The Royal Marsden Hospital manual of Clinical Practice 2015. Sharps, including needles, suture cutters, scissors and blades must be disposed of at the point of use in an approved sharps container (Loveday et al, 2014). If you prefer, you can share your concerns with the Patient Advisory Liaison Service (PALS) or contact the IPCT directly. 2.3 Contamination – a condition of being soiled, stained, touched, or otherwise exposed to harmful agents, making an object potentially unsafe for use as intended or without barrier techniques. Wilson, J (2019) Infection Control in Clinical Practice (third edition). 4. It is also sensible to store the equipment in a manner that enables staff to locate it easily, preventing wasted time. A clean disposable apron provides an ideal barrier between potentially contaminated uniforms and the procedure, reducing any contamination that may arise from the procedure. 2.3 Contamination – a condition of being soiled, stained, touched, or otherwise exposed to harmful agents, making an object potentially unsafe for use as intended or without barrier techniques. A risk assessment must be undertaken to ensure this process is appropriate for the patient and type of wound being dressed. APPENDICES Appendices can be viewed/ downloaded from the IPC Manual’s home webpage. Download PDF Package. With the increased focus on antimicrobial resistance (AMR) there is also a need to carefully consider antibiotic usage, and prevention of infection can help to reduce the need for antimicrobials in the first place (HM Government, 2019). The ANTT wound‐dressing observational metric was stress tested for clarity, the ability to be scored, and interrater reliability, calculated during a further phase of video analysis. Oxford: Blackwell. A number of relevant papers were sourced (n = 13). Premium PDF Package. It is estimated that 300,000 patients each year in England will develop a healthcare-associated infection (HCAI) (National Institute for Health and Care Excellence, 2012). Are short in duration (usually less than 20 minutes); Involve small sites such as puncture sites; Have a minimal numbers of key parts (usually considered to be less than five although there is no evidence to support this). 1030 Pages. demand the very best. We know that anxiety about healthcare-associated infections such as MRSA or C. difficile can add to your worries. A suitable surface should be prepared, such as a dressing trolley or a procedure tray, by cleaning it with a detergent wipe or according to local policy (Loveday et al, 2014). Once you have clean hands, the procedure should be clearly documented in the patient’s records (Nursing and Midwifery Council, 2018). Preparation of aseptic technique equipment before performing a procedure should be done in a clean area. In-text: (Dougherty and Lister, 2015) Your Bibliography: Dougherty, L. and Lister, S. Examples of when to use a medical aseptic technique. To develop an understandfing of the skill of suture removal through observation. These infections include bloodstream infections (also called bacteraemias) caused by MRSA and cases of C. difficile infection. A Clean technique may be considered to dress wounds healing by secondary intention e.g. PDF. Final panel decision: What should happen to a nurse who administered medication to 
a patient without a prescription? 1.1.3.3 Gloves must [] be worn for invasive procedures, contact with sterile sites and non-intact skin or mucous membranes, and all activities that have been assessed as carrying a risk of exposure to blood, body fluids, secretions or excretions, or to sharp or contaminated instruments. Box 1. You may want to bring a container of moist hand wipes into hospital with you to make this easier for you. Aims To understand the principles of Aseptic Non-Touch Technique (ANTT) when conducting a basic wound dressing procedure. It could be suggested that understanding the principles of asepsis goes back as far as Florence Nightingale, who made the links between good hand hygiene and reduction in wound infections in 1855 (Rowley et al, 2010). During the procedure, the sterile field needs to be maintained; this can be achieved by careful opening of the sterile packets to avoid contamination of the sterile equipment and the sterile surfaces of the inside packaging. Appendix 61 - Steps for Performing ANTT 3. Ideally the equipment should be kept out of direct sunlight as this could also affect the packaging, as well as the quality of the sterile products of the equipment. PDF. A best-interest decision may need to be made for a patient who is unable to give consent and this decision needs to be clearly documented in the patient’s record (NHS, 2018). 3 Petrek,JA, Peters,M and Nori,S (1990) Axillary Lympadenectomy.Arch.Surg 125, 378-382. Dougherty L, Lister S. (2015) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. Where the patient has capacity, this can usually be done verbally and then documented in the patient’s record (RCN, 2017). 3. 6. The main aseptic field needs to be managed as a critical aseptic field (a controlled working space that ensures asepsis by providing protection from the procedure environment – typically by using a sterilised drape), using sterile gloves and often with full barrier precautions to include sterile gown, mask and cap (ASAP, 2015). The Reflective Learning on ANTT In this reflection I am going to address the importance of infection control using the Aseptic Non Touch Technique (ANTT). Premium PDF Package. of contradictory information in the Royal Marsden Manual of Clinical Nursing procedures versus clinical practice. 