These ‘key parts’ or ‘key sites’ are crucial components of any invasive procedure. The Royal Marsden Manual of Clinical Nursing Procedures Lisa Dougherty, Sara Lister (eds.) The Royal Marsden Hospital manual of Clinical Practice 2015. West Sussex: Wiley Blackwell. Asepsis is an essential component of infection prevention and control practice to protect patients from potential HCAIs (Loveday et al, 2014). Risk assessment before the procedure will direct the practitioner as to whether the key parts and key sites can be protected by non-touch or whether the procedure will require the use of sterile gloves, such as for the insertion of a urinary catheter or for taking blood when the re-palpation of the puncture site is required (ASAP, 2015). This made me feel uncomfortable and question that the patient would be at risk from healthcare associated infections (HCAI). The procedure that we were taught in university is from The Royal Marsden 2008. You may want to bring a container of moist hand wipes into hospital with you to make this easier for you. In the past, many aseptic techniques included a ritualistic practice of cleaning trolleys with alcohol between clients. Aims To understand the principles of Aseptic Non-Touch Technique (ANTT) when conducting a basic wound dressing procedure. To reduce the risk from airborne dispersal of micro-organisms, the procedure area should be prepared by closing windows, turning off any fans that are in use and avoiding any bed making being undertaken in close proximity (Lloyd Jones, 2014). The ANTT wound‐dressing observational metric was stress tested for clarity, the ability to be scored, and interrater reliability, calculated during a further phase of video analysis. 9th ed. During the course of the pandemic, a tree has sprouted in the…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. These infections are more likely to occur in patients with invasive devices, such as peripheral canulas, vascular access devices or urinary catheters in situ, or after invasive procedures (NICE, 2012). PDF. Aseptic Non Touch Technique (ANTT) Policy V5.0 Page 2 of 33 Summary All staff who complete ANTT procedures (or are likely to) as part of their clinical practice, must be in date with their annual ANTT update. 4. Oxford: Blackwell. A number of relevant papers were sourced (n = 13). Even though the principal of ANTT is essentially the same, it has thrown me off with the way I was previously taught. 6. Download Full PDF Package. ANTT, but uses clean rather than sterile single use gloves and potable (drinking) tap water. ed., 2015. 3, 27-38 The team also reviewed manufacturer guidelines (n = 3) for various wound‐dressing products and the Royal Marsden Procedural Manuel. ANTT (2013) – The ANTT Clinical guideline for the Administration and Preparation of Peripheral and Central Intravenous … To develop an understandfing of the skill of suture removal through observation. Welcome to The Royal Marsden Manual Online, Tenth Edition. 1030 Pages. Loveday HP, Wilson JA, Pratt RJ, et al. It is also sensible to store the equipment in a manner that enables staff to locate it easily, preventing wasted time. A risk assessment must be undertaken to ensure this process is appropriate for the patient and type of wound being dressed. The Royal Marsden has a specialist Infection Prevention and Control Team (IPCT). Medical asepsis – sometimes referred to as standard aseptic technique (Association of Safe Aseptic Practice, 2015) – aims to reduce the number of organisms and prevents their spread by use of standard principles of infection prevention (Loveday et al, 2014). A ‘clean technique’ can be classed as medical asepsis or standard aseptic technique, as it uses the same principles. Crown: London . Where the patient has capacity, this can usually be done verbally and then documented in the patient’s record (RCN, 2017). epic3: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Free PDF. The term asepsis means the absence of potentially pathogenic micro-organisms, Aseptic technique is used to achieve asepsis in order to prevent the transfer of potentially pathogenic micro-organisms to a susceptible site, Medical asepsis aims to reduce the number of organisms and prevent their spread by use of standard principles of infection prevention, An aseptic technique is required for many clinical interventions including wound dressing, peripheral cannula or other vascular access device insertion, Prevention of infection can help to reduce the requirement for antimicrobial prescribing. Elsevier Limited. A number of relevant papers were sourced (n = 13). To encourage discussion and reflection on the CSL experience and performance. The Reflective Learning on ANTT In this reflection I am going to address the importance of infection control using the Aseptic Non Touch Technique (ANTT). Wilson, J (2019) Infection Control in Clinical Practice (third edition). Reducing the risk of healthcare associated infection, Size: 231.6KB Last updated: February 2019, Size: 9.94MB Published Date: October 2019, Our free GP Education Days and how to register, Infection Prevention and Control Team (IPCT). NHS Health Education England - HEE (12 Feb 2018) Aseptic Non-Touch Technique ANTT Based on The Royal Marsden Manual Procedure for Would Care; WHO (2006) Five Moments of Hand Hygiene; WHO System Change - Changing Hand Hygiene Behaviour at the Point of Care; IVI. And when people entrust their lives to us, they have the right to. Single-use non-sterile gloves should be worn to protect the healthcare worker when there is a risk of contact with blood or body fluids during any procedure (Loveday et al, 2014). The Royal Marsden hospital core nursing procedure cards for practice-based learning 2004 - Blackwell - Oxford. Create a free account to download. A suitable surface should be prepared, such as a dressing trolley or a procedure tray, by cleaning it with a detergent wipe or according to local policy (Loveday et al, 2014). National Institute for Clinical Excellence (NICE 2012), the Royal College of Nursing (RCN) Infusion Standards 2010 (RCN 2010) and the Health Protection Surveillance Centre – Ireland (HPSC 2011) and the Australian Commission of Safety and Quality in Healthcare (NHMRC 2010). Box 1. In December 2020 we reported 0 cases of MRSA and 1 case of C. difficile that were attributable to The Royal Marsden. 226 views. Premium PDF Package. What should happen to a nurse who administered medication to 
a patient without a prescription? This article, the first in a two-part series, describes the principles of asepsis and part 2 will describe the procedure for changing a simple wound dressing. 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