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Sue AtkinsRegional Infection Control Advisor
Department of Health and Human Services
Rural and Regional Health Branch Grampians Victoria Australia
Anywhere, Anytime, Anyone
Leading the aseptic technique
AAA learning approach
INFECTION PREVENTION CONTROL NURSES COLLEGE
CONFERENCE 2019
TODAY WE ARE TALKING ABOUT….
Where Grampians Region health services are located
A brief outline of the AAA learning approach project
A quick fire aseptic non touch technique framework reminder
Group exercise to experience the AAA learning approach
In 2012-13 training of the workforce on aseptic technique was
required under the National Safety and Quality Health Service
Standards accreditation process.
We developed (2012) and implemented (2013) resources to provide
this training to our regional workforce based on the ANTT®
framework outlined in the Australian Guidelines for the Prevention
and Control of Infection in Healthcare.
Due to large distances between our health service campuses, and
the limited availability of clinical educators, online learning became
the main mode of training delivery.
PROJECT
By late 2013 ongoing clinical practice audits were
benchmarked regionally and identified that
clinician’s verbal recall of ANTT® framework
principles was poor. This told us the online method of
training delivery was not working!
So… What could be used
anywhere, anytime, and by anyone to:
✓ consolidate principles
✓ practice the selection of aseptic technique
✓ inspire clinician ongoing learning
✓ maximise workforce coverage
✓ not rely on electronic systems
2013 2014 2018
TRAINING RESOURCE DEVELOPMENT TIMELINE
20162012
OUTCOME
In 2019 clinician verbal recall for aseptic
technique using the ANTT® framework
principles has improved significantly and the
principles embedded into practice.
The online learning has provided the
theoretical knowledge, while the additional
hands-on educational tools were successful in
guiding knowledge into practice.
Lets have a go at using some of these tools!
A quick reminder of the ANTT® framework
Two examples
Then its your turn!
EXAMPLE ONE - CANNULATION
Use the flowchart to help
with your decision making
process!
RISK ASSESS WHAT TYPE OF TECHNIQUE WOULD YOU CHOOSE?
CANNULATION
Identify and protect Key-Parts and Key-Sites at all timesNon touch technique essential to prevent the introduction of pathogenic organisms from hands or equipment
EXAMPLE TWO - SURGICAL DEHISCENCE
Use the flowchart to help
with your decision making
process!
RISK ASSESS WHAT TYPE OF TECHNIQUE WOULD YOU CHOOSE?
SURGICAL DEHISCENCE
Critical aseptic field(Sterile surface)
Micro-critical aseptic fields if practicable
ensures asepsis(Sterile caps, covers,
packets)
Sterile gloves
SURGICALASEPTIC TECHNIQUE
(ensures asepsis)
· Technically complex· Invasive· Large number of Key-Parts· Large open Key-Site(s)· Extended period of time required to complete
ANTIBIOTIC PREPARATION VENEPUNCTURE WOUND DRESSING
IDC INSERTION PICC INSERTIONIV ANTIBIOTICS
DENTAL- SIMPLE TOOTH EXTRACTION PODIATRY -NAIL CLIPPING MSU/CSU COLLECTION
Visual Consolidation Supports Learning
✓guiding knowledge into practice
✓supporting a culture of reflection
✓providing a platform for agreement between peers on
aseptic technique selection
✓engaging clinicians in ongoing learning
✓clinician driven training and consolidation
✓Appropriate and safe principle based aseptic practice
✓AAA for public and private health service providers acute,
aged care, dental, podiatry, homecare, general practice…
Success!
❑ NHMRC. (2019). Australian guidelines for the prevention and control of infection in healthcare.
Commonwealth of Australia.
❑ Australian Commission on Safety and Quality in Healthcare. Aseptic Technique Risk Matrix, 16
September 2016.
❑ Aseptic Non Touch technique (ANTT®) A Practice Framework for Clinical Practice Version 3.3
(2014). The Association for Safe Aseptic Practice.
❑ Australian Wound Management Association Inc. (2011). Bacterial impact on wound healing: from
contamination to infection.
❑ British Journal of Nursing 2010: Intravenous Supplement, Volume 19, No 5. ANTT v2: An updated
practice framework for aseptic technique.
❑ Wounds UK 2010: Volume 6, No 1. Reducing MRSA bacteraemia's associated with wounds.
❑ Australian Wound Management Association Inc. (2010). Standards for Wound Management Second
Edition.
❑ Journal of Infection Prevention 2009: Volume 10, Supplement 1.Improving standards of practice
through an ANTT trust wide implementation process: a matter of prioritisation and care.
REFERENCES
For copies of training resources
[email protected](Large files may require several emails)
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