Aseptic Non Touch Technique – 18.14
SECTION:
18.0 – INFECTION CONTROL
POLICY /PROCEDURE:
18.14
NATURE AND SCOPE:
POLICY – TRUSTWIDE
SUBJECT:
ASEPTIC NON-TOUCH TECHNIQUE
The aim of the policy is to ensure that injury or harm to staff, patients and
others by healthcare associated infections (HAIs) is reduced to the lowest risk
level possible. Use of Aseptic Non-Touch Technique (ANTT) during any
invasive procedure will enable the Trust to keep HCAIs to a minimum.
DATE OF LATEST RATIFICATION: JANUARY 2015
RATIFIED BY:
TRUST INFECTION PREVENTION & CONTROL
COMMITTEE
IMPLEMENTATION DATE:
JUNE 2015
REVIEW DATE:
JANUARY 2018
ASSOCIATED LOCAL POLICIES
AND PROCEDURES:
ISSUE 3 – JUNE 2015
Infection Prevention and Control - 18.05
Decontamination of Patient Equipment -18.01
Hand Hygiene - 18.04.
Infection Prevention and Control Aspects of the Correct Use
of Personal Protective Equipment in the Clinical Setting 18.20
Waste Management - 16.08
Safe Use of Injectable Medicines - 19.09
Aseptic Non Touch Technique – 18.14
NOTTINHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST
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ASEPTIC NON-TOUCH TECHNIQUE POLICY
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1.0
Introduction
2.0
Policy Principles
3.0
Duties
3.1
Chief Executive
3.2
Executive Director for Nursing, Quality and Patient Experience
3.3
Managers
3.4
Infection Prevention & Control Team
3.5
All Staff
4.0
Definitions
5.0
Principles of ANTT
6.0
CONTENTS
5.2
Hand Hygiene - The 5 Moments of Hand Hygiene
5.3
Personal Protective Equipment
Key stages of ANTT
6.4
Standard-ANTT
6.5
Surgical-ANTT
6.6
Standard and Surgical Procedure Duration
6.7
Preparation of the Patient
6.8
Preparation of the Environment
6.9
Preparation of Staff
6.10
Performing the Procedure
7.0
ANTT in Community Settings
8.0
ANTT Clinical Guidelines
9.0
Implementation
10.0
Training
11.0
Target Audience
12.0
Review Date
13.0
Consultation
14.0
Relevant Trust Policies
15.0
Monitoring Compliance
16.0
Equality Impact Assessment
17.0
Legislation Compliance
18.0
Champion & Expert Writer
19.0
References /Source Documents
Appendix 1
Lower Leg Cleansing Guidance
Appendix 2
Record of Changes
Appendix 3
Record of Employee Having Read the Policy
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Aseptic Non Touch Technique – 18.14
NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST
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1.0
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ASEPTIC NON-TOUCH TECHNIQUE POLICY
INTRODUCTION
1.1
The Health and Social Care Act (2008): Code of Practice for the prevention and Control of
Healthcare Associated Infections (HCAI) stipulate that all National Health Service (NHS)
organisations must have measures in place to reduce and control HCAIs. In addition,
organisations must have in place core polices in relation to the prevention and control of
HCAIs, including Aseptic None Touch Technique (Department of Health 2010).
1.2
Nottinghamshire Healthcare NHS Foundation Trust (NHCT) is committed to ensuring that
injury or harm to staff, patients and others by HCAIs is reduced to the lowest risk level
possible. The use of Aseptic Non-Touch Technique (ANTT) during any invasive procedure,
including wound care, will enable NHCT to keep HCAIs to a minimum and also allow the
Trust to comply with the Health and Social Care Act 2008.
1.3
Failed aseptic technique is probably the most significant cause of preventable HCAI.
However, whilst this is widely accepted, there remains a significant gap between this
knowledge and the required changes in clinical behaviour. It is therefore essential that
practitioners fully understand the risks they pose to patients and that this knowledge is
demonstrable in practice.
1.4
Aseptic Non Touch Technique (ANTT) has been developed using research based evidence.
The ANTT framework provides a standard for safe and effective aseptic practice that can be
applied to all clinical procedures.
1.5
Variability in practice terms and practice definition has led to significant ambiguity in
practice. ANTT avoids confusion by eliminating the use of different terminology e.g. clean or
sterile technique.
