A key-site is the area of the skin penetration that provides a direct route for the transmission of pathogens into the patient and present a significant infection risk. Surgical-ANTT. Surgical aseptic non-touch technique is demanded when procedures are technically complex, involve extended periods of time, and involve large open key-sites or large or numerous key-parts. It is defined as:
What are aseptic key parts and key sites?
A ‘key part’ is the part of the equipment that must remain sterile, such as a syringe hub, and must only contact other key parts or key sites. A ‘key site’ is the area on the patient such as a wound, or IV insertion site that must be protected from microorganisms. Ensure aseptic key parts only contact other aseptic key parts/sites.
What is a critical aseptic field ANTT?
In surgical ANTT, the critical aseptic field will be a relatively large area on which only equipment that has been sterilised or is aseptic can be introduced. In standard ANTT, the main aseptic field is termed a “general aseptic field” because it does not require critical management.
What are key-parts and key sites?
Key-Parts are the critical parts of the procedure equipment that if contaminated are most likely to cause infection. E.g. needles, syringe tips, intravenous line connections, exposed lumens of catheters, tops of ampoules. The protection of Key-Parts and/or Key-Sites from pathogenic microorganisms.
Can I get a copy of The ANTT clinical practice framework?
For a free and full copy of the ANTT Clinical Practice Framework please just get in touch. The framework is founded on a set of robust principles and practice rules, that support health care workers to provide safe and versatile aseptic technique to patients in any clinical or care setting.
What is a key site in a procedure?
Key Sites are medical device access sites or open wounds. An Aseptic Field is a controlled workspace used to promote asepsis during a clinical procedure. A work space that is managed as a key part. Utilised when key parts/sites are large or numerous.
What is an example of a key site?
What are Key Sites? Key sites include any non-intact skin and insertion or access sites for medical devices connected to the patient. Examples include insertion/access sites of intravenous devices, urinary devices, open wounds etc.
What are the 4 key principles of Antt?
Aseptic non-touch technique (ANTT)The underlying principles of ANTT are:Always wash hands effectively;Never contaminate key parts;Touch non-key parts with confidence;Take appropriate infective precautions.
What are the 3 types of fields used in Antt?
There are three types of aseptic technique:Sterile – a technique that aims to achieve total absence of microorganisms. ... Standard – a technique that utilises a general aseptic field, critical micro aseptic fields, hand hygiene, non touch technique and non sterile gloves to achieve a safe level of asepsis for:
What are the 5 principles of aseptic technique?
These principles include the following: (1) use only sterile items within a sterile field; (2) sterile (scrubbed) personnel are gowned and gloved; (3) sterile personnel operate within a sterile field (sterile personnel touch only sterile items or areas, unsterile personnel touch only unsterile items or areas); (4) ...
What are the three basic aseptic methods?
Procedures that involve aseptic technique include: Inserting PICC lines. Performing dialysis. Inserting catheters.
Can you touch key parts if you are wearing gloves?
Use hand hygiene, non-touch technique, a defined aseptic field, sterile equipment and/or clean existing key parts, such as an IV access port, to a standard that renders them aseptic prior to use. Attempt not to touch key parts/sites directly but… if this is necessary, wear sterile gloves.
What is no touch technique?
Non-touch aseptic technique is the practice of avoiding contamination by not touching key elements, the inside surface of a sterile dressing where it will be in contact with a wound.
What is the main objective of aseptic Non-Touch technique?
ANTT aims to prevent microorganisms from hands, surfaces or equipment being introduced into a susceptible (key) site such as an intravenous device, urinary catheter or wound, by identification and protection of the key parts of any procedure.
What is a micro field?
Critical micro aseptic fields: this is the protection of key parts and sites by sterile packaging or covers such as syringe caps, sheathed needles. Key parts: refer to the parts that if contaminated with microorganisms increase the risk of infection.
What are the two types of asepsis?
Now, there are two basic types of asepsis: medical asepsis and surgical asepsis.Medical asepsis (a.k.a. “clean technique”): practices that kill some microorganisms to prevent them from spreading.Surgical asepsis (a.k.a. “sterile technique”): practices that completely kill and eliminate microorganisms.
What is a critical aseptic field?
