Developed in response to: Best Practice Health and Social Act 2008 CQC Fundamental Standards: 12
|
|
- Denis Howard
- 5 years ago
- Views:
Transcription
1 ASEPTIC TECHNIQUE AND ASEPTIC NON- TOUCH TECHNIQUE Clinical Guideline Register No: Status : Public Developed in response to: Best Practice Health and Social Act 2008 CQC Fundamental Standards: 12 Consulted with: Post/Committee/Group: Date: John Swanson Senior Infection Prevention Nurse October 2017 Infection Prevention Group October 2017 Ellie Makings Chief Medical Officer October 2017 Tom Gudde General Manager, Theatres October 2017 Susan Breitsameter Occupation Health Manager October 2017 Marcie Tunbridge Lead Nurse for Opthalmology October 2017 Margaret Smith Lead Nurse for Tissue Viabiltiy October 2017 Professionally Approved By: Dr. Louise Teare Director of Infection Prevention and Control 7 th December 2017 Version Number 3.0 Issuing Directorate Corporate Nursing Ratified by Document Ratification Group Ratified on 18 th January 2018 Trust Executive Sign Off Date February/March 2018 Next Review Date December 2020 Author/Contact for Information Nicola Gibson/ Lucy Ellis Infection Prevention Nurses Policy to be followed by (target staff) All staff Distribution Method Intranet and Website Related Trust Policies (to be read in conjunction with) Decontamination policy Standard infection prevention precautions policy Fogging Policy Hand Hygiene Policy Exposure Injuries to BBV Safe Handling and Disposal of Sharps Policy Prevention of IV Related Infections Document History Review: Version No: Reviewed by: Active Date: 1.0 Infection Control team Infection Prevention Team March Nicola Gibson/ Lucy Ellis Infection Prevention Nurses 12 th February
2 INDEX 1. Purpose 2. Aims 3. Scope 4. Equality and Diversity 5. Roles and Responsibilities 6. Definitions 7. Principles of Aseptic Non-Touch technique (ANTT) 8. Applying ANTT 9. Audit and Monitoring 10. Training 11. Implementation and Communication 12. References 13. Appendices 1. Appendix 1: The ANTT Approach - a Diagrammatic Representation 2. Appendix 2: Skin Antisepsis 3. Appendix 3; The 6 Principles and 4 Safeguards of ANTT 4. Appendix 4: ANTT Clinical Guideline for the Preparation and Administration of Intravenous Drugs 2
3 1.0 Purpose 1.1 This policy details the practice framework and the theory for Aseptic Non-Touch Technique (ANTT) as the basis for standardising aseptic technique throughout the Trust. 1.2 The purpose of this document is to provide guidance and rationale to all staff undertaking aseptic technique so as to reduce the contamination of key parts and key sites, thereafter reducing the patient s risk of acquiring healthcare associated infections. 2.0 Aims of the Policy 2.1 The aim of this document is to ensure that all staff understand the principles and practice of ANTT when carrying out all clinical procedures that involve a risk of infection to the patient. 2.2 This document also aims to ensure all staff undertaking aseptic technique apply ANTT to practice effectively. 3.0 Scope 3.1 This policy applies to all staff employed by the Trust on a substantive or temporary basis. 3.2 An aseptic non-touch technique should be used for any procedure that breaches the body s natural defence mechanisms including; Insertion and maintenance of invasive devices Infusion of sterile fluids and medication Care of wounds and surgical incisions (epic3, 2013) 4.0 Equality and Diversity 4.1 Mid Essex Hospital Services NHS Trust is committed to the provision of a service that is fair, accessible and meets the needs of all individuals. 5.0 Roles and Responsibilities 5.1 Managing Director The Managing Director has overall responsibility for ensuring that the Trust has the necessary management systems in place to enable the effective implementation of this policy and overall responsibility for the health and safety of staff, patients and visitors. 5.2 Chief Medical Officer The Chief Medical Officer has strategic responsibility to ensure that systems are in place to make medical staff aware of this policy and to give appropriate support to enable staff to adhere to practice as outlined in the document. 3
4 5.3 Director of Nursing The Director of Nursing has strategic responsibility for ensuring systems are in place to facilitate nursing staff awareness of this policy and appropriate support is given to enable staff in delivering practice as outlined in this policy. 5.4 Director of Infection Prevention and Control (DIPC) The DIPC will have operational responsibility for the effective implementation of this policy. 5.5 Infection Prevention and Control Team (IPT) The Infection Prevention and Control Team is responsible for ensuring all staff are made aware of this policy, to cascade ANTT training and undertake ANTT competency assessments for junior doctors on induction. 5.6 Occupational Health Manager The Occupational Health Manager provides the professional leadership for management of needle stick injuries and staff exposure to blood borne viruses. 5.7 All staff All staff must comply with this policy and act in a responsible manner, liaising with the IPT in a timely manner if they need advice or support. All staff who undertake aseptic procedures have the responsibility to ensure that ANTT is embedded into practice and applied consistently at all times. 6.0 Definitions 6.1 Aseptic technique Aseptic technique is defined as the infection prevention precautions taken during invasive clinical procedures to prevent the transfer of micro-organisms from the healthcare worker, the procedure equipment or the immediate environment to the patient. 6.2 Aseptic Non-Touch Technique (ANTT) ANTT is a specific technique which involves maintenance of sterility of key-parts and key-sites and may be applied as standard ANTT or surgical ANTT. (Refer to Appendix 1) 6.3 Standard ANTT Involves technically simple procedures, short in duration (in general less than 20 minutes), and involve smaller key-sites and key-parts e.g. peripheral cannulation and I.V. therapy. 4
