Highlights
Feelings
Before the week three workshop I felt overwhelmed with the amount of information we were given regarding the steps that would lead to a successful ANTT dressing. Due to being overwhelmed and worried I became confused and made some mistakes. However, afterwards, I felt better as I can now learn from them.
Evaluation
The ANTT was not performed well as I had anticipated as I was confused and overwhelmed with the many specific, small steps needed to ensure the field remained sterile. It is important I improve my techniques as nurses are critical in helping to prevent infection (Osbourne, 2017). In addition to these errors I did not make any attempt to build a therapeutic relationship with the patient, which does not meet standard two for practice (Nursing and Midwifery Board of Australia (NMBA), 2016). I did not perform many elements of the dressing well, however, that allows me to reflect on my mistakes; adhering to standard 1.2 (NMBA, 2016).
Analysis
ANTT is a technique that aims to protects patients during procedures by using infectionprevention methods to decrease the introduction of microorganisms from hands, surfaces and equipment that cause infection (Tollefson & Hillman, 2019). ANTT can be achieved through hand hygiene, using non-touch techniques, sterilised equipment and disinfecting key parts (Tollefson & Hillman, 2019). The ANTT was not achieved because on two occasions I failed to perform hand hygiene; after touching the dressing pack, and before picking up the forceps. The failure to perform hand hygiene increased the risk of the patient contracting a hospital acquired infection (Osbourne, 2017). As this was my first time performing an ANTT simple dressing I was very overwhelmed and became confused with the many different steps and where I should put things on the sterile mat. I placed the yellow forceps in the wrong place and picked up the gauze with the wrong forceps, as well as placing the forceps in the bin at the wrong time. All three forceps are used for different parts of the dressing to ensure everything remained sterile. However, when I mixed up the forceps and put them in the wrong place it created a risk for infection as it meant I was not using sterile equipment; another important aspect of ANTT (Tollefson & Hillman, 2019). During my application of the wound dressing, I became so focused on performing it correctly that I forgot to engage with the patient, this meant I did not meet standard two for practice (NMBA, 2016). Overall, the dressing I performed did not go to plan due to a lack of preparation on my behalf, resulting in failing the ANTT and not communicating with the patient. According to the National Safety and Quality Health Service Standards (NSQHS, 2019) to improve I need to identify gaps where the aseptic technique was not met and practice to reduce those gaps.
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