2.0
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POLICY PRINCIPLES
2.1
Regardless of the setting, the aim of ANTT is always to prevent the transfer of
pathogenic micro organisms from the healthcare worker, the procedure equipment or the
immediate working environment, into or onto the patient.
2.2
ANTT must be used for all clinical procedures which bypass the body’s natural defenses,
such as inserting or accessing intravenous (IV) indwelling devices, phlebotomy, urinary
catheterisation and wound dressings.
2.3
ANTT aims to prevent microorganisms from hands, surfaces or equipment being introduced
into a susceptible (key) site such as an intravenous device, urinary catheter or wound, by
identification and protection of the key parts of any procedure.
3.0
3.1
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DUTIES
Chief Executive
•
The Chief Executive has overall responsibility for ensuring that there are effective
arrangements in place for Infection Prevention and Control (IPC) within the Trust to
meet all statutory requirements.
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Aseptic Non Touch Technique – 18.14
3.2
E xecutive Director for Nursing, Quality and Patient Experience
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•
3.3
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The Executive Director for Nursing, Quality and Patent Experience is the Director for
Infection Prevention and Control (DIPC). The DIPC will provide assurance to the Trust
Board that effective systems are in place to reduce the risks of HCAIs.
Managers
Managers are responsible for ensuring that:
3.4
•
All staff have access to IPC policies to support their daily working practice.
•
All staff attend IPC training in accordance with the organisation’s statutory and essential
training matrix
•
An ANTT competency framework is in place
•
All staff achieve competency in carrying out procedures involving ANTT
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Infection Prevention and Control Team
•
3.5
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The IPC Team is responsible for updating the policy and providing advice and
information on ANTT
All Staff
The clinicians providing services to the patient are responsible for:
4.0
•
Ensuring that they are able to access IPC Policies
•
Attending relevant training.
•
Ensuring that they achieve and maintain competency in relation to ANTT practice
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DEFINITIONS
4.1
Asepsis- is the absence of bacteria, fungi, viruses or other micro-organisms that could
cause disease
4.2
Aseptic technique - defines the infection prevention method and precautions taken during
invasive clinical procures to prevent the transfer of microorganisms from the healthcare
worker, procedure equipment or the immediate environment to the patient.
4.3
Aseptic Non Touch Technique - a specific type of aseptic technique with a unique
Theoretical and Clinical Practice Framework based upon the original concept of Key-Part
and Key-Site Protection where staff identify and protect key parts and key sites (Rowley
2011)
4.4
Key Part – the critical part of equipment that comes into contact with a key site.
4.5
Key site- a part of the body that is at risk of contamination if ANTT is not used e.g. wound,
urethral meatus, insertion and access sites for medical devices.
4.6
Aseptic field- a designated aseptic working space that contains and protects the
procedure equipment from direct and indirect environmental contact-contamination by
microorganisms. (See aseptic field types below.)
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Aseptic Non Touch Technique – 18.14
4.7
General Aseptic Field – the main aseptic field that promotes asepsis during procedures
by providing basic protection from the procedure environment. Used when key parts can
easily and efficiently be protected by micro critical aseptic fields e.g. caps and covers
during intravenous therapy and phlebotomy.
4.8
Critical Aseptic Field – the main aseptic field that ensures asepsis during procedures by
the use of a sterile field which protects the procedure environment. E.g. urinary
catheterisation, complex wound care, surgical procedures
5.0
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5.1
PRINCIPLES OF ANTT
The Key principles of ANTT are:
A – Always ensure hands are decontaminated effectively prior to the procedure
N – Never contaminate key parts of sterile materials/equipment or the patient’s susceptible
key sites
T – Touch non-key parts with confidence
T –Take appropriate infection prevention and control precautions e.g. PPE, waste
5.2
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Hand Hygiene - The 5 Moments of Hand Hygiene
5.2.1
The patients immediate care environment should be managed at all times according
to the World Health Organisation’s (WHO) model, The Five Moments of Hand
Hygiene (Sax et al 2007). The model is designed to protect the patient and the
patient’s environment by effective and timely hand hygiene, reducing the potential
for environmentally influenced contamination of invasive aseptic procedures.
5.2.2
There are 5 recognised crucial points of care for hand hygiene, representing the
time and place at which there is the highest likelihood of transmission of infection
via the hands of healthcare staff (World Health Organisation 2006).
