The updated Aseptic Non-Touch Technique (ANTT) procedure for wound dressing in the NMC OSCE emphasizes maintaining sterility while ensuring patient comfort and proper documentation. Below is a step-by-step outline:
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Preparation:
- Clean the Trolley:
Perform hand hygiene using WHO’s 7-step technique.
Clean the trolley in a zig-zag motion with alcohol wipes after checking its expiry and intactness, starting from the farthest to the nearest side.
Discard used wipes and gloves appropriately, and perform hand hygiene again.
- Gather Equipment:
Ensure all materials (e.g., sterile pack, saline solution, dressing) are intact, dry, and within expiry dates.
Place sterile items on the bottom shelf of the trolley.
- Patient Introduction:
Perform hand hygiene, wear an apron, and introduce yourself to your patient.
Explain the procedure and obtain consent.
Procedure:
- Prepare the Sterile Field:
Place the dressing pack on the upper sterile field and open it carefully without touching the contents. Use the apron in the dressing pack if not already wearing apron.
Set up a clinical waste bag for proper disposal.
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- Wound Cleaning:
Perform hand hygiene (7 steps) and don sterile gloves.
Drape the area around the wound to maintain sterility.
Use a saline solution to clean the wound:
Clean from the cleanest area (center of the wound) to the dirtiest area (outside edges) using single strokes.
Avoid over-cleaning the wound.
- Dressing Application:
Apply a new sterile dressing to the wound.
Remove the drape and dispose of waste appropriately.
Aftercare:
- Patient Comfort and Documentation:
Ensure the patient is comfortable, with the call bell within reach.
Dispose of all waste, remove gloves and apron, and clean the trolley.
Perform hand hygiene again.
Provide health education as needed, and thank patient for cooperation.
Document the procedure as per NMC guidelines.
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Updates in 2024:
It is no longer necessary to verbalize which hand is clean or dirty.
Emphasis is placed on cleaning the wound in a single stroke and avoiding excessive cleaning.
Patient Life Matters; This streamlined process ensures efficiency while adhering to infection control protocols. For additional practice scenarios, visit detailed resources like Patient Life Matters and Mentor Merlin.