5 6.4 Surgical ANTT Procedures are technically complex, involve extended periods of time, large open keysites or large or numerous key-parts e.g. surgery in operating theatre or central venous catheter insertion in ITU. 6.5 Key sites Key sites are those areas on the patient s body that are vulnerable to infection, such as wounds, entry / exit sites of invasive medical devices and intact skin where invasive devices are to be inserted. 6.6 Key parts Key-parts provide a direct route for the transmission of pathogens into a susceptible site on a patient Key parts are the critical parts of equipment used during the procedure that may come into contact directly or indirectly with a key site on a patient s body. This may be a needle, a hub of a syringe or infusion fluid for example Key parts will be sterile initially, but may become contaminated over time and require decontamination prior to manipulation, such as ports of IV devices 6.7 Aseptic field An aseptic field provides basic protection from the care environment. However, generally the key-parts will be easily protected by caps, covers, and a non-touch technique and so for standard ANTT procedures the aseptic field will often be a clean, disinfected tray. 6.8 Hand Hygiene Hand hygiene is an essential component of ANTT Hand hygiene in Standard ANTT is considered to be the promoter of asepsis and for Surgical ANTT is considered an ensurer of asepsis and demands surgical hand scrub The 5 moments for hand hygiene is reflected in ANTT to reduce the transfer of micro-organisms at all times 6.9 Decontamination and disinfection A single use application of 2% Chlorhexidine in 70% alcohol (e.g. Sanicloth CHG 2% wipes) is recommended to disinfect key-parts such as I.V. ports or blood culture bottles. This should be used for a minimum of 20 seconds and allowed to dry before being accessed (epic3, 2013) Where patients have a sensitivity to Chlorhexidine, povidone iodine in alcohol should be used to decontaminate access ports (epic3, 2013) 70% alcohol (Sanicloth 70) wipes should be used for disinfecting clean trays to be used as an aseptic field Key-sites such as the patient s skin must be disinfected prior to an invasive procedure. Generally single use sterile applications of 2% Chlorhexidine in 70% 5
6 alcohol (e.g. Chloraprep) is recommended. (Refer to Appendix 2) 7.0 The Principles and Safeguards of ANTT 7.1 The ANTT practice framework is based upon 6 principles and 4 safeguards. (Refer to Appendix 3) 7.2 The principles of ANTT are based on the premises that asepsis is achievable, and asepsis is the common aim of all clinical procedures that entail an infection risk. Asepsis means free from introducing pathogenic micro-organisms onto or into patient. 7.3 To re-enforce asepsis, the terms clean technique and sterile technique are not used in ANTT. 7.4 Principles and safeguards provide a logical and standard set of rules that all staff need to understand in order to apply a safe and effective aseptic technique in a wide range of clinical procedures. 7.5 Safeguards help to ensure asepsis is maintained at all times. 8.0 Applying ANTT 8.1 Clinical guidelines are available for certain procedures (e.g. IV drug administration see Appendix 4) and are a simple way of translating ANTT into practice. They provide a visual guide and prompt sequencing of the steps of a procedure, so standardising equipment and procedure order. 8.2 Risk assessment remains important, as staff will need to apply ANTT principles and safeguards to a range of clinical procedures that do not have guidelines. 8.3 When applying ANTT, staff should carry out a risk assessment based on the technical difficulty of maintaining key part or key site asepsis. This helps to determine the choice of Surgical-ANTT or Standard-ANTT. (Refer to Appendix 1) 8.4 Risk assessment should consider the following in the promotion of asepsis; Aseptic field management Non-touch technique Protection of the key parts and key sites Infection prevention precautions 8.5 The immediate environmental risks such as bed making, high dusting and any patient activity increases the risk of airborne contamination and also needs to be assessed. 8.6 Hand hygiene is an essential component of ANTT and should reflect the six steps technique as outlined in the Hand Hygiene policy (2017). Gloves do not replace the need for hand hygiene. 6
