Aseptic Non-Touch Technique

 

Approved by Guidelines Committee
October 2011
Clinical Guidelines Back Newborn Services Home Page

 

Aseptic Non-Touch Technique (ANTT) - RBP

Step

Action

1

After performing hand hygiene:
  • Wipe down the trolley top (or surface) with medi wipes (70% alcohol)
  • Allow to dry
  • Lay out sterile guard (to give a boundary and prevent equipment rolling off).

2

Collect together the required equipment/fluids/medication.

3

Prepare patient if appropriate and ensure luer bungs are accessible.

4

Perform hand hygiene and put on non-sterile gloves.
5 Prepare equipment, protecting key parts at all times with a non-touch technique.
  • Open out and put on the guard all necessary equipment.
  • Put medications/ampoules beside guard. **if using sterile gloves, (for complicated procedures) put them on now**
  • Prime lines and connect together.

With second nurse:

  • Check fluids already primed.
  • Wipe tops of medication bottles with 2% chlorhexidine in 70% alcohol wipes or sterile gauze swabs soaked in 2% chlorhexidine and 10% alcohol allow to dry for 30 seconds.
  • All ampoule fluids to be drawn up with a needle eg. Saline, water.
  • As per our checking policy, add dilutions and draw up drugs/fluids as per protocols
6 Once the patient/line is prepared, or at any time hands become contaminated:
  • Remove gloves
  • Perform hand hygiene and
  • Put on another pair of gloves
7
  • Thoroughly clean any appropriate key parts with 2% chlorhexidine in 70% alcohol wipes or sterile gauze swabs soaked in 2% chlorhexidine and 10% alcohol. Allow to dry for 30 seconds.
  • Ensure key parts are not contaminated.
  • Complete procedure of giving medications etc. to the baby as per protocols
8 Dispose of waste as per local policy.
9 Remove gloves. Perform hand hygiene
10 Clean trolley or surface with medi wipes. If any body fluids present use soap and water, followed by medi wipes.