Aseptic Non Touch Technique

What must you obtain from the patient before performing ANTT wound cleaning?

Informed consent and ensure it is an appropriate procedure to perform.

How should you manage an old or dirty dressing before cleaning a wound?

Remove it carefully and dispose of it properly before cleaning the wound.

What solution is used for irrigating and cleaning a wound?

Copious amounts of saline.

In which direction should you clean a wound?

From the centre outwards (for circular wounds) or top down for linear wounds.

How should surfaces be prepared for ANTT in the prehospital environment?

Use a clean flat surface, cover with a bluey, towel, or pillowcase, and disinfect if possible.

How should the dressing pack be handled when opened?

Touch only the outside edges and corners, keeping the inside sterile.

What is the role of the yellow forceps in wound cleaning?

To lay out items from the dressing pack; they become contaminated once used and should be left at the edge.

How are two sets of blue forceps used in wound cleaning?

Non-dominant hand: stays over sterile field. Dominant hand: acts as a transition between patient and sterile field.

How should cotton balls or gauze be used on the wound?

Squeeze out excess fluid, pass to the dominant hand, and clean the wound from the centre outwards.

What must you avoid when cleaning a wound?

Recontaminating the wound by going back over already cleaned areas.

How should the wound be dried before applying a dressing?

Allow it to air dry slightly and use sterile gauze to dry around the outside.

What is the final step after cleaning a wound using ANTT?

Apply an appropriate dressing and clean up the area, maintaining asepsis.