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© www. antt. org – all rights reserved ANTT® is a registered Trademark ANTT© is owned and overseen by The Association for Safe Aseptic Practice, a non profit organisation with a strategy to standardise aseptic technique internationally for the benefit of patients and healthcare organizations. Please note that these presentations must not be used to build ANTT titled/specific e-learning resources For advice please email enquiries@antt. org ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Improving aseptic technique through standardization ANTT® Copyright 2015 www. antt. org enquiries@antt. org
The ANTT Clinical Practice Framework Principles and Safeguards ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Principle 1 Asepsis is the aim for all invasive clinical procedures, including the maintenance and use of invasive clinical devices. ‘…from surgery to community care’ Sterile Clean Asepsis ‘Free from all micro-organisms’ ‘Free from marks & stains’ This is not achievable in typical health care settings This is not a satisfactory standard for invasive clinical procedures or maintenance of clinical devices ‘Free from pathogenic organisms In sufficient numbers to cause infection’ ANTT® Copyright 2015 www. antt. org This is achievable in typical health care settings enquiries@antt. org
Principle 2 Asepsis is achieved by a method called ‘Key-Part & Key-Site Protection’ i. e. By protecting Key-Parts and Key-Sites from microbiological contamination from the health care worker & the immediate environment. ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Principle 3 Aseptic technique needs to be efficient as well as safe Surgical-ANTT is used for complicated procedures and Standard-ANTT for uncomplicated procedures. ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Principle 4 To determine Surgical or Standard-ANTT, risk assessment is based on the technical difficulty of achieving asepsis. To determine Standard or Surgical-ANTT consider the risk’s posed by: • Number & size of Key-Parts/Sites. • Environment • Invasiveness • Duration • Competency …. then ask this question ‘In order to maintain asepsis of Key-Parts and Key Sites, does the main aseptic field need to be managed critically’? (i. e. Only sterilized and aseptic equipment can come into contact with the aseptic field). Why is this important? Because risk assessment should be based on technical criteria that reflects the procedure risks; and that is reproducible between different healthcare workers ANTT® Copyright 2015 www. antt. org enquiries@antt. org Surgical-ANTT Yes No Standard-ANTT
Principle 5 Aseptic practice should be standardised Why is this important? Having a standard reduces variability in practice and reduces the potential for poor practice. It facilitates audit and evaluation. It has also been shown to facilitate ‘peer monitoring’. I. e. If a standard exists it is much easier for peers to informally monitor practice standards. Lastly, having a standard approach to care reassures patients. ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Principle 6 The biggest risk to patients is the healthcare worker. Safe aseptic technique is reliant upon effective board level leadership, staff training in infection control, safe environments and fit for purpose equipment. Why is this important? Because safe aseptic technique is dependant upon these ‘foundations’. In particular, it has been shown that effective Board level leadership is essential. ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Safeguard 1 Basic infective precautions such as hand cleaning & the disinfecting of medical devices significantly reduce the risk of healthcare worker and environmental contamination of Key -Parts and Key-Sites Why is this important? The healthcare workers presents the biggest risk of contamination and infection to the patient. ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Safeguard 2 Identification and protection of Key-Part & Key-Sites are open wounds, including insertion and puncture sites. Key-Parts are the parts of the procedure equipment or medical devices that come into direct or indirect contact with other active Key-Parts, any liquid infusion or Key-Sites. ‘Key-Parts and Key-Sites must only come into contact with other active aseptic Key. Parts or Key-Sites or sterile liquid infusions’. Key-Parts and Key-Sites may be active or non active. For example, an IV port not in use is inactive. Non active key-parts must be rendered aseptic prior to use by cleaning and disinfecting. Why is this important? If contaminated during invasive clinical procedures or maintenance of invasive medical devices, Key-Parts and Key-Sites provide a direct route for the transmission of pathogens into the patient. ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Safeguard 3 Non-touch technique is a critical skill that protects Key-Parts & Key Sites from the Healthcare worker and the environment – for both Surgical and Standard-ANTT NTT in Surgical-ANTT Essential Desirable Why is this important? Because the best way to protect a Key-Part or Key-Site is simply not to touch it. (Even in Surgical-ANTT where practical). ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Safeguard 4 Aseptic fields protect Key-Parts and Key-Sites from the immediate environment. Surgical and Standard-ANTT involve very different aseptic field management Surgical-ANTT Critical Aseptic Field Standard-ANTT General Aseptic Field & (Micro) Critical Aseptic Fields ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Critical Aseptic Field ANTT® Copyright 2015 www. antt. org enquiries@antt. org
General Aseptic Field ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Micro Critical Aseptic Fields ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Which type of aseptic field management best protects Key-Parts? ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Summary ANTT® Copyright 2015 www. antt. org enquiries@antt. org
ANTT The aim is always asepsis From surgery to community care Key-Part Protection Technical difficulty of achieving asepsis ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Standard-ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Standard-ANTT General Aseptic Field ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Standard-ANTT General Aseptic Field Micro Critical Aseptic Fields Non Sterile Gloves NTT essential ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Standard-ANTT General Aseptic Field Micro Critical Aseptic Fields Non Sterile Gloves NTT essential Key-Parts protected individually ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Surgical-ANTT Critical Aseptic Field Sterilized Gloves ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Surgical-ANTT Critical Aseptic Field Sterilized Gloves Desirable are… Micro Critical Aseptic Fields NTT ANTT® Copyright 2015 www. antt. org enquiries@antt. org
Surgical-ANTT Critical Aseptic Field Sterilized Gloves Desirable are… Micro Critical Aseptic Fields NTT Key-Parts protected in one large aseptic field ANTT® Copyright 2015 www. antt. org enquiries@antt. org
© www. antt. org – all rights reserved ANTT® is a registered Trademark ANTT© is owned and overseen by The Association for Safe Aseptic Practice, a non profit organisation with a strategy to standardise aseptic technique internationally for the benefit of patients and healthcare organizations. Please note that these presentations must not be used to build ANTT titled/specific e-learning resources For advice please email enquiries@antt. org ANTT® Copyright 2015 www. antt. org enquiries@antt. org
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