•
•
•
•
•
5.3
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Personal Protective Equipment
5.3.1
5.4
Before patient contact
Before an aseptic task
After body fluid exposure risk
After patient contact
After contact with patient surroundings
(Refer to Hand Hygiene Policy Appendices 2a and 2b)
Each procedure should be risk assessed to determine the level of exposure to blood
and bodily fluid splashing. Single use gloves and plastic aprons should always be
worn where there is a risk of contact with blood or bodily fluids. If a key part has to
be handled or a key site touched, then the gloves must be sterile e.g. urinary
catheterisation. Eye and face protection may be required if the procedure has a risk
of splashing blood or bodily fluids to the face. (Please refer to the policy for Correct
use of personal protective equipment in the clinical setting. 18 20).
Aseptic non touch technique must be used for all clinical procedures which bypass the
body’s natural defences such as:
•
•
•
•
Inserting or accessing IV indwelling devices and on going care
Administering IV medicines and parenteral nutrition
Urinary catheterisation and urine sampling via catheter port
When dressing wounds healing by primary intention (before surface skin has sealed),
e.g. surgical wounds, burns, lacerations/breaks in the skin, ulcerations.
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Aseptic Non Touch Technique – 18.14
•
•
•
•
Application of dressings to wounds healing by secondary intention e.g. leg ulcers,
pressure sores.
Enteral feed connection
Surgical procedures, e.g. Minor Surgery, biopsies
Phlebotomy
This list is not exhaustive and health care workers will need to identify the key and
non key parts prior to commencing care for all invasive procedures.
5.5
5.6
6.0
The overriding principle of ANTT is that the susceptible key site and key parts should not
come into contact with any non-sterile items. A key part is a component that if contaminated
with micro-organisms increases the risk of infection. When handling sterilised equipment,
only the part of the equipment not in contact with the susceptible key site is handled.
All staff must ensure their actions minimise the likelihood of potentially pathogenic
microorganisms being introduced into the patients’ susceptible key site and being spread
between patients and colleagues.
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KEY STAGES OF ANTT
6.1
Different clinical procedures present different levels of complexity. Therefore, in order to be
efficient as well as safe, any practice framework for aseptic technique must define what
type of aseptic technique and precautions are required for both simple and complex
procedures, and how to decide between the two approaches.
6.2
In ANTT, uncomplicated and complex approaches to technique are termed StandardANTT and Surgical-ANTT respectively. It is important to note that the two approaches
adhere to exactly the same ‘ANTT-Approach’.
6.3
The main difference between Standard and Surgical-ANTT is the type and management of
aseptic field(s) depending on the number of Key- Parts and Key-Sites that require
protection.
6.4
6.5
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Standard-ANTT
•
Standard-ANTT is the technique of choice when procedures meet all of the following
criteria: They involve minimal Key-Parts and small Key-Parts, are not significantly
invasive, are technically uncomplicated to achieve asepsis and are short in duration
•
Standard ANTT requires the use of a general aseptic field i.e. a clean surface or tray on
which to place equipment with key parts protected e.g. caps and covers
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Surgical-ANTT
•
6.6
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Surgical-ANTT is demanded when procedures meet one or more of the following
criteria: They involve large or numerous Key-Parts, are significantly invasive, (e.g.
Large Key-Sites(s) or central venous access), are technically complex to achieve
asepsis or involve extended procedure time. Surgical ANTT requires the use of a critical
aseptic field e.g. sterile procedure pack
Standard and Surgical Procedure Duration
•
The longer Key-Parts and Key-Sites are exposed to the environment, the greater the
potential for environmental or inadvertent touch contamination. Key parts therefore
must remain protected at all times until the point of use e.g. by leaving the sterile packet
on a urethral catheter until the point of insertion or caps and covers on syringes.
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6.8
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Preparation of the Patient
•
6.8
6.9
6.10
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Inform the patient about the procedure, gain consent and make them comfortable.
There should be adequate means to protect the patient’s dignity. Unnecessary
exposure of vulnerable sites should be avoided.
Preparation of the Environment
6.8.1
The ideal environment for ANTT procedures is a designated clinic room. Where this
is impractical, clinical procedures performed at the patients’ bedside must not occur
directly after activities such as bed making, which may contribute to airborne
contamination
6.8.2
Windows must be kept closed and portable air conditioning units or fans turned off
during the clinical procedure.
