Such ‘prescription without explanation’ by major stakeholders appears to have undermined this critical clinical competency and potentially fuels the complacency associated with aseptic technique. Internationally, it seems to have become ‘fashionable’ for guideline makers to address the historical confusion surrounding aseptic technique by simply prescribing the generic term ‘aseptic technique’, with virtually no meaningful explanation of what aseptic technique is or how it is to be applied to ensure patient safety (NICE 2012 Gorski et al. Historical and contemporary literature presents a confused hierarchy of terms and practices including sterile technique, aseptic technique, clean technique and non-touch technique, further compounded by interchangeable use and meaning (Aziz 2009 Rowley et al. Although the prescription for aseptic technique is universal, agreement on the aim, definition, description and application of aseptic technique is not (Preston 2005 NICE 2012 Gorski et al. In terms of protecting patients from infection, aseptic technique is one of the most important and commonly used critical clinical competencies in healthcare. A combination of decontamination processes, sterilized equipment and handling technique is used to minimize potential transmission of pathogenic microorganisms (Clare and Rowley 2017). KeywordsĪt its heart, aseptic technique involves a collection of infection prevention actions designed to protect patients from infection when undergoing invasive clinical procedures, including maintenance of indwelling medical devices.
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This chapter provides clinical examples of how the ANTT ® is implemented in the healthcare setting, as well as, importantly, how to promote compliance of the technique. During the insertion or manipulation of an intravascular device, the ‘ANTT-Approach’ provides a systematic method that supports the practitioner to include all the important elements of aseptic technique, with particular focus on the identification and protection of ‘Key-Parts’ and ‘Key-Sites’ throughout the preparation and the procedure. The ANTT ® Clinical Practice Framework provides a comprehensive framework for aseptic technique for all invasive procedures based on an approach termed Key-Part and Key-Site Protection.
The Aseptic Non Touch Technique (ANTT ®), originated by Rowley in the late 1990s, was designed to help address variable aseptic technique standards of practice and provide a rationalized, contemporary, evidence-based framework to standardize this critical competency and help improve standards of practice. However, no meaningful explanation of what aseptic technique is or how it is to be applied to ensure patient safety is provided within any of the guidelines. Aseptic technique, which involves infection prevention actions designed to protect patients from infection when undergoing invasive clinical procedures, is universally prescribed by guideline makers as a critical competency in the prevention of infections.
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