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Clean Needle Technique: CNT Protocol Clean Needle Technique: CNT Protocol
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Antiseptic Products designed to reduce the density of microbial life on living tissue, particularly on the skin of the patient or practitioner Aseptic techniques Techniques for preventing infection during invasive procedures (surgical operations, dressing wounds, etc) Is acupuncture an aseptic procedure? No, because it is not performed in a manner that preserves the sterility of of the acupuncturist's hands, or the skin of the patient. Is acupuncture a clean or sterile procedure? Clean, although needles must be kept in a sterile condition for CNT. Clean field The area that has been prepared to contain the equipment necessary for acupuncture in such a way as to protect the sterility of the needles. Clean field includes clean surface on which equipment will be placed, patient's skin around prepared acupuncture points & anything that touches the skin Clean technique use of techniques that reduce risk of infection by reducing # of pathogens -->reducing the chances for contact between the pathogens and patient & personnel Contamination introduction of contaminating viruses, bacteria, ect. into or onto previously clean or sterile objects, rendering them unclean or non-sterile Disinfectants chemicals used in disinfection should only be used on inanimate objects Disinfection Use of chemicals and procedures designed to destroy or reduce the # of pathogens on inanimate objects Sterilization Use of procedures that destroy ALL microbial life, including viruses. This is a rigid, uncompromising term. in acupuncture sterilization is required for ALL instruments that pierce the skin and insertion tubes
CNT basic principle # Always wash hands between patients Always wash hands before and after needling CNT basic principle # Always use sterile single-use needles and other instruments (such as 7-star hammers and lancets) that may break the skin CNT basic principle # Always establish a clean field before performing acupuncture CNT basic principle # Always immediately isolate used needles and other sharps Will alcohol-based hand disinfectants be effective if practitioner's hands are soiled? No, will not be effective Greatest risk of blood-borne pathogen transmission needlestick injuries Greatest source of risk to the practitioner and patient contaminated needles CDC recommends washing hands
Sterile Each 7-star hammer should be used on how many regions of the body Only one region of the body. Is Cupping a sterile procedure No, not a sterile procedure How must cups be disinfected after use on one patient in a dilution of hypochlorite,etc. then cleaned with soap and water gloves are recommended to be used when there is risk of contact with blood or other potentially infectious body fluids gloves must be worn when practitioner bleeds an acupuncture point using a lancet or acupuncture needle do gloves present a barrier to direct puncture they do not, only are a barrier to blood and other potentially infectious fluids Use of gloves are strongly recommend
Can the same swab be used for points in the same general body area? Yes, a new swab should be used when changing areas of the body, or if swab begins to change color. Is it acceptable clean tech. to palpate the acupuncture point after cleaning the skin? Yes, as long as the hands are clean and have not been contaminated (by arranging clothing or taking notes) Head and facial region should generally be punctured superficially or obliquely What region should serious attention to needle direction and depth be paid to avoid accidents? The ophthalmic region (UB 1, ST 1) neck points (Du 15, 16, Ren 22) near femoral artery or groin Where should sharps container be? right beside the treatment table -- so that there is no delay in placing used needles away from accidental contact When should a sharps container be replaced? When 3/4 full How to deal with a needle spill? Use gloves and forceps for picking up needles Spill area needs to be disinfected with a germicide: hypochlorite at 1:10 dilution All materials used in clean-up should be discarded in double wrapping. Wash Hands. How long can the HBV virus survive on surfaces? For more than one week at room temperature. CDC Hand washing recommendations for practitioner (4) Wash hands with soap and water on arrival and prior to leaving work, prior to eating, and after restroom use. Due to volume of patients, alcohol-based disinfectant can be used. When must hand washing with soap (preferably antimicrobial) and water be done? if hands are dirty with some organic matter such as blood When must hands be decontaminated?