7 9.0 Audit and Monitoring 9.1 The Infection Prevention and Control Group reviews the Infection Control Policies. 9.2 Associate Directors of Nursing are required to monitor compliance with ANTT and ensure that any necessary remedial action is taken as a result of inappropriate practices and develop localised action plans which are monitored through the Directorate Governance Group for that clinical area. 9.3 Any training needs are identified and highlighted during monitoring within the directorate. 9.4 The results of any monitoring undertaken are appropriately documented, with a copy of the remedial actions sent to the Infection Control Lead Nurse Training 10.1 Any training needs are identified and highlighted during monitoring within the directorate ANTT training is included in the Professional Development programme and Mandatory Risk Management courses that all staff must attend Infection Prevention team will provide ANTT training to be cascaded throughout the organisation Implementation and Communication 11.1 The requirements detailed within this policy are already in place This policy will be issued to the following to disseminate to staff within their area(s) of responsibility; Ward Managers Bed Management Team Associate Directors of Nursing Matrons Clinical Directors Medical Consultants 11.3 The guideline will also be available on the Intranet References Aziz, AM (2008) Variation in aseptic technique and implications for infection control, British Journal of Nursing, Vol. 8, 1(26-31) The Health and Social Act: Code of Practice for the Prevention and Control of Health Care Associated Infections (2008). Department of Health, London Hospital Infection Society (2002) Behaviours and Rituals in the Operating Theatre Journal of Hospital Infection (2002) 51:
8 Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, Browne J, Prieto J and Wilcox M (2013) epic3; National Evidence Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England. Journal of Hospital Infection, Vol 86 (S1 S70) Rowley. S (2011) Aseptic Non-Touch technique (ANTT) a Practice Framework for Clinical Practice-Theory applied to practice, The Association for Safe Aseptic Practice (ASAP) Rowley. S., Clare. S., Macqueen, S & Molyneux, R (2010), ANTT V2: An update practice framework for aseptic technique, British Journal of Nursing, Rowley, S and Clare, S (2009) Improving standards of aseptic practice through an ANTT trust wide-wide implementation process: a matter of prioritisation and care, Journal of Infection Prevention, Vol. 10 (S18-S23) 8
9 Appendix 1 9
10 Skin Antisepsis Appendix 2 Procedure Product Use / Comment CHECK PATIENT S ALLEGY STATUS Pre-operative skin Chlorhexidine 2% in preparation 70% alcohol Single use sterile application (e.g. Chloraprep) preferred Disinfection of skin near eyes prior to ophthalmic theatre procedures Standard skin disinfection prior to all invasive procedures including; Peripheral line insertions Central line insertions Blood culture sampling Epidural lines Lumbar puncture Injection sites; Intramuscular Subcutaneous Venepuncture (but NOT for blood culture sampling) Povidone iodine 10% alcoholic solution 500ml (Videne Alcoholic Tincture) Povidone Iodine antiseptic solution half strength (Povidone Iodine 5% containing 0.5% available Iodine Chlorhexidine 2% in 70% alcohol (Chloraprep). 70% alcohol wipes or Chlorhexidine 2% in 70% alcohol impregnated swabs (Sanicloth CHG 2%) Where multiple-use solution is used the bottle must be labelled with the date of opening and used within 3 months. For invasive procedures in patients allergic or sensitive to Chlorhexidine. Bottle must be labelled with the date of opening and used within 3 months. Chloraprep should be applied to the skin for 30 seconds and then allowed to dry fully. Great Ormond St and Addenbrookes Hospitals recommend and use this product prior to lumbar puncture and there are no adverse effects as long as the prepared skin is fully dry prior to the procedure. Clean the site for 30 seconds and allow to dry. (Skin must be dry for antisepsis to be effective and to ensure that irritation is not caused by the preparation being injected into the tissue) Mucous membranes Povidine iodine 10% antiseptic aqueous solution 500ml (Videne Antiseptic Solution) Wound cleansing Urethral catheter care Traumatic wound cleansing (Theatres / A&E only Sodium chloride 0.9% irrigation fluid 25ml / 100ml sachets Chlorhexidine gluconate 0.015% (Unisept) Note for most invasive procedures, alcohol solutions are deemed more efficient than aqueous (Hospital Infection Society, 2002) NOT for skin decontamination
11 6 Principles and 4 Safeguards of ANTT Clinical Practice Appendix 3 Principle 1 The aim of ANTT for invasive clinical procedure and maintenance of invasive medical devices is always asepsis Principle 2 Asepsis is achieved by protecting Key-parts and Key-sites from microorganisms transferred from healthcare worker and immediate environment Principle 3 ANTT needs to be efficient as well as safe (Surgical-ANTT is used for complicated procedures and Standard-ANTT for uncomplicated procedures From Surgery to Community Care) Principle 4 Choice of Surgical-ANTT or Standard-ANTT is based on ANTT risk assessment according to the technical difficulty of protecting Key-part and Key-site Safeguard 1 Basic Infection Precautions Basic infection precautions such as hand cleaning and environmental controls significantly reduce the risk of contaminating Key-Parts and Key-sites Safeguard 2 Identification of Key-Parts and Key-Sites Key-Parts are the critical parts of the procedure equipment that if contaminated are most likely to cause infection. Key-Sites are open wounds and medical device access sites Safeguard 3 Non-Touch Technique Non-Touch Technique is a critical skill that protects Key-Parts & Key-Sites from healthcare worker and the procedure environment in both Surgical and Standard-ANTT Safeguard 4 Aseptic Field Management Aseptic Fields protect Key-Parts and Key-Sites from the immediate procedure environment. Surgical and Standard-ANTT require different aseptic field management Principle 5 Aseptic practice should be standardised Clinical and Organisation Management Principle 6 Safe aseptic technique is reliant upon effective healthcare worker training and environments and equipment that are fit for purpose
12 ANTT Clinical Guideline for the preparation and adminstration of I.V. drugs Appendix 4
13 Appendix 4
14
15
