I found out that my communication with him was good and reassuring Adams was of paramount important. Examples include accessing a PVAD insertion, administering intravenous medications and wound dressings. Nursing and Midwifery Council (2018) Standards for Medicine Management. National Health Service England (2017) Care Quality Commission (CQC) inpatient survey. Mostly suitable as a secondary dressing Hydrocolloid Made from cellulose, gelatins & pectins with a backing of film or foam. 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. Common breaches in aseptic non-touch technique specific to VAD practice include: 4 A non-touch technique is used wherever possible. Clare, S. and Rowley, S. (2017) ‘Implementing the Aseptic Non Touch Technique (ANTT) clinical practice framework for aseptic technique: a pragmatic evaluation using a mixed methods approach in two London hospitals’, Journal of Infection Prevention, 19(1), pp.6-15. 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. ASEPTIC NON TOUCH- TECHNIQUE (ANTT) This technique is used in various clinical procedures: Urinary catherization. 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. This separation is achieved using a dressing aid to remove the old dressing together with gloves and a clinical sheet/towel to dry the leg. To provide a structured reflective account, Gibbs (1988) model will be applied. 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. 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. As a group, we we’re shown how to perform the task using the technique. 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 … This video provides an explanation of aseptic technique, details on the guiding Aseptic Non Touch Technique … Non-touch technique . 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 As I had used the same gloves to remove the dirty dressings from the leg ulcer and then apply new sterile dressings I had not maintained the Aseptic Non Touch Technique. This technique should be used when the patient has a surgical or non-surgical wound in or around the eye. However, as in any clinical situation, there may be factors which cannot be covered by a single set of guidelines. VAT Registration No: 842417633. The aseptic field is the working space wherein key parts are held and protected from contamination. 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 … 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. 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. What you will need. 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. Do you have a 2:1 degree or higher in nursing or healthcare? The use of aseptic technique minimises the introduction of pathogenic organisms to a wound that might lead to infection. He was calm, knowing fully well that I was a student nurse, he still trusted me. This is not an example of the work produced by our Nursing Essay Writing Service. Application of aseptic technique in wound dressing procedure - Third Edition This document has been developed by Wounds Australia to support healthcare professionals (HCPs). The roots of modern-day aseptic technique lie in the development of asepsis in surgery, with environmental control used to reduce the risk of contamination of the exposed wound. Free resources to assist you with your nursing studies! Every year about 5,000 patients die unnecessarily in the UK from hospital-acquired infection (National Audit Office, 2000). %PDF-1.5 %���� Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Aseptic technique requires adequate hand Good hand hygiene practice. Policy: Aseptic Non Touch Technique This document reflects what is currently regarded as safe practice. In order to maintain dignity and respect as required by Nursing and Midwifery Council (2018) Code of Conduct, I gained consent. My mentor described the procedure to Adam and made sure that he understood the technique. Registered Data Controller No: Z1821391. Aseptic technique is a practice or procedure undertaken for a patient which is designed to ensure the freedom from microbial contamination. For dry, lightly exuding wounds Films A semi permeable polyurethane film with adhe-sive. Available at: https://www.rcn.org.uk/clinical-topics/infection-prevention-and-control (Accessed 7 May 2019). Transfer the item or the inside package from the packet to the sterile field by either dropping it in, grasping it with a gloved hand / sterile forceps without touching the exterior of the packet. 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. I have learnt from the mistake and it has reinforced how poor practice may impact up on patient (Clare and Rowley, 2017). My discussion with my mentor helped me to realise the need to acquire more knowledge and experience. It is important to prevent contamination of all sterile equipment . I spoke to him in a low calm voice and reassured him. “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. In the context of wound dressing procedure, this might include direct contact with the wound, exposure of the wound for over 20 minutes, and packing of wound surfaces unable to be visualised. Infection Control Components of ANTT. Aseptic Non-Touch Technique (ANTT) is a technique that maintains asepsis and is non-touch in nature. For example, when applying or changing dressings, an aseptic technique is used in order to avoid introducing infections into a wound H Waterman PhD BSc … 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). Strategically designed, the pack supports non-touch technique thus minimising the risk of infection. Aseptic Non Touch Technique (ANTT)ANTT refers to Aseptic non – touch technique. 