6.8.3
The immediate environment should be clean and free from visible dirt and dust.
6.8.4
Assess the need for standard or surgical ANTT and gather the appropriate
equipment
6.8.5
The trolley/tray/surface on which equipment and dressings are placed for
procedures must be thoroughly cleansed with detergent and water, dried and then
disinfected with disinfectant wipes or spray. Alternatively, multi purpose wipes which
both cleanse and disinfect can be used. The surface must be thoroughly dried
afterwards. If a dressing trolley is used it should be designated for this purpose
only.
6.8.6
Sterile packs should be checked for expiry dates and to ensure there is no evidence
of damage or moisture penetration.
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Preparation of Staff
6.9.1
Staff must be bare below the elbow (see Hand Hygiene Policy 18.04) and must
ensure that any cuts or abrasions on their hands or forearms are covered with a
waterproof occlusive dressing.
6.9.2
Uniforms/ clothing should be protected with a disposable plastic apron if there is a
risk of contamination with pathogenic organism or blood and body fluids. The apron
should be changed for each patient prior to commencing an aseptic procedure or
between different procedures on the same patient.
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Performing the Procedure
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6.10.1 Use a non touch technique at all times.
6.10.2 Sterile packs must be opened carefully to prevent contamination of contents.
6.10.3 Identify Key parts and remove equipment from the packaging carefully
6.10.4 Assemble all equipment and arrange in an organised manner in the aseptic field
ensuring that key parts are protected at all times with caps, covers etc. Key parts
should NEVER be touched as doing so will compromise the aseptic technique.
6.10.5 Ensure that sterile items do not come into contact with unsterile objects and only
sterile items come into contact with the susceptible key site. For example when
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Aseptic Non Touch Technique – 18.14
touching a syringe with a needle, staff may handle the syringe but not the needle as
this is a key part.
6.10.6 If a key part has to be handled or a key site touched, then sterile gloves must be
worn e.g. urinary catheterisation.
6.10.7 Following the clinical procedure gloves and other personal protective equipment
must be removed and disposed of appropriately and hands decontaminated.
6.10.8 The clinical procedure which has been undertaken must be documented in the
patient’s health care records. Following access of indwelling devices staff must
always document the condition of the insertion and exit sites.
7.0
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ANTT IN COMMUNITY SETTINGS
7.1
The environment within some community settings such as the patients’ homes, GP
practice, schools, etc. may not always be favourable for carrying out clinical practice. The
healthcare worker may not have access to adequate hand washing facilities, trolleys, or
other equipment and standards of environmental cleanliness cannot always be guaranteed.
However, the healthcare worker is responsible for ensuring that the environment allows the
procedure to be carried out safely and minimises any identified risks. A clean surface where
available i.e. table or tray should be used to arrange the necessary equipment. Where this
is not possible the sterile field in the dressing pack should be used and placed as near to
the patient as possible but away from the patient’s immediate vicinity i.e. not placed on a
bed next to the patient or on the floor, to avoid the risk of contamination. Best practice
would be for staff to be provided with wipable plastic trays for carrying out ANTT.
7.2
Pets should be kept away from the environment during the procedure.
7.3
Items of medical equipment should be stored in a designated box/bag away from the floor.
7.4
Where spare non sterile gloves and aprons are required and are decanted into another
bag/container from their original box/packaging, the clinician undertaking this practice must
have decontaminated their hands effectively first. This is to prevent contamination from the
hands to the personal protective equipment.
7.5
Gloves and aprons should not be kept in clinicians pockets.
7.6
Decontamination of Hands-. All staff on domiciliary visits should be supplied with liquid
soap, paper towels, alcohol hand rub & hand cream. (Refer to Hand Hygiene Policy 18.04)
8.0
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ANTT CLINICAL GUIDELINES
8.1
ANTT Clinical Guidelines, available from the Association of Safe Aseptic Practice (ASAP)
have been formulated to standardise common clinical invasive procedures. These
guidelines aim to reduce practice variability and to ensure that hand decontamination
occurs at appropriate times during the ANTT procedure. They also aim to ensure that
susceptible key sites and key parts are protected at all times by using a non-touch
technique.
8.2
The collections of Hospital and Community Care focussed ANTT Clinical Guidelines and
associated audit tools are provided freely on request by the Association for Safe Aseptic
Technique (ASAP).
