Free PDF. 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. PDF. At The Royal Marsden, we deal with cancer every day so we understand how valuable life is. Carefully open any other sterile equipment and gently place it onto the sterile field, avoiding any contamination of the sterile surfaces of the equipment (Lloyd Jones, 2014). The Royal Marsden has a specialist Infection Prevention and Control Team (IPCT). Download PDF Package. 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). Cleaning services are monitored daily and any problems are usually resolved immediately. All equipment required should be gathered at this point and laid out in a manner to protect key parts using sterile packets, covers and caps (Rowley et al, 2010). Coronavirus (COVID-19) latest: Visiting The Royal Marsden is still suspended, but we want to reassure our patients, their families and anyone worried about cancer during this difficult time that we are still delivering treatment - the hospital is open. Key sites are defined as open wounds, including insertion sites and puncture sites. As a group, we we’re shown how to perform the task using the technique with a set of guidelines taken from the Royal Marsden 2015. The procedure that we were taught in university is from The Royal Marsden 2008. 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). The Royal Marsden has a specialist Infection Prevention and Control Team (IPCT). Please see more information here about how we are keeping everyone safe. 3 Petrek,JA, Peters,M and Nori,S (1990) Axillary Lympadenectomy.Arch.Surg 125, 378-382. 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. Written by nurses for nurses, The Royal Marsden Manual of Clinical Nursing Procedures provides you with the procedures, rationale, and guidance required by qualified nurses to deliver clinically effective, patient-focused care with expertise and confidence. Then massage the back of your hand with the palm of your other hand and your fingers intertwined. Dougherty L, Lister S. (2015) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. This paper. If they become contaminated, this can result in the patient acquiring a preventable infection. Each sterile package should be inspected to ensure the packaging is still intact with no visible damage; the expiry date must be checked to ensure the equipment is still in date (Lloyd Jones, 2014). Preventing the Spread of Infection Review Tool (To be used for observations) Observation Element Have all the elements Hand been completed? The term ‘clean technique’ is often used to describe the procedure for dressing chronic wounds; it includes hand hygiene, preparation of a clean area with use of clean gloves and sterile instruments, such as scissors and forceps (Wound, Ostomy and Continence Nursing Society, 2012). Free PDF. The Royal Marsden School is a centre of educational excellence, offering courses in cancer care and practical training for all healthcare professionals. 18 This information described how the development process should begin and what areas of the procedure the metric should focus on but did not supply the team with a tool that could be adapted. or. Loveday HP, Wilson JA, Pratt RJ, et al. If you see anything you are not happy about, whether it is the cleanliness of the area you are in, the hand hygiene of staff, or some other matter, please tell us. 4 Zavostky J, Jones RC and Brenna, MB (1984) Evaluation of axillary Lymphedenectomy without axillary drainage for breast conserving therapy. Loveday HP, Wilson JA, Pratt RJ, et al. 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). A risk assessment must be undertaken to ensure this process is appropriate for the patient and type of wound being dressed. 3 Petrek,JA, Peters,M and Nori,S (1990) Axillary Lympadenectomy.Arch.Surg 125, 378-382. ed., 2015. Lamber, J. Chaperones: practice policy and training 2010 - Practice Nursing. A number of relevant papers were sourced (n = 13). National Institute for Clinical Excellence (NICE 2012), the Royal College of Nursing (RCN) Infusion Standards 2010 (RCN 2010) and the Health Protection Surveillance Centre – Ireland (HPSC 2011) and the Australian Commission of Safety and Quality in Healthcare (NHMRC 2010). The Royal Marsden Hospital Core Nursing Procedure Cards For Practice-Based Learning. What should happen to a nurse who administered medication to 
a patient without a prescription? 3 2.2 Aseptic Non Touch Technique (ANTT) – a method of maintaining asepsis by not touching key parts. 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. Download with Google Download with Facebook. Preparation of aseptic technique equipment before performing a procedure should be done in a clean area. the Royal Marsden and confirm we continue to base our marking criteria on the Royal Marsden we would like to clarify that we have also taken into consideration the Asthma UK Guidelines. ANTT, but uses clean rather than sterile single use gloves and potable (drinking) tap water. The Royal Marsden Manual of Clinical Nursing Procedures 2015 - Wiley Blackwell - West Sussex. 9 th Ed. Elsevier Limited. With dedicated units for all cancer types, The Royal Marsden provides care during diagnosis, treatment and beyond, and has specialist paediatric facilities for children and young people. 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). Discovering that you have cancer, and needing to come into hospital, is a very worrying and stressful time. When all the waste has been disposed of safely and apron and gloves, if worn, have been removed hands should be decontaminated (Loveday et al, 2014). If you prefer, you can share your concerns with the Patient Advisory Liaison Service (PALS) or contact the IPCT directly. In the past, many aseptic techniques included a ritualistic practice of cleaning trolleys with alcohol between clients. NHS Health Education England - HEE (12 Feb 2018) Aseptic Non-Touch Technique ANTT Based on The Royal Marsden Manual Procedure for Would Care; WHO (2006) Five Moments of Hand Hygiene; WHO System Change - Changing Hand Hygiene Behaviour at the Point of Care; IVI. There are a number of stages and principles for aseptic technique (Table 1); the fundamental initial stage is hand hygiene, which must be performed before any aseptic technique (World Health Organization, 2019; Loveday et al, 2014). During the course of the pandemic, a tree has sprouted in the…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. You can talk to the staff where you are or ask to speak to the Matron. Medical asepsis – sometimes referred to as standard aseptic technique (Association of Safe Aseptic Practice, 2015) – aims to reduce the number of organisms and prevents their spread by use of standard principles of infection prevention (Loveday et al, 2014). They receive this training when they first start at The Royal Marsden and it is repeated every year. To develop an understandfing of the skill of suture removal through observation. If a sterile dressing pack is being used, care should be taken to ensure that only the corners are used when opening out the sterile field. The Royal Marsden (2015) has a handwashing technique guideline which if followed correctly, will minimise the risk of cross contamination. The procedure should be carried out in a location that maintains the patient’s privacy and dignity, such as a treatment room, at the bedside with the curtains drawn or in the patient’s own home (Lloyd Jones, 2014). 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 term asepsis means “the absence of potentially pathogenic micro-organisms” (Loveday et al, 2014). ANTT Urinalysis Discover Series: E4: RCNi Decision Support Tool and Management of a High Output Ileostomy Kingston University and The Royal Marsden NHS Foundation Trust – CanAdvice NMC OSCE MIDSTREAM URINE SAMPLE Urinalysis Lab Test \u0026 Urine Dipstick Test Explained! Premium PDF Package. [2003] 1.1.3.4 Gloves must [] be worn as single-use items. And when people entrust their lives to us, they have the right to. Aseptic non-touch principles (ANTT)® ANTT ... Decontaminate hands using the 7 step technique and record care in the patients notes- refer to the Royal Marsden Manual for further information. The Royal Marsden Manual of Clinical Nursing Procedures Lisa Dougherty, Sara Lister (eds.) 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). ANTT forms part of Aseptic practice. 2.4 Critical Aseptic Field – Used during surgical ANTT when an open invasive The first step of the handwashing technique is to first rub the palm of your hands together. This paper. 13.26 Faecal sampling 27.21 Fatigue management 8.9 Feeding an adult patient The Royal Marsden Hospital manual of Clinical Practice 2015. The manual provides the underlying theory and evidence for procedures related to every aspect of a person's care. 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