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). Doughty, D. (2015) ‘Clean versus sterile technique when changing wound dressings’, Journal of Wound, Ostomy and Continence Nursing, 28(3), pp.125-128. 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. General aseptic fieldsare used to contain key parts that can be adequately protected by micro critical aseptic fields and non-touch technique. No touch technique. Dressit community aseptic dressing pack offers you the complete solution to effective wound management within the community. 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. It is exactly what it says it is - a technique that maintains asepsis and is non-touch in nature. What is Non touch technique? 891 0 obj <> endobj Good aseptic technique is an important factor in preventing device associated infections. Discard used supplies and wash hands. Access to hand washing sink or alcohol hand wash. Non-sterile gloves to remove old dressing. Many become infected during simple procedures, such as administering intravenous drugs and managing wounds, owing to poor hand-washing and aseptic technique. Available at:https://www.nmc.org.ukglobalassetssitedocuments/standards/nmc-standards-for-medicines-management.pdf (Accessed 3 April 2019). 912 0 obj <>stream 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. EASY! In future, I will aim to acquire adequate knowledge and experience, to make sure that client well-being is maintained. 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. A sterile dressing/procedure pack. 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. A clear available work space. Aseptic non-touch technique. It does allow for using spray wound cleansers and keeping a portion of a dressing for the next dressing change. I told my mentor what happened and he suggested that he will explain the Aseptic non- touch technique and further explained the significance of hand hygiene (National Institute for Health and Clinical Excellent, 2016). Isaac, R., Einion, A. and Griffiths, T. (2019) ‘Paediatric nurses’ adoption of aseptic non-touch technique’, British Journal of Nursing, 28(2), pp.16-22. In my last placement in a medical ward, Mr Adams was admitted due to knee replacement. [Placement hospital] (2018) [Placement hospital] handover sheet. A procedure needing Standard-ANTT® is one that has few key-parts. A Clean Technique is a modified aseptic technique and aims to avoid introducing micro-organisms to a susceptible site, the use of sterile equipment is not crucial. A widely used method of aseptic technique is known as Aseptic Non Touch Technique (ANTT. Sterile gloves and sterile equipment are required and a critical aseptic field is used. 8. Reference this. It can be used for removal of an indwelling urinary catheter, smear taking, high vaginal swab. Aseptic Non Touch Technique or ANTT ... nd dressings, CVC insertion, IDC insertion. However, I regret the mistake that gloves were not worn at right time. Ms F J Bree‐Williams, 21 Bedford Street Stockton eath Warrington Cheshire WA4 6LY EnglandSearch for more papers by this author. Aseptic technique is a practice or procedure undertaken for a patient which is designed to ensure the freedom from microbial contamination. It is intended for all invasive procedures, including dressing application and change4. Corresponding Author. 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). Aseptic technique is an infection control measure, which helps to reduce the presence of pathogenic organisms coming in contact with a wound. If you practice it so that you are doing the procedure within 15 minutes, you can do it within the time frame very easily. Aseptic technique is a procedure used by medical staff to prevent the spread of infection. 13 Non‐touch (of key parts and key sites) is an integral component of ANTT and is … The purpose of these guidelines is to provide to a safe and effective technique for all aseptic procedures. 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! It is basically an aseptic technique using clean gloves and no direct wound contact (except minimally to blot excess fluid away with dry gauze). %%EOF Avoid touching key parts of components used in clinical procedures. I will also attend trainings and observe experienced healthcare professionals .This will be my target in my upcoming placement and I will discuss it with my mentor in order to find out strategies to accomplish this (De Sousa and O’Connor, 2014). 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. Available at: https://www.nice.org.uk/Guidance/QS15/chapter/quality-statement-2-demonstrated-competency-in-communication-skills (Accessed 12 May 2019). Apron. Department of Health (2017) highlights the possibility of healthcare professional transferring infections through uniforms, stressing the need to review dress policies. My placement experience helped me to know the need to seek for consent; as a way of promoting respect, dignity and privacy, before intervention. Gibbs, G. (1988) Learning by Doing: A Guide to Teaching and Learning Methods. Dressing a wound. Cost effective and presented in a non-woven recyclable carry bag which provides added convenience to the end user. This separation is achieved using a dressing aid to remove the old dressing together with gloves and a clinical sheet/towel to dry the leg. 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). Aseptic field is used in clinical procedures: urinary catherization smear taking, high swab. 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