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9.0
9.1
10.0
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IMPLEMENTATION
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The responsibility for implementing this policy rests with the manager responsible for each
individual or group of staff. Managers are required to ensure that all staff are aware of the
policy and are able to practice in accordance with the requirements of this.
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TRAINING
10.1
The Health and Social Care Act 2008 (Department of Health 2010) states that the principles
and practice of prevention and control of infection is included in an induction training
programme for new staff and as part of on going education for existing staff. Information on
standard infection prevention and control principles relevant to this policy are included in
the Trust induction and mandatory training sessions.
10.2
All staff involved in carrying out invasive procedures must receive training in ANTT and be
deemed competent.
10.3
The IPC Team can deliver additional training on the content of this policy where necessary.
11.0
11.1
12.0
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TARGET AUDIENCE
The target audience for this policy is all staff involved in invasive procedures.
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REVIEW DATE
This policy will be reviewed in 3 years or as changes are required to meet changes in care
or treatment.
13.0
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CONSULTATION
•
•
•
14.0
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RELEVANT TRUST POLICIES
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•
•
•
•
•
15.0
15.1
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Trust Wide Infection Prevention and Control Committee
Executive Leadership Council
Tissue Viability Nurse Specialists
Infection Prevention and Control - 18.05.
Decontamination of Patient Equipment -18.01.
Hand Hygiene - 18.04.
Infection Prevention and Control Aspects of the Correct Use of Personal Protective
Equipment in the Clinical Setting - 18.20
Waste Management 16.08.
MONITORING COMPLIANCE
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Compliance with this policy will be monitored by:
•
•
•
•
•
The IPC Audit Programme
Essential Steps peer review audits
Compliance monitoring for ANTT will be included as part of the formal clinical
competency programme
Documentation audits
Incident investigations including Root Cause Analysis (RCA) and Post Infection
Reviews (PIR)
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Aseptic Non Touch Technique – 18.14
15.2
Any issues identified will be formalised in a report and sent to the appropriate manager for
consideration and the completion of an action plan.
15.3
Action plans will be monitored by the Divisional audit tracker process.
16.0
16.1
17.0
17.1
18.0
18.1
19.0
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EQUALITY IMPACT ASSESSMENT
This policy has been assessed using the Equality Impact Assessment Screening Tool. The
assessment concluded that the policy would have no adverse impact on, or result in the
positive discrimination of any of the diverse groups detailed. These include the strands of
disability, ethnicity, gender, gender identity, age, sexual orientation, religion/belief, social
inclusion and community cohesion.
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LEGISLATION COMPLIANCE
This policy has been considered in the context of the following legislation and evidence
based guidance:
• Refer to Section 19 References / Source Documents
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CHAMPION AND EXPERT WRITER
The Champion of this policy/procedure is Dean Howells, Associate Director of Nursing. The
Expert Writers are Sheila Smith and Diane Holmes, Infection Prevention & Control Nurse
Specialists, Health Partnerships
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REFERENCES /SOURCE DOCUMENTS
•
ANTT Clinical Practice Framework. Version 3.0b 2012. The ANTT Organization
www.the-antt.org
19TU
•
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ANTT Theoretical Framework for Clinical Practice. Rationale and Supporting Evidence.
V2.5 2011 www.antt.org
19TU
U19T
•
ASAP The Association for Safe Aseptic Practice www.the-asap.org
•
The Health Act 2008 (Code of Practice for the Prevention and Control of Health Care
Associated Infections (Department of Health 2010) Revised edition. DH. London.
•
Pratt R, J. et al (2014) Epic 3: National Evidence Based Guidelines for Preventing
Healthcare –Associated infections in NHS Hospitals in England. Journal of Hospital
Infection. 86S1.S1-S70.
•
Department of Health (2006). Essential Steps to Safe, Clean Care London. Crown
Copyright.
•
Rowley S, Clare.S (2009) Improving standards of aseptic practice through an ANTT
trust-wide implementation process: a matter of prioritisation and care
Journal of Infection Prevention 10 (1): s18
•
World Health Organisation (2009) Guidelines on Hand Hygiene in Healthcare World
Health Organisation.ISBN978 92 4 159790 6
•
Patient Safety Alert (2008) Clean Hands Saves Lives National Patient Safety Agency
2 nd Edition London
19TU
P
•
P
Sax H et al (2007) Journal of Hospital Infection 67(1):9-21
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Aseptic Non Touch Technique – 18.14
APPENDIX 1
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Guidance for lower leg cleansing
1. Introduction
The Health and Social Care Act (2008): Code of Practice for the prevention and Control of
Healthcare Associated Infections (HCAI) stipulate that all organisations must have in place a
Aseptic None Touch Technique policy (ANTT) (Department of Health 2010). The use of ANTT
during any invasive procedure, including wound care, will enable Nottinghamshire Healthcare Trust
to prevent unnecessary harm and keep HCAIs to a minimum.