'The Royal Marsden Hospital Manual of Clinical Nursing Procedures Student Edition' has been specially compiled for pre-registration students to include the essential procedures they need to know. The Royal Marsden Hospital Core Nursing Procedure Cards For Practice-Based Learning. Indeed, as far back as the mid-1800s, the association between good hand hygiene and reduced infection rates was identified by Ignaz Semmelweis (Wilson, 2019). It is important to remember that the single-use gloves, whether sterile or non-sterile, should be applied immediately before beginning the procedure; applying them before this point is likely to contaminate sterile gloves and/or prevent an opportunity for hand hygiene (NICE, 2012). The Royal Marsden (2015) has a handwashing technique guideline which if followed correctly, will minimise the risk of cross contamination. ANTT, but uses clean rather than sterile single use gloves and potable (drinking) tap water. The first step of the handwashing technique is to first rub the palm of your hands together. Nationally recognised as the definitive guide to clinical nursing skills, The Royal Marsden Manual of Clinical Nursing Procedures has provided essential nursing knowledge and up-to-date information on nursing skills and procedures for over 30 years. The AIM marking criteria is available in Adult Marking Criteria Version R1.7. The Royal Marsden Manual of Clinical Nursing Procedures 2015 - Wiley Blackwell - West Sussex. Cleaning services are monitored daily and any problems are usually resolved immediately. ANTT (2013) – The ANTT Clinical guideline for the Administration and Preparation of Peripheral and Central Intravenous … 3. A ‘clean technique’ can be classed as medical asepsis or standard aseptic technique, as it uses the same principles. The Royal Marsden NHS FT – PICC care guidelines: a real world example This local guideline is an example used in the NICE medical technology guidance adoption support resource for SecurAcath for securing percutaneous catheters, and was not produced,commissioned or sanctioned by NICE. “Clinical Nursing Procedures” from the Royal Marsden Hospital (2008) and provides a standardised procedure that all staff should follow. Like every other NHS Trust in England, The Royal Marsden reports numbers of particular infections to the national surveillance system. Aseptic technique is a process or procedure used to achieve asepsis to prevent the transfer of potentially pathogenic micro-organisms to a susceptible site that may result in the development of infection (Wilson, 2019). Aseptic Non Touch Technique (ANTT) Policy V5.0 Page 2 of 33 Summary All staff who complete ANTT procedures (or are likely to) as part of their clinical practice, must be in date with their annual ANTT update. Please see more information here about how we are keeping everyone safe. PDF. “Clinical Nursing Procedures” from the Royal Marsden Hospital (2008) and provides a standardised procedure that all staff should follow. Urinalysis/ Midstream Urine collection (OSCE) Top 10 Best Hospitals In UK The Royal Marsden - Cancer … I … Alternatively, a sterile field can be created using a sterile dressing pack (Lloyd Jones, 2014). Oxford dictionary of nursing 2014 - Oxford University Press - Oxford. Annals of Surgical Oncology,158, 327-330. For the purpose of this article all references to aseptic technique refer to medical/standard aseptic technique. ANTT, but uses clean rather than sterile single use gloves and potable (drinking) tap water. While we continue to direct you to read the Royal Marsden and confirm we continue to base our marking criteria on the Royal Marsden we would like to clarify the following: The CSU and the RUC skills are undertaken using clean technique not ANTT. This paper. The Royal Marsden has a specialist Infection Prevention and Control Team (IPCT). The Download Full PDF Package. Research breakthroughs, new facilities and staff appointments. With your help we can continue to be there for everyone who needs us. 13.26 Faecal sampling 27.21 Fatigue management 8.9 Feeding an adult patient Ideally, preparation should be undertaken far enough away from hand washbasins to prevent droplets from the sink outlet contaminating the prepared equipment (Centers for Disease Control and Prevention, 2019). Hands can be decontaminated by washing with soap and water or by use of alcohol-based handrub (Loveday et al, 2014). All steps in a non-touch aseptic technique should be seen as an opportunity to reduce the transfer of pathogenic organisms. Download PDF Package. Check out our NEW Videos Please visit the following websites for the latest guidance on Coronavirus: See below for further information about reducing the risk of healthcare-associated infection. It provides a comprehensive set of principles including ANTT, which aims to achieve surgical asepsis; the ANTT approach is widely used in hospitals and community settings (NICE, 2012). If you have had diarrhoea or vomiting, please wait at least 72 hours before visiting – you may still be infectious, Don't handle devices such as drips unnecessarily, Please don't sit on the beds – if there aren't enough chairs ask a member of staff to help. 2.4 Critical Aseptic Field – Used during surgical ANTT when an open invasive A short summary of this paper . The Royal Marsden Hospital manual of Clinical Practice 2015. Followers 0. While we continue to direct you to read the Royal Marsden and confirm we continue to base our marking criteria on the Royal Marsden we would like to clarify the following: The CSU and the RUC skills are undertaken using clean technique not ANTT. Download Full PDF Package. 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