Critical aseptic field - Critical aseptic fields are used when key parts/sites cannot be protected with covers and caps or handled at all times by a non-touch technique, or when open and invasive procedures require large working areas for long durations.
What is the Antt technique?
ANTT means doing a procedure in a way that keeps germs from entering the child's body. The safest way to protect a key part or key site is simply not to touch it. If a key site must be touched, then sterile gloves must be worn.
What is aseptic technique NHS?
Aseptic technique refers to the procedure used to avoid the introduction of pathogenic organisms into a vulnerable body site or invasive device. The principle aim of an aseptic technique is to protect the patient from contamination by pathogenic organisms during medical and nursing procedures.
Why is Antt used?
Background: Aseptic technique is an important infection prevention competency for protecting patients from healthcare-associated infection (HAI). Healthcare providers using the Aseptic Non Touch Technique (ANTT®) aseptic technique have demonstrated reduced variability and improved compliance with aseptic technique.
What is Antt training?
Aseptic Non Touch Technique (ANTT) is a unique Clinical Practice Framework for ensuring high standards of aseptic technique and has been shown to help reduce Hospital Acquired Infections (HAI). ANTT is used for all invasive procedures from major surgery to community care.
What is an ANTT?
ANTT is an international set of principles aimed to: Increase patient safety by reducing the risk of introducing infection into a susceptible body site during procedures such as intravenous therapy, wound care and urinary catheterisation.
What is the ANTT framework?
The ANTT framework is based upon the goal of asepsis rather than sterility and the approach is gauged on the technical difficulty of each procedure rather than the diagnosis or age of the patient.
What is an antt in nursing?
ANTT is a core nursing and medical skill that defines the infection prevention and control methods and precautions necessary during invasive clinical procedures to prevent the transfer of microorganisms to ‘key’ or sterile body sites from healthcare professionals, procedure equipment or the immediate environment to a patient.
What is standard antt?
Standard ANTT is a process for safe and effective practice that can be applied to any aseptic procedure in primary and secondary care settings and typically will employ a general aseptic field and non-sterile gloves.
What is an ANTT surgical procedure?
Surgical ANTT (usually utilised for procedures in the operating theatre although not exclusively) is required when carrying out procedures that meet one or more of the following criteria: · They are technically complex. · They involve extended procedure time (more than 20minutes) · They involve a large open key site.
What is key site protection?
The protection of Key-Parts and/ or Key-Sites from pathogenic microorganisms. During clinical procedures
What are key parts?
Key-Parts are the critical parts of the procedure equipment that if contaminated are most likely to cause infection. E.g. needles, syringe tips, intravenous line connections, exposed lumens of catheters, tops of ampoules. The protection of Key-Parts and/or Key-Sites from pathogenic microorganisms.
What is an antt?
ANTT is designed for all clinical procedures - from major surgery to the care of indwelling medical devices. ANTT is based on an original and unique concept termed ‘Key-Part and Key-Site Protection’.
What are the two types of AnttApproach?
To be efficient as well as safe, there are two types of ANTTApproach, with a single aim of asepsis; Surgical-ANTT and Standard-ANTT . These are illustrated below. Notice, how even though very different in approach, they share the same 6 essential elements.
What is an antt?
ANTT is defined by the National Institute for Health & Care Excellence.
What is an ANTT framework?
The ANTT framework is designed and intended for all invasive clinical procedures and the maintenance of indwelling medical devices. ‘The 4 C’s’. Pre-requisites for health.
What is anantt in healthcare?
ANTT addresses the historical weaknesses that inhibit practice, and provides health care workers with a logical practice framework that promotes safe and efficient aseptic technique for this critical clinical competency.
What are the 4 C's of aseptic practice?
We call these ‘ The 4 C’s’:- Concern, Clarity, Competence & Compliance
What is an ANTT field?
Common to standard and surgical ANTT is the use of critical aseptic fields to maintain the asepsis of procedure key parts. In surgical ANTT, the critical aseptic field will be a relatively large area on which only equipment that has been sterilised or is aseptic can be introduced.
What is the ANTT framework?
