Aseptic Technique - West Hertfordshire Hospitals NHS Trust

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Aseptic Technique / Version 2Ratified by: BISEDate of Ratification: December 2010Date of Review: December 2012• When opening packaged sterile items, such as needles and syringes, do so by peelingback the packaging and not by pushing the item through the sterile package.• If possible, avoid exposing and/or dressing wounds or performing any other asepticprocedure for at least 30 minutes after bed making or domestic cleaning has concluded.• Aseptic procedures should not be undertaken during times of increased activity egvisiting times• Depending on the procedure you can remove any soiled dressings carefully with nonsterile gloves or using the sterile yellow bag within the dressing pack(a large amount ofmicro organisms are shed into the air)• Expose wounds for the minimum time to avoid contamination and maintaintemperature.• Remove gloves and wash hands before applying sterile gloves. NEVER apply handhygiene products to your gloved hands.• Perform the procedure, including skin preparation where applicable, avoiding accidentalcontamination of sterile equipment/vulnerable site.• Should contamination occur the procedure will need to be started again with freshequipment/products.• Solutions used to irrigate/ cleanse wounds must be sterile2.2 Aseptic Non Touch Technique (ANTT)When clean, non sterile gloves are worn rather than sterile gloves a ‘non touch’ aseptictechnique is required to maintain asepsis. This means not touching key parts of theequipment (and the patient) used during the procedure with your non sterile gloves. Ingeneral, this means avoiding touching, what are termed as “key parts”:• Sterile equipment that will be used invasively e.g. the tip of the syringe or hub ofcannula extension set.• The surface of a sterile dressing that will be in direct contact with the wound• Seals of IV connectors that have been disinfected prior to administration ofmedication• Skin after it has been disinfected prior to phlebotomy or cannulation• Open wounds and invasive devise sites3. Essential Actions for all Procedures• Dispose of single-use items after one use• Dispose of single patient use items when no longer required/ visibly soiled or haveexpired there limit of use identified by the manufacturer.• Ensure single patient use items are decontaminated in line with manufacturer guidance.• Decontaminate re-usable items according to local policy and manufacturer’sinstructions• Store sterile equipment in clean, dry conditions, off the floor• Dispose of waste as per local policy• Minimise interventions that result in a break in closed systems e.g. manipulation of IVlines.Page 4 of 10
Aseptic Technique / Version 2Ratified by: BISEDate of Ratification: December 2010Date of Review: December 20124. Recommended Technique Applicable for Commonly Performed ProceduresProcedureCentral venous catheter insertion & change ofdressings.Chest drain insertionChest drain manipulation/ breaking of systemCervical SmearEpidural InsertionEpidural manipulation / breaking the systemGastrostomy or jejunotomy (endoscopic/ surgicalor radiological guidance)InsertionLumbar PunctureIndwelling urinary catheter insertionPeripheral CannulationIntermittent Urethral Catheterisation ( if teachingpatient or patient self caring)Intermittent Urethral Catheterisation for health careworker performing the procedure.IV medication preparation for immediate use andadministration for peripheral and central devices(including TPN).Special formula milk preparation in SCBUSuprapubic catheter insertionSuction- Laryngeal Endotracheal TracheostomyVenepuncture proceduresWound care for majority of surgical wounds, acuteburns, acute trauma wounds, certain pressureulcers (contact TVN or read wound care policy formore detail)Wound care for chronic leg ulcers, pressure ulcersin sacral/perianal areas.( contact TVN or readwound care policy for more detail)TechniqueAsepticAsepticAseptic Non Touch TechniqueAseptic Non Touch techniqueAsepticAseptic Non Touch TechniqueAsepticAsepticAsepticAseptic Non Touch TechniqueAseptic Non touch techniqueAsepticAseptic non-touch techniqueAseptic Non Touch TechniqueAsepticAseptic Non touch techniqueAseptic Non Touch TechniqueAsepticAseptic Non Touch TechniquePage 5 of 10
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Aseptic Technique - West Hertfordshire Hospitals NHS Trust

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