Section G - Aseptic Technique. Version 5
Section G - Aseptic Technique Version 5 Important: This document can only be considered valid when viewed on the Trust s Intranet. If this document has been printed or saved to another location, you must
More informationInfection Prevention and Control. Approval Process. Executive Director of Nursing and Operations, DIPC. Distribution IPC Governance Meeting Members
Title Trust Ref No 766-37839 Local Ref (optional) Main points the document covers Who is the document aimed at? Author Approved by (Committee/Director) Document Details Aseptic Technique Policy This policy
More informationASEPTIC & CLEAN (NON TOUCH TECHNIQUE) POLICY
ASEPTIC & CLEAN (NON TOUCH TECHNIQUE) POLICY First Issued by/date Issue Version Purpose of Issue/Description of Change Planned Review Date 4 Update September 2012 Named Responsible Officer:- Approved by
More informationASEPTIC NON TOUCH TECHNIQUE (ANTT) POLICY
ASEPTIC NON TOUCH TECHNIQUE (ANTT) POLICY Infection Prevention & Control Document Author Written By: Infection Prevention & Control Team Date: 1 st April 2018 Lead Director: Director of Nursing Authorised
More informationModel Policy Aseptic Non Touch Techniques (ANTT ): A national, standardised approach to aseptic technique
Model Policy Aseptic Non Touch Techniques (ANTT ): A national, standardised approach to aseptic technique Date to be reviewed: (every 2 years) No of pages: 20 Author job title(s): Consultant Nurse, Healthcare
More informationKevin Chapman Tissue Viability - Modern Matron
Tissue Viability Policy - Practice Guidance Note Aseptic Non Touch Technique V01 Date issued Issue 1 Jan 16 Planned review January 2019 TV-PGN-03 Part of NTW(C)18 Tissue Viability Policy Author/Designation
More informationPOLICY FOR ASEPTIC TECHNIQUE AND ASEPTIC NON TOUCH TECHNIQUE
POLICY FOR ASEPTIC TECHNIQUE AND ASEPTIC NON TOUCH TECHNIQUE Please be aware that this printed version of the Policy may NOT be the latest version. Staff are reminded that they should always refer to the
More informationSTANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017
Page 1 of 8 Policy Applies to: All Mercy Staff, Credentialed Specialists, Allied Health Professionals, students, patients, visitors and contractors will be supported to meet policy requirements Related
More informationAseptic Non-Touch Technique Policy
Aseptic Non-Touch Technique Policy DOCUMENT CONTROL: Version: 4 Ratified by: Quality and Safety Sub Committee Date ratified: 4 July 2016 Name of originator/author: Karen Foltyn, Senior Clinical Nurse Specialist,
More informationAseptic Technique Policy
Post holder responsible for Policy Author of Policy Division/ Department responsible for Procedural Document Contact details Judy Potter, Lead Nurse/Director Infection Prevention& Control Judy Potter,
More informationANTT Theoretical Framework For Clinical Practice
www.antt.org.uk enquiries@antt.org.uk ANTT Theoretical Framework For Clinical Practice Rationale and supporting evidence V2.5 2011 www.antt.org.uk 2011 Aseptic Non-Touch Technique (ANTT) This document
More informationASEPTIC TECHNIQUE POLICY
SECTION 3b ASEPTIC TECHNIQUE POLICY INFECTION CONTROL MANUAL Read in conjunction with: o Hand hygiene policy (also section 3) o Standard (Universal) Precautions policy (section 4) o Decontamination policy
More informationNorth York General Hospital Policy Manual
TITLE: ASEPTIC TECHNIQUE (NON-OPERATING ROOM) CROSS REFERENCE: ORIGINATOR: Manager, IPAC APPROVED BY: Medical Advisory Committee ORIGINAL DATE APPROVED: Dec. 13, 2011 Operations Committee ORIGINAL DATE
More informationASEPTIC TECHNIQUE LEARNING PACKAGE
ASEPTIC TECHNIQUE LEARNING PACKAGE Staff Name:... Date:... Table of Contents What is Aseptic technique? 3 Core infection control components 3 Key parts 5 References 6 Aseptic technique questionnaire 7
More informationInfection Prevention and Control. ASEPTIC NON TOUCH TECHNIQUE (ANTT) Policy
Infection Prevention and Control ASEPTIC NON TOUCH TECHNIQUE (ANTT) Policy Policy Title: Executive Summary: Aseptic Non-Touch Technique (ANTT) This policy details a standard framework approach to raise
More informationANTT. What is it and do you need to know? Grampians Region Infection Control Group Sue Atkins Regional Infection Control Consultant
ANTT What is it and do you need to know? Grampians Region Infection Control Group Sue Atkins Regional Infection Control Consultant Aseptic Non Touch Technique Yes you need to know! Introduction Understanding
More informationNorth East Ambulance Service NHS Trust Infection Prevention and Control Annual Work Plan April 2009 March 2010 October review (2)
North East Ambulance Service NHS Trust Infection Prevention and Control Annual Work Plan April 2009 March 2010 October review (2) No. Objective Actions Lead Date of 1 Leadership throughout Accountability
More informationNURSING GUIDELINES ON TAKING BLOOD CULTURES FROM PERIPHERAL OR CENTRAL VENOUS ACCESS DEVICE
NURSING GUIDELINES ON TAKING BLOOD CULTURES FROM PERIPHERAL OR CENTRAL VENOUS ACCESS DEVICE Version Number V22 Date of Issue June 2017 Reference Number Review Interval Approved By Name: Fionnuala O Neill
More informationMid-line Vascular Access Device Policy (Adults) and Procedures/Guideline
Mid-line Vascular Access Device Policy (Adults) and Procedures/Guideline October 2016 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationBest Practice Guidelines BPG 5 Catheter Care
Best Practice Guidelines BPG 5 Catheter Care BGP 5 1 DOCUMENT STATUS: Reviewed DATE ISSUED: March 2014 DATE TO BE REVIEWED: 13.10.17 AMENDMENT HISTORY VERSION DATE AMENDMENT HISTORY V1 March 2014 New Guideline
