This
technique is used in various clinical procedures:
Urinary
catherization
IV line and
IV drug administration
Wound care
AIM:
Maintain aseptic
field
Good hand
hygiene practice
Avoid
touching key parts of components used in clinical procedures
For example
in IV medication administration:
Tips of syringe
Needles
Fluid and diluents
Spikes of giving sets
Air inlets
End of luer connectors
Bungs
Hubs
Ports
Collect drug chart and check allergy
Take plastic tray and clean it with detergent wipe,
air dry
Wash your hands thoroughly with soap/alcohol gel
and water
Wipe tray with 70% alcohol solution and leave it
to air dry
Collect all items you need for task and place
next to tray
Decontaminate hand using alcohol gel
Wear gloves
While opening the packages, do not tear paper as
it will create a viable air borne particles which will lead to contamination.
Assemble the needle and syringe ensuring key
parts are not contaminated
All liquids must be drawn with needles
Remove dust cap and wipe with alcohol gel
Take the tray to bedside for administration as
soon as possible
Dispose gloves and decontaminate hand
Take patient’s consent and explain procedure
Decontaminate hand and wear disposable apron
Check IV access site for signs of infection
Decontaminate hand and wear pair of gloves
Clean the port with alcohol gel and give 30
seconds to dry
Administrate drugs
Dispose all used equipment appropriately
Remove apron and gloves and dispose
Decontaminate hands with alcohol gel
Complete your documentation
Clean the tray and return to preparation area
How to perform in ANTT skills testing in
wound care?
Check the scene for safety and undertake risk
assessment, for example move any objects near patient.
Decontaminate hand using alcohol gel
Introduce yourself to patient and confirm patient’s
details and check ID band.
Check for allergies. Please ensure you check
allergies for adhesives, latex and plasters.
Explain to patient what you are doing and gain
consent. Ensure patients confidentiality.
Check for pain and ensure they are comfortable before
you start a procedure.
Inspect wound dressing site including bed linen
(verbalize)
Explain to patient that you will dispose the
gloves and prepare the articles needed.
Wash your hand using 7 step.
Ensure trolley is cleaned with soap and water.
Clean with alcohol wipes after putting
disposable gloves and apron.
Wipe trolley from upper shelf to bottom, from
farthest point to nearest one.
Dispose gloves and decontaminate hand
Prepare equipment and assemble all articles in
bottom shelf. Check packets are intact and expiry date.
Check
there is no precipitate in saline or liquid solution
Gloves, alcohol wipes and hand gel.
While moving a trolley, do not touch shelf and
hold on legs of trolley.
Return to patient and put clean pair of gloves
Gain consent to remove any covering clothes and
remove dressing edge
Open dressing pack without tearing paper, clean
hands and unwrap the pack holding its edges only
Grab orange bag and arrange articles as needed
Use the same orange bag and remove the used
dressing and reverse it back. Stick it in bottom shelf of trolley.
Perform another hand wash and clean saline
sachet with alcohol wipes for 30 seconds and let it dry for 30 seconds
Open dressing materials into the sterile field
Clean hand and wear new pair of sterile gloves
and drape patient.
Clean the wound categorizing cleaned and dirty
hand. Make sure you don’t touch dirty hand with clean hand while passing
materials. Clean the wound with gauze soaked in saline solution. Clean wound
from clean to dirty area in single stroke
Apply the new dressing taking care not to
contaminate. Disposed all the waste materials. Clean the trolley and cover the
patient.
After dressing, check if patient is comfortable
and let them know you are available if they have any issues.
Decontaminate hand and complete documentation
stating that you completed procedure using ANTT.
Protection