remain sterile without touching such as steel needles , IV catheter needles , syringe tips , IV tubing male connections , port access site , and any supply item with extra capped end designed to maintain sterility . With Standard ANTT an micro critical field is established for all supply items , but clean gloves , supplies and clean procedures are used , with attention to not touching key sites and parts . Even with these procedures , if touching is necessary , as with touching the skin after skin antisepsis for a peripheral IV , sterile gloves should be used .
Surgical ANTT approach is a higher-level practice used for longer clinically invasive procedures when maintaining sterility is vital using sterile gloves , a critical aseptic and sterile field with sterile drapes , and maximum sterile barriers may be required . Examples of Surgical ANTT are critical fields that are used during central catheter insertions , surgical procedures , and extensive debridement of a wound . Only sterilized equipment and supplies are added to the critical field for Surgical ANTT .
Each facility should consider implementing ANTT training for all clinical staff in accordance with the 2021 Infusion Nursing Standards of Practice Standard 18 that provides greater detail of the ANTT framework and definitions . Research supports the use of simulation for reducing contamination , increasing understanding and performance compliance with patient procedures . Much confusion is present among clinicians for the management of procedures , when to use sterile versus clean gloves , how to establish a clean working area , and when to use sterile drapes . Education on ANTT would provide clearer direction allowing practice and explanation of the application of Standard versus Surgical ANTT , noncritical and critical fields , key sites , and parts to patient procedures resulting in improved safety .
Nancy Moureau , RN , PhD , CRNI , CPUI , VA-BC , is the chief executive officer at PICC Excellence , Inc ., a research member of the Alliance for Vascular Access Teaching and Research ( AVATAR ) Group , and an adjunct associate professor at Griffith University in Brisbane , Australia .
References :
Clare S , Rowley S . Implementing the Aseptic Non Touch Technique ( ANTT ®) clinical practice framework for aseptic technique : a pragmatic evaluation using a mixed methods approach in two London hospitals . Journal of infection prevention . 2018 ; 19 ( 1 ): 6-15 .
Flynn J , Keogh S , Gavin N . Sterile v Aseptic Non-touch Technique for Needleless Connector Care on Central Venous Access Devices in a Bone Marrow Transplant Population : A Comparative Study . European Journal of Oncology Nursing . Jun 6 2015 ; 19 ( 6 ): 694-700 . doi : 10.1016 / j . ejon . 2015.05.003
Gorski LA , Hadaway L , Hagle ME , et al . Infusion Therapy Standards of Practice , 8th Edition . Journal of Infusion Nursing . 2021 ; 44 ( 1S ): S1-S224 . doi : 10.1097 / nan . 0000000000000396
Rowley S , Clare S . Improving Standards of Aseptic Practice Through and ANTT Trust-wide implementation Process : A Matter of Prioritisation and Care . Journal of Infection Prevention . 2009 ; 10 ( 1 _ suppl ): S18-S23 .
Rowley S , Clare S . Aseptic Non Touch Technique ( ANTT ): Reducing Healthcare Associated Infections ( HCAI ) by Standardising Aseptic Technique with ANTT across Large Clinical Workforces . American journal of infection control . 2011 ; 39 ( 5 ): E90 .
Rowley S , Clare S . ANTT : a standard approach to aseptic technique . Nursing times . 2011 ; 107 ( 36 ): 12-14 .
Rowley S , Clare S . Standardizing the Critical Clinical Competency of Aseptic , Sterile , and Clean Techniques with a Single International Standard : Aseptic Non Touch Technique ( ANTT ®). Journal of the Association for Vascular Access . 2019 ; 24 ( 4 ): 12-17 .
Rowley S , Clare S , Macqueen S , Molyneux R . ANTT v2 : An Updated Practice Framework for Aseptic Technique . British Journal of Nursing . 2010 ; 19 ( 5 ): S5 .
healthcarehygienemagazine
Invites You to Attend a Free Continuing Education Webinar
The Role of the Nose in Staphylococcus aureus Infections : Can We Mitigate the Risk ?
This webinar will describe the benefits of nasal decolonization for the prevention of Staphylococcus aureus infections and review the emerging data supporting comprehensive MRSA / MSSA colonization risk mitigation programs .
Since retiring as the national infection prevention director for Kaiser Permanente in 2016 , Sue Barnes , RN , CIC , FAPIC , now serves as an advisor and consultant for industry partners and professional organizations including APIC , AORN and IDSA . She is board-certified in infection control and prevention and was granted the designation of Fellow of APIC in 2015 . She has worked in the field of infection prevention since 1989 . She has participated in the development of APIC guides and served as a speaker for organizations including AORN and APIC . In addition , Barnes has been published in journals including AORN Journal , American Journal of Infection Control , the Joint Commission Source for Compliance Strategies and The Permanente Journal . She served on the national APIC board of directors from 2010 to 2012 , and the San Francisco APIC chapter board of directors from 2007 to 2017 .
Learning Objectives
• Describe the role of the nares in infections caused by S . aureus
• Identify three limitations of screen and treat S . aureus / MRSA risk mitigation programs ( targeted decolonization )
• Review the emerging data supporting comprehensive MRSA / MSSA colonization risk mitigation programs
This webinar offers 1 contact hour of continuing education for nurses . ( Keystone Media Inc ./ Healthcare Hygiene magazine - CEP 17500 - is an approved provider by the California Board of Registered Nurses ).
To earn your contact hour ( s ), you must watch the entire webinar ; once you meet the minimum viewing duration , you will be sent a link to complete the CE process ; due to volume of participants , please allow up to one full day from the time you complete the webcast to receive this link from our education partner , Terri Goodman & Associates .
Developed and underwritten by : healthcarehygienemagazine
TO ACCESS THIS WEBINAR