More informationLincolnshire Partnership NHS Foundation Trust (LPFT) Title of Policy
Lincolnshire Partnership NHS Foundation Trust (LPFT) Title of Policy REF: 7n DOCUMENT VERSION CONTROL Document Type and Title: Correct Use of Personal Protective Environment Authorised Document Folder:
More informationThe Newcastle Upon Tyne Hospitals NHS Foundation Trust. Standard Precautions Policy
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Version.: 3.2 Effective From: 21 July 2015 Expiry date: 21 July 2018 Date Ratified: 10 July 2015 Ratified By: IPCC 1 Introduction Standard Precautions
More informationHand Hygiene procedure
SBC Children s Community Health Service Statement of Intent Document number Author Owner Approved by Hand Hygiene procedure To provide clear guidelines on hand decontamination in order to reduce the risks
More informationPOLICY FOR TAKING BLOOD CULTURES
Sponsor: Reviewer(s): Dr Roberta Parnaby (Consultant Microbiologist) Dr Alicja Baczynska (F2 Microbiology) Dr Chris Gordon (Medical Director) Dr Roberta Parnaby Dr Matthew Dryden (Consultant Microbiologists)
More informationCentral Venous Access Devices (CVAD) Procedures
SH CP 138 Central Venous Access Devices (CVAD) Procedures (e.g. Peripherally Inserted Central Catheter ( PICC lines) and Skin Tunnelled Central lines) Version:2 Summary: Keywords (minimum of 5): (To assist
More informationAdministration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure
Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date
More informationTRUST DELIVERY GROUP: 22 AUGUST 2017 FOR: APPROVAL DISCUSSION INFORMATION. Acting Chief Nurse & Director of Patient Experience
TRUST DELIVERY GROUP: 22 AUGUST 2017 FOR: APPROVAL DISCUSSION INFORMATION ITEM Lead: Designation: Jim Murray Acting Chief Nurse & Director of Patient Experience TRUST POLICY AND PROCEDURES FOR ASEPTIC
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Blood Culture Collection Policy SUMMARY
The Newcastle upon Tyne Hospitals NHS Foundation Trust Blood Culture Collection Policy Version No.: 1.2 Effective From: 14 December 2017 Expiry Date: 14 December 2020 Date Ratified: 08 December 2017 Ratified
More informationEquality and Diversity Lead Assessment
Aseptic Technique Policy - HH(1)/IC/674/13 Previous document(s) being replaced Location Policy Policy Name WEHCT CP060 Aseptic Technique Policy BNHFT IC/372/09 Principles of Asepsis and Aseptic Technique
More informationInstructions to use the Training Films in education sessions on health careassociated infections and hand hygiene for health-care workers and
Instructions to use the Training Films in education sessions on health careassociated infections and hand hygiene for health-care workers and observers HAND HYGIENE SCENARIOS User instructions (1) The
More informationLPN 8 Hour Didactic IV Education
LPN 8 Hour Didactic IV Education Infection Prevention and Control By Pamela Truscott, MSN, Nurse Educator, RN Infection Prevention and Control Background Healthcare-acquired infections are increasing 1
More informationChapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis
chapter 10 Unit 1 Section Chapter 10 safe, effective Care environment safety and Infection Control medical and Surgical Asepsis Overview Asepsis The absence of illness-producing micro-organisms. Asepsis
More informationNOSOCOMIAL INFECTION : NURSES ROLE IN MINIMIZING TRANSMISSION
NOSOCOMIAL INFECTION : NURSES ROLE IN MINIMIZING TRANSMISSION DR AHMAD SHALTUT OTHMAN JAB ANESTESIOLOGI & RAWATAN RAPI HOSP SULTANAH BAHIYAH ALOR SETAR, KEDAH Nosocomial infection Nosocomial or hospital
More informationAsepsis, Non Touch Technique and Clean Techniques
Asepsis, Non Touch Technique and Clean Techniques Reference No: Version: 4 Ratified by: G_IPC_44 LCHS Trust Board Date ratified: 10 th January 2017 Name of originator/author: Name of responsible committee/individual:
More informationStandard Precautions for Infection Control
Standard Precautions for Infection Control Author(s) & Designation Lead Clinician if appropriate In consultation with To be read in association with Ratified by Suzanne Golding-Ellis, Head of Patient Safety
More informationApproval at:policy Management Group Date Approved: 15 December 2015
INFECTION PREVENTION AND CONTROL BLOOD CULTURE COLLECTION POLICY Document Author Written By: IPC doctor Authorised Authorised By: Chief Executive Date: October 2015 Date: 15 December 2015 Lead Director:
More informationBlood Culture Policy
Policy No: IC27 Version: 5.0 Name of Policy: Blood Culture Policy Effective From: 21/09/2015 Date Ratified 15/09/2015 Ratified Infection Prevention and Control Committee Review Date 01/09/2017 Sponsor
More informationInfection Control Clinical Protocol Outlining the Principles of Asepsis and Aseptic Technique
BASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST Infection Control Clinical Protocol Outlining the Principles of Asepsis and Aseptic Technique Executive Summary Aseptic technique is often performed
More informationRegistered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework
Registered Nurse Intravenous Therapy and Peripheral Cannulation Competency Framework Name: Location: Date commenced: Contents Competency: Page No: Page 1. Core: Introduction Demonstrate knowledge that
More informationHand Hygiene Policy. Documentation Control
Documentation Control Reference CL/CGP/039 Approving Body Trust Board Date Approved 3 Implementation date 3 Supersedes NUH Version 2 (May 2009) Consultation undertaken Infection Prevention and Control
More informationInfection Prevention & Control Orientation for Housestaff Welcome to Shands at UF!
