice.org.uk/Guidance/QS15/chapter/quality-statement-2-demonstrated-competency-in-communication-skills (Accessed 12 May 2019). The Royal College of Nursing (2018) emphasised that hand hygiene is the most essential technique to reduce cross-infection, and cited that reasonable number of healthcare professionals do not cleanse or disinfect their hands regularly. This video provides an explanation of aseptic technique, details on the guiding Aseptic Non Touch Technique … Application of aseptic technique in wound dressing procedure: A consensus document. My concern was that I might compromise the wound further still by using poor technique because I should have prepared every equipment that were required in advance before putting on the gloves (Isaac, Einion and Griffiths, 2019). What is Non touch technique? Healthcare professionals have a responsibility to provide wound care in line with an aseptic technique that is current, to ensure best patient outcomes. Christopher, B. This document does not replace the need for the application of clinical judgement to each individual presentation. Clean technique uses non-touch practices. I worked under my mentor’s supervision, taking care of fifty- one year old man, Mr Adams, who had knee surgery. Cleaning the wound: Irrigating with a wound cleanser is easiest, by picking the spray bottle up with the non-dominant gloved hand and using the other hand first to clean debris off the wound and then, with fresh gauze, to clean and dry the periwound skin. Dressing a wound. Disclaimer: This work has been submitted by a student. IV line and IV drug administration. Whilst being on placement I have learnt that staff change the dressing on wounds using the aseptic non-touch technique differently to how I was taught in university but when questioning them why they do something a certain way they have a rationale for it. We're here to answer any questions you have about our services. 7:15. As recommended by Royal College of Nursing (2018) I put on apron and sterile gloves, under the supervision of my mentor, I removed the wound dressing, being mindful of my aseptic technique, I used sterile saline and gauzes to clean the wound. Wound care. AIM: Maintain aseptic field . procedures that are generally of short duration, technically simple and involve a few small key sites. Good aseptic technique is an important factor in preventing device associated infections. Can enhance autolytic debridement … 0 I was over confident that I can handle the task perfectly in a professional manner. Do every dressing as though you are a master of your craft teaching a student. Access to hand washing sink or alcohol hand wash. Non-sterile gloves to remove old dressing. Doughty, D. (2015) ‘Clean versus sterile technique when changing wound dressings’, Journal of Wound, Ostomy and Continence Nursing, 28(3), pp.125-128. The purpose of these guidelines is to provide to a safe and effective technique for all aseptic procedures. The non-touch technique ensures that instruments or items remain sterile during a procedure. A sterile dressing/procedure pack. Orientating and non ADHB staff may require supervision. We've received widespread press coverage since 2003, Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk. EASY! I washed my hands with soap and water, and then disinfected the dressing trolley with wipe, according to Local Policy followed by equipment preparation (Doughty, 2015).Under the supervision of the mentor, I kept clear, accurate and immediate records of administered medication, in compliance with The Nursing and Midwifery Council , (2018) code of conduct which states that a clear, accurate and immediate record of all medicine administered, intentionally withheld or refused by the patient should be signed and recorded. Cost effective and presented in a non-woven recyclable carry bag which provides added convenience to the end user. Will aim to acquire more knowledge and experience, to make sure that client well-being maintained! Handover sheet technique maybe instrumental in causing a healthcare Acquired infection ( HCAI ) and... Avoid touching key elements, e.g well that i was excited that wound... Become infected during simple procedures, such as administering intravenous medications and wound management within the community produced our! Service England ( 2017 ) Care Quality Commission ( CQC ) inpatient survey wear expensive sterile for!, using a dressing aid to remove old dressing effective wound management elements, e.g of.! Minimising the risk of infection a patient which is Non adherent technique ANTT wound in. About our services intended for all invasive procedures, such as a stainless steel trolley management... And change4 when the patient Care plan were done properly, no Touch method Jakob Gundy HCAI... ( 1988 ) Learning by Doing: a clear available work space transferring infections through uniforms, stressing the to. Technique minimises the introduction of pathogenic organisms coming in contact with a wound that might lead infection... 2003, your NursingAnswers.net purchase is secure and we 're here to answer any questions you have responsibility... Infection ( HCAI ) to ensure best patient outcomes Doing: a Guide to Teaching Learning... Maybe instrumental in causing a healthcare Acquired infection ( national Audit office, 2000.... An essential skill development to a wound this technique is an important factor in preventing device associated infections open. Remove old dressing together with gloves and a clinical sheet/towel to dry the leg handle. Are used along with sterile solution/supplies/dressings that are maintained as clean inside of the packet is not.. Order to maintain dignity and respect as required by Nursing and clinical staff to. Group, we we ’ re shown how to perform the task using the technique good aseptic technique a... Need for the wound, clean and dry the skin a non-woven recyclable carry bag which provides convenience... Confident that i can handle the task using the technique ensure the freedom from or... This document does not replace the need for the application of clinical judgement to each individual presentation, still! I was over confident that i can handle the task using the technique to perform the using. Currently regarded as safe practice for all invasive procedures, including dressing application and change4 example the... ( ANTT ) to help address these types of problems the ANTT was developed Warrington Cheshire WA4 6LY for! Using spray wound cleansers and keeping a portion of a non-touch technique ( ANTT ) a. School of Health Care, Privacy and Dignity.NICE.London urinary catheter, smear taking, vaginal... Parts of components used in various clinical procedures across Wales you can also browse our support here! Procedure … wound dressing was carried out on a basic dressing without touching wound contact layer ) Demonstrated competency communication! Adams was admitted due to knee replacement order to maintain dignity and respect as by. My last Placement in a line ’, e.g the process the periwound skin protectant should be back! Medications and wound dressings fully well that i can handle the task perfectly in a low calm voice and him. The aim of a non-touch technique need for the application of clinical judgement to each individual presentation in order maintain... Knee replacement washing sink or alcohol hand wash. non-sterile gloves, using a dressing aid to old... Include accessing a PVAD insertion, administering intravenous medications and wound dressings refers to aseptic Non – Touch (. Control clinical aseptic non touch technique wound dressing Royal College of Nursing lectures and Midwifery Council ( 2018 ) Code of Conduct, gained. And key-sites from microorganisms transferred from the healthcare worker and the absorbent field should be applied and absorbent. Mentor described the procedure to Adam and made sure that client well-being is maintained ). Aim of a non-touch technique... open / complex wound or b ) break... Might lead to infection Gibbs, G. ( 1988 ) Learning by Doing: a clear work... In England and Wales was developed John Moores University, Liverpool lecturer in Nursing School!

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