Failed aseptic technique is probably the most significant cause of preventable HCAI. It is therefore
essential that practitioners fully understand the risks they pose to patients and that this knowledge
is demonstrable in practice. ANTT has been developed using research based evidence. The ANTT
framework provides a standard for safe and effective aseptic practice that can be applied to all
clinical procedures.
Patients with lower leg ulceration often experience excess wound exudate can affect the
surrounding skin causing maceration and excoriation and delay healing. Dead skin can build up
between toes, becoming macerated and lead to fungal or bacterial infection. To prevent these
problems cleansing the lower limb will remove the build-up of exudate, slough and dead skin
without damaging granulation or epithelialising tissue. Removal of dry, loose tissue allows the
growth of new epithelium and aims to prevent hard areas of tissue, scabs and hyperkeratosis from
building up which can act as pressure point beneath dressings and compression therapy.
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2. Options for the cleansing of lower legs
As well as assisting with the healing of the lower leg wounds, the cleansing of the leg is often
welcomed by patients who experience difficulty bathing. There are a number of methods available
for the cleansing of lower legs as follows:
Debriding products
The use of a debriding product such as Debrisoft can be used with saline or warm tap water
to remove exudate, slough and dry skin. This product is recognised by NICE (2012) and
promotes the principles of ANTT as it is a sterile, single use product.
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Washing
-Leg washing sinks
The use of a dedicated leg washing sink with a shower hose is the preferred method for
washing lower legs in a clinic setting. This method of washing the leg in running water will
prevent the risk of wound colonisation which may occur when legs are submerged in a
bucket of water.
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Aseptic Non Touch Technique – 18.14
NB. If using a leg washing sink, the sink should be cleaned after each leg has been
cleansed. Refer to the Infection Prevention and Control local procedure for decontaminating
leg washing sinks.
-Leg washing buckets
The use of leg washing buckets must only be considered when the above is not an option
e.g. where there is no access to a leg washing sink or access is difficult for the patient.
Buckets should be clean and lined with a plastic liner. They must be washed, dried and
stored appropriately after use.
After the leg has been cleansed, the wound dressing must be carried out in line with ANTT.
3. References
Leg Ulcer – venous (2012) cks.nice.org.uk/leg-ulcer-venous
Nottinghamshire Healthcare NHS Foundation Trust. (2014). Policy for Hand Hygiene. 18.04
SIGN (2010b) Management of chronic venous leg ulcers. . Clinical guideline No. 120. Scottish
Intercollegiate Guidelines Network. www.sign.ac.uk
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APPENDIX 2
Policy/Procedure for:
Aseptic Non Touch Technique
Issue:
03
Status:
APPROVED
Author Name and Title:
Sheila Smith & Diane Holmes Infection Prevention and Control
Nurse Specialists
Issue Date:
JUNE 2015
Review Date:
JANUARY 2018
Approved by:
TRUST INFECTION PREVENTION & CONTROL COMMITTEE
Distribution/Access:
NORMAL
RECORD OF CHANGES
DATE
08/14
06/15
AUTHOR
S Smith
D Holmes
S Smith
D Holmes
ISSUE 3 – JUNE 2015
POLICY /
PROCEDURE
18.14
(Issue 2)
18.14
(Issue 2)
DETAILS OF CHANGE
Full review of policy to standardise clinical
practice in line with national guidelines
Addition of Appendix 1 – Guidance for Lower Leg
Cleansing
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Aseptic Non Touch Technique – 18.14
APPENDIX 3
EMPLOYEE RECORD OF HAVING READ THE POLICY/PROCEDURE
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Title of Policy/Procedure : Aseptic Non Touch Technique
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I have read and understand the principles contained in the named policy/procedure.
PRINT FULL NAME
0B
ISSUE 3 – JUNE 2015
SIGNATURE
13
DATE