Infection Prevention & Control Orientation for Housestaff 2011 Welcome to Shands at UF! Hot Topics: Prevention Initiatives National Patient Safety Goal 07: Prevent Healthcare Associated Infections Prevent
More informationR11 Hand Hygiene Policy
Hand Hygiene Policy Policy: R11 Policy Descriptor The policy sets out duties and responsibilities of various groups and individuals with regards to hand hygiene. The policy sets out the training required
More informationSharps Safety Policy
Sharps Safety Policy Version Number 3.1 Version Date March 2016 Guideline Owner Author Staff/Groups Consulted Discussed by Infection Prevention and Control Committee Approved by Infection Prevention and
More informationPersonal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN
Personal Hygiene & Protective Equipment NEO111 M. Jorgenson, RN BSN Hand Hygiene the single most effective way to help prevent the spread of infections agents. (CDC, 2002.) Consistency & Compliancy 50%
More informationASEPTIC NON - TOUCH TECHNIQUE (ANTT) Procedure ICPr014
ASEPTIC NON - TOUCH TECHNIQUE (ANTT) Procedure ICPr014 version.icpr014 review March 20 Version Date Date of Next Reason for Change (eg. full rewrite, No. Ratified/ Implementation Review amendment to reflect
More informationNEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL
NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL Infection Control Rev. 3/2018 Hand Hygiene Standard Precautions TOPICS Transmission-Based Precautions Personal Protective Equipment (PPE) Multiple
More informationPrevention of Orthopaedic Surgical Site Infections in the Perioperative Setting. Disclosures. Objectives
Prevention of Orthopaedic Surgical Site Infections in the Perioperative Setting Mary Atkinson Smith, DNP, FNP-BC, ONP-C, RNFA, CNOR & W. Todd Smith, MD, FAAOS Disclosures We hereby certify that, to the
More informationInfection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases
Infection Prevention Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases to yourself, family members,
More informationIntravenous Medication Administration via a Central Venous Line
Standard Operating Procedure 11 (SOP 11) Intravenous Medication Administration via a Central Venous Line Why we have a procedure? This procedure is to assist/ inform healthcare professionals on how to
More informationSection Z - Blood Culture Policy. Version 4
Section Z - Blood Culture Policy Version 4 Important: This document can only be considered valid when viewed on the Trust s Intranet. If this document has been printed or saved to another location, you
More information01/09/2014. The very first requirement in a hospital is that it should do the sick no harm!!!!
Infection Prevention and Control A Foundation Course Update on recent Guidelines and Recommendations Ros Cashman Cork University Maternity Hospital, Cork 2014 The very first requirement in a hospital is
More informationInfection Control Policy
Infection Control Policy Category Summary Policy This policy outlines BAPAM s principles and procedures for infection prevention and control in the clinics environment. It is applicable to all BAPAM personnel
More informationInfection Prevention and Control Guidelines: Spillage Management
Infection Prevention and Control Guidelines: Spillage Management CLINICAL GUIDELINES ACE 639 (formerly section 6 of 16 from ACE153) VERSION No 2 DATE OF FIRST ISSUE May 2017 REVIEW INTERVAL 2 Yearly AUTHORISED
More informationSharps Management Protocol Infection Prevention and Control Procedure
A member of: Association of UK University Hospitals Sharps Management Protocol Infection Prevention and Control Procedure 1 Date of Issue: January 2016 Next Review Date: Version: 1 Last Review Date: Author:
More informationVersion: 5 Date Issued: 24 October 2017 Review Date: 24 October 2020 Document Type: Policy. Sharps Safety Policy Quick Reference Guide
Sharps Safety Policy Version: 5 Date Issued: 24 October 2017 Review Date: 24 October 2020 Document Type: Policy Contents Page Paragraph Executive Summary 2 1 Introduction 3 2 Scope 3 3 Purpose 3-4 4 Definitions
More information: Hand. Hygiene Policy NAME. Author: Policy and procedure. Version: V 1.0. Date created: 11/15. Date for revision: 11/18
