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