NMC OSCE Aseptic Non-Touch Technique – Sterile Gloves

How to Perform Aseptic Non-Touch Technique (ANTT) with Sterile Gloves for the NMC OSCE

The Nursing and Midwifery Council (NMC) Objective Structured Clinical Examination (OSCE) is a crucial step for overseas nurses aiming to practice in the UK. One of the essential skills assessed is the Aseptic Non-Touch Technique (ANTT) with sterile gloves. This technique is vital for preventing infections and ensuring patient safety. Here’s a step-by-step guide to help you master this skill.

Step 1: Preparation

Before starting the procedure, gather all necessary equipment and ensure a clean working environment.

1. Hand Hygiene: Perform hand hygiene using soap and water or an alcohol-based hand rub.
2. Clean the Trolley: Use a detergent wipe to clean the trolley and allow it to dry.
3. Assemble Equipment: Place all required items on the bottom shelf of the trolley, including the dressing pack, sterile gloves, saline, and any other necessary supplies.

Step 2: Introduce Yourself and Explain the Procedure

Introduce yourself to the patient and explain the procedure to gain their consent and cooperation.

1. Introduction: “Hello, my name is [Your Name], and I am a nurse. I will be performing a procedure to ensure your wound is clean and free from infection.”
2. Consent: Ask for the patient’s consent to proceed.

Step 3: Open the Dressing Pack

Open the dressing pack without contaminating the sterile field.

1. Wear an Apron: Put on a disposable apron to protect your clothing.
2. Open the Pack: Carefully open the dressing pack, ensuring you do not touch the inside contents.

Step 4: Perform Hand Hygiene Again

Perform hand hygiene again before putting on sterile gloves.

1. Hand Hygiene: Use an alcohol-based hand rub or wash your hands thoroughly with soap and water.

Step 5: Put on Sterile Gloves

Put on sterile gloves without touching the outside of the gloves.

1. Open the Glove Pack: Open the sterile glove pack without touching the gloves.
2. Don the Gloves: Use the inside of the glove cuff to put on the first glove, then use the gloved hand to put on the second glove.

Step 6: Maintain Aseptic Technique

Throughout the procedure, ensure that you do not touch any non-sterile surfaces.

1. Extend the Sterile Field: Use the sterile sheet from the dressing pack to extend your sterile field if necessary.
2. Handle Equipment: Only touch sterile items with your sterile gloves.

Step 7: Perform the Procedure

Proceed with the clinical procedure, such as wound dressing, while maintaining aseptic technique.

1. Clean the Wound: Use sterile saline and gauze to clean the wound, ensuring you do not touch the wound directly.
2. Apply the Dressing: Place the new dressing on the wound using sterile technique.

Step 8: Dispose of Waste and Perform Final Hand Hygiene

Dispose of all used materials appropriately and perform hand hygiene.

1. Dispose of Waste: Place all used materials in the appropriate waste bin.
2. Remove Gloves and Apron: Carefully remove your gloves and apron, and dispose of them.
3. Final Hand Hygiene: Perform hand hygiene one last time to ensure your hands are clean.

Tips for Success

• Stay Focused: Concentrate on maintaining the sterile field throughout the procedure.
• Practice: Regular practice will help you become more confident and proficient in ANTT.
• Communicate: Keep the patient informed throughout the procedure to ensure their comfort and cooperation.