Aseptic Non-Touch
Technique (ANTT)
Infection Prevention & Control Team
and
Clinical Educators
Learning outcomes • Introduce ANTT as the accepted standard
practice within the organisation
– ensure effective hand decontamination is
undertaken
– Define, identify and protect the key parts &
key sites during a procedure
– ensure personal protective equipment is used
at the appropriate time
ASEPTIC NON-TOUCH TECHNIQUE (ANTT)
ANTT aims to prevent the contamination of wounds and other susceptible sites, by ensuring that only uncontaminated equipment or sterile fluids come into contact with susceptible or sterile body sites during clinical procedures.
The Health & Social Care Act (Department of Health, DoH 2008) stipulates that:
•ANTT should be carried out in a manner that
maintains and promotes the principles of
asepsis
•The technique should be standardised across
the organisation
•All staff undertaking procedures involving
asepsis should be provided with education,
training and assessment
The cost of HCAI
•Mortality/Morbidity
•Longer stay
•Litigation
•Distress & anxiety
Standard ANTT: key parts are kept sterile
within a micro-aseptic field within a clean
clinical environment
Surgical ANTT: a sterile field is established;
everything within this field remains sterile until
the procedure is completed
Standard or Surgical technique?
WHAT ARE KEY PARTS & KEY
SITES?
Key Parts
Competency framework
WHAT ARE KEY PARTS & KEY SITES? KEY SITES
The Golden Rule:Can the procedure be
completed without touching key parts and/or
key sites?
YES NO STANDARD
ANTT with
micro-critical
aseptic fields
SURGICAL
ANTT with
sterile field
asepsis
Standard or Surgical ANTT?
Environmental Risks
•Dust
•Space
•Cleanliness
STERILE/NON-STERILE GLOVES?
Other PPE as
appropriate to task &
patient
STANDARD
ANTT with
micro-critical
aseptic fields
SURGICAL
ANTT with
sterile field
asepsis
ANTT approach to clinical procedures:
•Peripheral and central intravenous therapy
•Wound Care
•Indwelling Urinary Catheterisation
•Blood Culture Collection
•Peripheral Cannulation
•Peripheral Venepuncture & Phlebotomy
V8.1
Peripheral Cannulation for the ANTT practice principles see www.the-antt.org
P
repara
tio
n zone
Deconta
min
atio
n z
one
P
atie
nt zone
e
16
Clean hands with alcohol hand rub or soap & water
12
Dispose of sharps
13
14
Clean hands with alcohol hand rub or soap & water
15
Consent patient. Patient cleans Hand and arm.
1
Clean hands with soap and water and/or alcohol gel
2
Gather equipment (cannula, disposable tourniquet, chloraprep, IV3000 dressing, extensions set, saline flush)
4
Clean hands with alcohol hand rub or soap & water
7
Position arm on drape and pillow. Apply apron.
3
Clean tray with detergent wipe; rinse residue & dry thoroughly (trays must be stored clean
& dry)
Prepare flush & prime extension set using non touch technique (NTT)
8
Apply disposable tourniquet, locate vein, release tourniquet
10
Re-tighten tourniquet
11
Apply gloves Use sterile gloves if key-parts or key-sites need touching directly.
17
18
Clean site for 30 sec’s, allow to dry (Chloraprep)
Anchor vein below
puncture site & insert cannula using NTT & secure with IV3000 dressing steristrips
Using NTT, attach extension set, flush device, use semi permeable IV3000 dressing
Dispose glove & immediately…..
Dispose of equipment, & clean tray as per local policy (see step 1)
ISLE OF WIGHT NHS TRUST
5
6
9
Colour coded
‘zones’
Area not directly
touched after
cleaning Using measures to
limit contact with
key parts (cannula
hub) and key sites
(insertion site)
See use of micro-
critical aseptic
fields, bungs, caps
& needle covers
Any Questions??
Competency Assessment
ANTT Assessment
Process
Competency Assessment
Competency Assessment
Competency Assessment
Competency Assessment