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Aseptic Technique Cheat Sheet: Ensuring Safe Clinical Procedures, Study notes of Waste Management

A comprehensive cheat sheet for clinicians on aseptic technique, including risk assessment, environmental controls, infection control components, and procedure preparation. It covers standard and surgical aseptic fields, hand hygiene, ppe usage, patient preparation, and waste management.

What you will learn

  • What are the differences between general and critical aseptic fields?
  • What are the factors that determine whether standard or surgical aseptic fields are required?
  • What are the key steps in preparing for a procedure according to the aseptic technique cheat sheet?

Typology: Study notes

2021/2022

Uploaded on 09/27/2022

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Aseptic Technique - Clinician Cheat Sheet
Date Reviewed: {insert}
1
Aseptic Technique Clinician Cheat Sheet
RISK ASSESS
STANDARD AT
SURGICAL AT
If the procedure is technically simple AND
Short in duration (less than 20 minutes) AND
Involves few and small key sites and key parts AND
Key parts or sites will not be touched
STANDARD AT applies
If the procedure is technically complex OR
Long in duration (longer than 20 minutes) OR
Involves large open key sites or large or numerous key parts OR
Key parts or key sites need to be touched OR
The Clinician performing the procedure is inexperienced
SURGICAL AT applies
APPLY ENVIRONMENTAL CONTROLS
Ensure that there are no avoidable nearby environmental risk factors
Examples include: waste management, cleaning of the nearby environment, bed making, patient using commode, patient bed curtains across work area
CONSIDER INFECTION CONTROL COMPONENTS
STANDARD AT
SURGICAL AT
Hand Hygiene Clinical wash or ABHR, Non sterile or sterile gloves
Other Personal Protective Equipment
General Aseptic Field
Hand Hygiene Surgical hand scrub, Sterile Gloves
Other Personal Protective Equipment
Critical Aseptic Field, maximum barrier precautions
PREPARE FOR PROCEDURE
STANDARD AT
SURGICAL AT
1. Perform hand hygiene.
2. Clean tray/trolley/work surface with detergent and water or detergent wipe. Allow to dry.
3. Identify and gather equipment for procedure. (Inspect packaging, check for damage;
sterility indicators and expiry dates, ensure equipment is clean).
4. If necessary, move to where the procedure will take place.
5. Perform hand hygiene.
6. Prepare general aseptic field. Open equipment using non touch technique.
1. Apply PPE as required (e.g. hat and mask to protect aseptic field).
2. Perform hand hygiene.
3. Clean tray/trolley/work surface with detergent and water or detergent wipe. Allow to dry.
4. Identify and gather equipment for procedure (inspect packaging, check for damage; sterility indicators and
expiry dates, ensure equipment is clean).
5. If necessary, move to where the procedure will take place.
6. Perform hand hygiene.
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Aseptic Technique - Clinician Cheat Sheet 1

Aseptic Technique – Clinician Cheat Sheet

RISK ASSESS

STANDARD AT SURGICAL AT

If the procedure is technically simple AND Short in duration (less than 20 minutes) AND Involves few and small key sites and key parts AND Key parts or sites will not be touched STANDARD AT applies If the procedure is technically complex OR Long in duration (longer than 20 minutes) OR Involves large open key sites or large or numerous key parts OR Key parts or key sites need to be touched OR The Clinician performing the procedure is inexperienced SURGICAL AT applies APPLY ENVIRONMENTAL CONTROLS Ensure that there are no avoidable nearby environmental risk factors Examples include: waste management, cleaning of the nearby environment, bed making, patient using commode, patient bed curtains across work area CONSIDER INFECTION CONTROL COMPONENTS STANDARD AT SURGICAL AT Hand Hygiene – Clinical wash or ABHR, Non sterile or sterile gloves Other Personal Protective Equipment General Aseptic Field Hand Hygiene – Surgical hand scrub, Sterile Gloves Other Personal Protective Equipment Critical Aseptic Field, maximum barrier precautions PREPARE FOR PROCEDURE STANDARD AT SURGICAL AT

  1. Perform hand hygiene.
  2. Clean tray/trolley/work surface with detergent and water or detergent wipe. Allow to dry.
  3. Identify and gather equipment for procedure. (Inspect packaging, check for damage; sterility indicators and expiry dates, ensure equipment is clean).
  4. If necessary, move to where the procedure will take place.
  5. Perform hand hygiene.
  6. Prepare general aseptic field. Open equipment using non touch technique.
    1. Apply PPE as required (e.g. hat and mask to protect aseptic field).
    2. Perform hand hygiene.
    3. Clean tray/trolley/work surface with detergent and water or detergent wipe. Allow to dry.
    4. Identify and gather equipment for procedure (inspect packaging, check for damage; sterility indicators and expiry dates, ensure equipment is clean).
    5. If necessary, move to where the procedure will take place.
    6. Perform hand hygiene.

Aseptic Technique - Clinician Cheat Sheet 2

PREPARE FOR PROCEDURE

  1. Position and prepare patient, using gloves where appropriate to protect from potential body fluid exposure or harmful substances. 7. Open equipment using non touch technique. 8. Position and prepare patient, using gloves where appropriate to protect from potential body fluid exposure or harmful substances.

Perform Procedure

  1. Once ready to commence the procedure and the required equipment prepared, remove gloves (if used in preparation for procedure) and perform hand hygiene.
  2. Apply gloves (if required). If it is likely key parts or key sites will be needed to be touched directly, sterile gloves MUST be used to minimise the risk of contamination. Otherwise, non-sterile gloves are typically the gloves of choice to protect from potential body fluid exposure or harmful substances.
  3. Perform the procedure using non touch technique, ensuring all key parts/components are protected at all times. Sterile items must only be used once and disposed into waste bag. Only sterile items may come in contact with key sites and sterile items must not come into contact with non-sterile items.
    1. Once ready to commence the procedure and the required equipment is prepared, remove gloves (if used in preparation for procedure) and perform surgical scrub (as required for the procedure).
    2. Apply sterile gown and gloves.
    3. If required add sterile drapes as necessary.
    4. Perform the procedure using non touch technique; ensure all key parts/components are protected at all times. Sterile items must only be used once and disposed into waste bag. Only sterile items may come in contact with key sites and sterile items must not come into contact with non-sterile items.

Waste Management & Cleaning of Equipment

On completion of the procedure the clinician should remove their gloves (if used) and perform hand hygiene Dispose of all waste. Clean equipment as per local policy. Again perform hand hygiene

Glossary of Terms

Key Parts - Key parts are the sterile components of equipment used during a procedure. Examples: bungs, needle hubs, syringe tips, dressing packs etc. Key Sites - Key sites include any non-intact skin and insertion or access sites for medical devices connected to the patient. Examples: insertion/access sites of intravenous devices, urinary devices, open wounds etc. Non-touch technique - Performance of procedure without touching key parts and/or sites. If it is necessary to touch key sites/parts then sterile gloves must be used to minimise contamination. Critical aseptic field - Critical aseptic fields are used when key parts/sites cannot be protected with covers and caps or handled at all times by a non-touch technique, or when open and invasive procedures