: Hand NAME Hygiene Policy Target Audience Author: Type: Clinical staff BD Policy and procedure Version: V 1.0 Date created: 11/15 Date for revision: 11/18 Location: Dropbox/website Hand Hygiene Policy
More informationLightning Overview: Infection Control
Lightning Overview: Infection Control Gary Preston, PhD, CIC, FSHEA Terry Caton, CIC Carla Ward, CIC 2012 Healthcare Management Alternatives, Inc. Objectives At the end of this module you will know: How
More informationStandard Precautions
Standard Precautions Speciality: Infection Control 1. Indications 1.1 Background Standard Precautions This definition broadens the coverage of the previously known Universal Precautions by recognizing
More informationINFECTION CONTROL SURVEILLANCE POLICY
INFECTION CONTROL SURVEILLANCE POLICY Version: 3 Ratified by: Date ratified: July 2016 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group Head of Infection
More informationSterile versus non-sterile glove use and aseptic technique
If you would like to contribute to the art and science section contact: Gwen Clarke, art and science editor, Nursing Standard, The Heights, 59-65 Lowlands Road, Harrow-on-the-Hill, Middlesex HA1 3AW. email:
More informationDISTRICT NURSING and INTERMEDIATE CARE
CLINICAL GUIDELINES DISTRICT NURSING and INTERMEDIATE CARE Schedule of guidelines attached: DNICT03 Community Procedure for the Administration of Intravenous Drugs via Bolus The guidelines scheduled above
More informationCenters for Disease Control and Prevention (CDC) Patient Hand Hygiene Audit Information and Instructions
Centers for Disease Control and Prevention (CDC) Patient Hand Hygiene Audit Information and Instructions You have agreed to help the Network by doing a very important Hand Hygiene Audit. We thank you for
More informationStandard Precautions Policy IC/277/10
BASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST Standard Precautions Policy IC/277/10 Supersedes: Standard Precautions Policy IC/277/07 Owner Name Linda Swanson Job Title Infection Control Nurse Final
More informationInfection Prevention and Control N/A. Executive Director of Nursing and Operations, DIPC. IPC Governance Meeting Members
Document Details Title Trust Ref No 1517-40655 Local Ref (optional) Main points the document covers Who is the document aimed at? Author Approval process Who has been consulted in the development of this
More informationSharps Policy Safe Use and Disposal
Sharps Policy Safe Use and Disposal This procedural document supersedes: PAT/IC 8 v.6 Sharps Policy - Safe use and Disposal Did you print this document yourself? The Trust discourages the retention of
More informationInfection Prevention Control Team
Title Document Type Document Number Version Number Approved by Infection Control Manual Section 3.1 Isolation Precautions and Infection Control Care Plan Policy 3 rd Edition Infection Control Committee
More informationEveryone Involved in providing healthcare should adhere to the principals of infection control.
Infection Control Introduction The prevention and control of infection is an integral part of the role of all health care personnel. Healthcare Associated Infections (HCAIs) affect an estimated one in
More informationNURSING POLICIES, PROCEDURES & PROTOCOLS
Page 1 of 10 NURSING POLICIES, PROCEDURES & PROTOCOLS CENTRAL VENOUS ACCESS DEVICE (CVAD) HEMODIALYSIS CATHETERS: DRESSING CHANGE, INITIATING OR DISCONTINUING AN INFUSION NO.: 00056 (Formerly NSG2146)
More informationEvidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration
Evidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration Written by J. Hudson Garrett Jr., PhD, Senior Director, Clinical Affairs, PDI January 09, 2013 Historical perspective Hand hygiene
More informationCLINICAL GUIDELINES FOR CENTRAL VENOUS CATHETER DRESSING PROCEDURE
CLINICAL GUIDELINES FOR CENTRAL VENOUS CATHETER DRESSING PROCEDURE Lead Clinician: Doctor SP Davies Implementation date: July 2014 Last updated: August 2016 Last review date: Planned review date: July
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Pediatrics-Hem/Onc-Module F Date Originated: 03/6/2012 Date Reviewed: 6/14, 9/12/17 Date Approved: 6/5/12 Page 1 of 8 Approved by: Department
More informationCleaning policy. Document author Assured by Review cycle. 1. Introduction Purpose or aim Scope Definitions...
