Aseptic non-touch technique (ANTT®) procedures

NHS Ayrshire & Arran guidelines
NHS Ayrshire and Arran

These example templates outline a commonly used ANTT® approach and are not intended to stipulate the ANTT® approach in all circumstances. Healthcare practitioners should risk assess each procedure, bearing in mind the condition and location of the patient, type of VAD, anticipated length of time for procedure and the number of key parts and key sites to decide the ANTT® approach required.

  1. Peripheral devices
    1. Peripheral venous catheter (PVC)
      1. PVC patency assessment and flush
      2. PVC dressing change
      3. PVC removal
    2. Midline catheter
      1. Midline patency assessment and flush
      2. Midline dressing change
      3. Midline dressing change, flush and needle free access device change
      4. Midline removal
  2. Central devices
    1. Peripherally inserted central catheter (PICC)
      1. PICC patency assessment and flush
      2. PICC dressing change
      3. PICC dressing change, flush, needle free access device change and catheter lock
      4. PICC removal 
    2. Cuffed tunnelled central venous catheter (tCVC)
      1. tCVC patency assessment and flush
      2. tCVC exit site suture removal and dressing change
      3. tCVC entry site dressing change
      4. tCVC exit site dressing change
      5. tCVC dressing change, flush, needle free access device change and catheter lock
      6. tCVC removal
      7. ntCVC and tCVC line fracture
    3. Non-tunnelled central venous catheter (ntCVC)
      1. ntCVC insertion patency assessment
      2. ntCVC dressing change
      3. ntCVC dressing change, flush, needle free access device change and catheter lock
      4. ntCVC removal
    4. Dialysis central venous catheter (tunnelled (tDCVC) and non-tunnelled (ntDCVC))
      1. tDCVC and ntDCVC dressing change
      2. tDCVC and ntDCVC dressing change, flush and catheter lock
      3. ntDCVC removal
      4. tDCVC removal
    5. Implanted portacath®
      1. Gripper needle insertion, patency assessment, flush and catheter lock
      2. Gripper needle removal
      3. Port-a-cath® removal
    6. Complete catheter occlusion
    7. Urokinase administration
    8. Parenteral nutrition
      1. Connecting total parenteral nutrition
      2. Disconnecting total parenteral nutrition.