At the core of the ANTT theoretical framework for clinical practice (www.tinyurl.com/ANTT-framework) was the singular and clear infection prevention aim of asepsis for all invasive clinical procedures, no matter how simple or complex. The term “asepsis” is an accurate and achievable quality standard relating to the absence of pathogenic microorganisms (Hauswirth and Sherk, 2011). The framework’s focus was based on the simple fact that, by definition, sterile technique (requiring the complete absence of microorganisms) is impossible to achieve in typical healthcare settings due to the prevalence of microorganisms in the air. The term “clean” was discounted as being too ambiguous as a quality standard for invasive clinical procedures.
What is ANTT in medical?
ANTT better defined the infection control methods and precautions necessary during invasive clinical procedures to prevent the transfer of microorganisms from health professionals , procedure equipment or the immediate environment to the patient. It is achieved by ensuring the asepsis of procedure key parts and key sites.
How does ANTT practice improve aseptic technique?
By deconstructing and rebuilding a problematic area of clinical practice, the ANTT practice framework and its adoption has done much to improve standards of aseptic technique. However, many challenges remain. Contrary to the requirement of the Health and Social Care Act 2008, some hospitals and community organisations still undervalue the critical procedure of aseptic technique and do not have a single standard. Audit by ASAP has shown such hospitals practise what can only be termed “general” aseptic technique. Typically, this is characterised by variable, subjective approaches to practice, which means standards are also variable. Ineffective practice is often protected by excessive autonomy in some specialties, while risk assessment is often ambiguous and confused.
Why are aseptic fields important?
Healthcare environments are typically resident with atypical, often antibiotic-resistant and invisible, microorganisms. As such, aseptic fields are important to ensure a controlled safe working space to help maintain the asepsis of key parts and key sites. ANTT uses two types of aseptic field that require different management. Common to standard and surgical ANTT is the use of critical aseptic fields to maintain the asepsis of procedure key parts.
How does ANTT influence practice?
This shows how best practice-based ANTT can be identified by other ANTT users. This is an important advantage as, rather than being dependent on occasional and formal audit alone, the defined and identifiable ANTT approach enables a routine day-to-day level of peer monitoring of practice standards. ANTT-trained staff also articulate a common practice language and apply a consistent approach to risk assessment and supporting aseptic processes in general.
How long does it take to perform an antt?
Standard ANTT is the technique of choice if procedures are technically uncomplicated, short in duration (approximately <20 minutes), involve small key sites and key parts, and minimal numbers of key parts.
What is ANTT?
ANTT aims to prevent microorganisms from our hands, surfaces or equipment being introduced into an entry site for infection, by identification and protection of key parts of any procedure.
What precautions are needed for ANTT?
Before the procedure is carried out, it is up to the health care professional to complete an assessment of the procedure in order to decide which precautions are required. Personal protective equipment such as gloves and aprons must be worn if there is a risk of exposure to or splashing/spillage of body fluids.
Do you need sterile dressing packs for Antt?
Sterile towels and dressing packs are not always required, however, a clean working environment is a sensible precaution. The ideal environment for ANTT procedures is a designated clinic room if possible. If it is not possible and needs to be done at the patient’s bedside, then it is advisable not to do it directly after bed making, as this will contribute to airborne contamination. In the community setting, careful consideration will need to be completed before starting the procedure. In all environments, windows must be closed and the use of electrical fans discouraged.
Aseptic Technique
- Proper Aseptic Technique is one of the most fundamental principles of infection prevention in a clinical and surgical setting. The word ‘aseptic’ is defined as “free from pathogenic organisms (in sufficient numbers to cause infection)”. According to the Journal of Infusion Nursing, Aseptic Te…
Aseptic Non-Touch Technique
- The Aseptic Non-Touch Technique (ANTT) was designed to help address the variable aseptic technique standards of practice and provide a rationalized, contemporary, evidence-based framework to standardize the critical competency and to help improve the standards of practice. It is defined as: “A specific and comprehensively defined type of aseptic technique with a uniqu…
Standard-Antt
- Standard Aseptic Non-Touch Technique is typically used when carrying out a procedure that is simple, short in duration (approximately 20 minutes or less) and involves a small number of key-sites and equipment with a small number of key-parts. It is defined as: “A combination of Standard Precautions and an approach of protecting Key-Parts and Key-Sites individually, using non-touc…
Patient Safety
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