Cleaning policy Board library reference Document author Assured by Review cycle P005 Head of Estates and Facilities Quality and Standards Committee 3 years This document is version controlled. The master
More informationHealthcare-Associated Infections
Healthcare-Associated Infections A healthcare crisis requiring European leadership Healthcare-associated infections (HAIs - also referred to as nosocomial infections) are defined as an infection occurring
More informationSOP Venesection Registered Nurses
HAEM / ONC WARD & DAY UNIT STANDARD OPERATING PROCEDURE SOP Venesection Registered Nurses Document Code Version Number 1 Issue Number 1 Date of Issue 07/03/2014 Review Interval 2 years Author (original
More informationSARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL TITLE: NURSING PROCEDURE BLOOD CULTURE COLLECTION PROCEDURE (spe20) DATE: REVIEWED: PAGES: 6/10 9/18 1 of 6 PS1094 ISSUED FOR: Nursing/Lab RESPONSIBILITY: RN, LPN II, select
More informationNOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST. Hand Hygiene Policy. Documentation Control
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Documentation Control Reference CL/CGP/039 Approving Body Chief Nurse Date Approved 2 Implementation Date 2 Summary of Changes from Previous Version Updated in
More informationINFECTION CONTROL POLICY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT
Of, INFECTION CONTROL POLICY DEPARTMENT OF RADIOLOGY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT GENERAL The Department of Radiology adheres to the Duke Infection Control policies and the DUMC Exposure Control
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Injectable Medicines Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Injectable Medicines Policy Version No.: 4.3 Effective From: 24 March 2017 Expiry Date: 21 January 2019 Date Ratified: 11 January 2017 Ratified By:
More informationOPERATING ROOM ORIENTATION
OPERATING ROOM ORIENTATION Goals & Objectives Discuss the principles of aseptic technique Demonstrate surgical scrub, gowning, and gloving Identify hazards in the surgical setting Identify the role of
More informationElmarie Swanepoel 24 th September 2017
MEDICAL EQUIPMENT TRAINING POLICY Policy Register No: 10010 Status: Public Developed in response to: Best practice Contributes to CQC Regulation: 15 Consulted With: Post/Committee/Group: Date: Medical
More informationInfection Prevention and Control and Isolation Authored by: Infection Prevention and Control Department
Infection Prevention and Control and Isolation 2015 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able
More informationPHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards. Infection Prevention and Control: Personal Protective Equipment
PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards : Personal Protective Equipment PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards 2016 PERSONAL PROTECTIVE EQUIPMENT Personal protective
More informationTAKING VENOUS BLOOD SAMPLES FROM HEALTHY ADULT VOLUNTEERS
TAKING VENOUS BLOOD SAMPLES FROM HEALTHY ADULT VOLUNTEERS 1. SCOPE A number of studies performed in the University involve taking samples of venous blood from participants. A wide variety of tests may
More informationReferences and Bibliography
References and Bibliography References and Bibliography ANTT Theoretical Framework for Clinical Practice V4.0 2015. Association for Safe Aseptic Practice (ASAP) www.antt.org. BNF (2015) British National
More informationHAND HYGIENE PROCEDURE
HAND HYGIENE PROCEDURE Policy No If 001 Date Ratified January 2009 Next Review Date January 2012 Policy Statement/Key Objectives: This procedure describes the Trust s approach to ensure effective hand
More informationThe School Of Nursing And Midwifery. CLINICAL SKILLS PASSPORT
The School Of Nursing And Midwifery. BMedSci Nursing (Adult) CLINICAL SKILLS PASSPORT Student Details NAME: COHORT: I understand that this booklet may be reviewed by my mentor, the programme leader, my
More informationOf Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points
Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD I. Introduction Study Points Management of the CSSD environment is vital to preventing surgical site infections.
More informationHospital Acquired Conditions. Tracy Blair MSN, RN
Hospital Acquired Conditions Tracy Blair MSN, RN A hospitalacquired infection (HAI), also known as a nosocomial infection, is an infection that is acquired in a hospital or other health care facility Hospital
More informationInfection prevention & control
Infection control in Australian medical practice: Current practice and future developments John Ferguson Infectious Diseases & Microbiology Director, Infection Prevention & Control, Hunter New England
More informationNottingham Renal and Transplant Unit
Nottingham Renal and Transplant Unit GUIDELINES FOR THE COMMENCEMENT AND TERMINATION OF EXTRA CORPOREAL THERAPIES VIA A CENTRAL VENOUS CATHETER (TUNNELLED AND NON TUNNELLED) USING CITRATE 46.7% LOCKING
More informationInfection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care
Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care Melissa Schaefer, MD Division of Healthcare Quality Promotion Centers for Disease Control and Prevention
More informationPROCEDURE FOR TAKING A WOUND SWAB
CLINICAL PROCEDURE PROCEDURE FOR TAKING A WOUND SWAB Issue History Issue Version Purpose of Issue/Description of Change Planned Review Date 2 To provide a standardised process of the fundamental principles
More informationa health care guide for nursing staff Care of wound equipment and dressing field
a health care guide for nursing staff Care of wound equipment and dressing field Why is it important? Wound dressings and equipment can become contaminated by the environment in which they are stored,
More informationComply with infection control policies and procedures in health work
Student Information Course Name Course code Contact details Partial completion of one of these qualification Description of this unit against the qualification Descriptor Comply with infection control
More informationCentral Line Bundle Education. National Patient Safety Goal Preventing Central Line Infections 2010
Central Line Bundle Education National Patient Safety Goal 07.04.01 Preventing Central Line Infections 2010 Central Line Associated Bloodstream Infections CAN and DO kill our patients. THE GOOD NEWS They
More informationNHS Professionals. POL6 Infection Control Policy
NHS Professionals POL6 Infection Control Policy Content Page Number Introduction 2 Scope of policy 2 Organisational structure and framework 3 Corporate Responsibilities 3 Partnership with NHS Trusts 4
More informationInfection Control Safety Guidance Document
Infection Control Safety Guidance Document Lead Directorate and Service: Corporate Resources - Human Resources, Safety Services Effective Date: June 2014 Contact Officer/Number Garry Smith / 01482 391110
More informationCommonwealth Nurses Federation. A Safe Patient. Jill ILIFFE Executive Secretary. Commonwealth Nurses Federation
A Safe Patient Jill ILIFFE Executive Secretary Commonwealth Nurses Federation INFECTION CONTROL Every patient encounter should be viewed as potentially infectious Standard Precautions 1. Hand hygiene 2.!
More informationReducing Infection Risk At All Access Points
SM 3M Health Care Academy Reducing Infection Risk At All Access Points June 22nd 2016 Corinne SM 3M Health Care Cameron-Watson, Academy RN 3M 2015. All Rights Reserved PORT PROTECTORS IN CLINICAL PRACTICE
More information