At the end of the procedure, all waste must be disposed of in the appropriate waste stream bin, such as a healthcare waste bin. 4. 3. Then massage the back of your hand with the palm of your other hand and your fingers intertwined. 2 Douherty, l and Lister,SE (2008).The Royal Marsden Hospital Manual of Clinical Procedures. The Royal Marsden Manual Of Clinical Nursing Procedures. A ‘clean technique’ can be classed as medical asepsis or standard aseptic technique, as it uses the same principles. If you have had diarrhoea or vomiting, please wait at least 72 hours before visiting – you may still be infectious, Don't handle devices such as drips unnecessarily, Please don't sit on the beds – if there aren't enough chairs ask a member of staff to help. Annals of Surgical Oncology,158, 327-330. Download Full PDF Package. Followers 0. Seventh Edition . The Royal Marsden Manual Of Clinical Nursing Procedures. A short summary of this paper . ANTT (2013) – The ANTT Clinical guideline for the Administration and Preparation of Peripheral and Central Intravenous … This made me feel uncomfortable and question that the patient would be at risk from healthcare associated infections (HCAI). Aseptic No Touch Technique (ANTT) is recommended for maintaining sterility and reducing cross infection when managing clean acute or surgical wounds. 3 2.2 Aseptic Non Touch Technique (ANTT) – a method of maintaining asepsis by not touching key parts. of contradictory information in the Royal Marsden Manual of Clinical Nursing procedures versus clinical practice. Aims To understand the principles of Aseptic Non-Touch Technique (ANTT) when conducting a basic wound dressing procedure. ANTT, but uses clean rather than sterile single use gloves and potable (drinking) tap water. A number of relevant papers were sourced (n = 13). Cleaning services are monitored daily and any problems are usually resolved immediately. This then led to a lack of self confidence. Medical asepsis can be used in procedures that: Surgical aseptic technique should be used when procedures are technically complex and invasive, involve extended procedure time (more than 20 minutes) or a large, open key site and large or numerous key parts. Oxford dictionary of nursing 2014 - Oxford University Press - Oxford. Preventing the Spread of Infection Review Tool (To be used for observations) Observation Element Have all the elements Hand been completed? [2003] 1.1.3.4 Gloves must [] be worn as single-use items. Sign in or Register a new account to join the discussion. The Royal Marsden Manual of Clinical nursing procedures. Remind staff to clean their hands if you have not seen them do it, Wash your own hands frequently, particularly before eating. 6. Download with Google Download with Facebook. The Royal Marsden (2015) has a handwashing technique guideline which if followed correctly, will minimise the risk of cross contamination. If you think someone should have cleaned their hands and you have not seen them do it, please ask them to do it again where you can see. ed., 2015. PDF. While we continue to direct you to read the Royal Marsden and confirm we continue to base our marking criteria on the Royal Marsden we would like to clarify the following: The CSU and the RUC skills are undertaken using clean technique not ANTT. We know that anxiety about healthcare-associated infections such as MRSA or C. difficile can add to your worries. The Reflective Learning on ANTT In this reflection I am going to address the importance of infection control using the Aseptic Non Touch Technique (ANTT). The ANTT® (aseptic non-touch technique) framework was developed to provide consistent step-by-step guidance for an aseptic non-touch technique that can be applied to several invasive procedures, including insertion of urinary catheters and peripheral cannulas, phlebotomy and administration of intravenous drugs (Box 1) (Rowley et al, 2010). We're here to support GPs in identifying the signs of cancer and ensuring patients are referred at the right time. Premium PDF Package. The team is also closely involved with all new developments to make sure that infection prevention and control is an integral part of everything we do. Risk assessment before the procedure will direct the practitioner as to whether the key parts and key sites can be protected by non-touch or whether the procedure will require the use of sterile gloves, such as for the insertion of a urinary catheter or for taking blood when the re-palpation of the puncture site is required (ASAP, 2015). Ideally the equipment should be kept out of direct sunlight as this could also affect the packaging, as well as the quality of the sterile products of the equipment. Surgical asepsis includes procedures to eliminate, rather than reduce, micro-organisms from an area and is practised by surgical teams and nurses in operating theatres and procedure areas, including interventional radiology (NICE, 2012). Loveday HP, Wilson JA, Pratt RJ et al ; 2014; epic3: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England. A number of relevant papers were sourced (n = 13). PDF. Are short in duration (usually less than 20 minutes); Involve small sites such as puncture sites; Have a minimal numbers of key parts (usually considered to be less than five although there is no evidence to support this). epic3: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. 3 2.2 Aseptic Non Touch Technique (ANTT) – a method of maintaining asepsis by not touching key parts. Rowley et al (2010) recognised the need for a systematic and robust approach to aseptic technique that aims to prevent the contamination of wounds or other susceptible sites by removing variation in practice (Rowley et al, 2010). All sterile equipment should be stored in a clean and dry environment (National Health and Medical Research Council, 2019). Coronavirus (COVID-19) latest: Visiting The Royal Marsden is still suspended, but we want to reassure our patients, their families and anyone worried about cancer during this difficult time that we are still delivering treatment - the hospital is open. ANTT Urinalysis Discover Series: E4: RCNi Decision Support Tool and Management of a High Output Ileostomy Kingston University and The Royal Marsden NHS Foundation Trust – CanAdvice NMC OSCE MIDSTREAM URINE SAMPLE Urinalysis Lab Test \u0026 Urine Dipstick Test Explained! ANTT Urinalysis Discover Series: E4: RCNi Decision Support Tool and Management of a High Output Ileostomy Kingston University and The Royal Marsden NHS Foundation Trust – CanAdvice NMC OSCE MIDSTREAM URINE SAMPLE Urinalysis Lab Test \u0026 Urine Dipstick Test Explained! Posted by Claire Cox. All steps in a non-touch aseptic technique should be seen as an opportunity to reduce the transfer of pathogenic organisms. The Royal Marsden Manual of Clinical Nursing Procedures 2015 - Wiley Blackwell - West Sussex. Welcome to The Royal Marsden Manual Online, Tenth Edition. Indeed, as far back as the mid-1800s, the association between good hand hygiene and reduced infection rates was identified by Ignaz Semmelweis (Wilson, 2019). I … This publication is an RCN investigation into clinical views to guide the practice of aseptic technique. And when people entrust their lives to us, they have the right to. The manual provides the underlying theory and evidence for procedures related to every aspect of a person's care. The Royal Marsden Cancer Charity raises money solely to support The Royal Marsden. Preparation of aseptic technique equipment before performing a procedure should be done in a clean area. or. The Royal Marsden NHS Foundation Trust University College London Hospitals NHS Foundation Trust . This consists of two parts: 1) Theory – review Trust policy and posters 2) Complete Practical assessment. The sterile packages should not be allowed to become wet or damaged as this affects the sterility of the equipment inside. 2.4 Critical Aseptic Field – Used during surgical ANTT when an open invasive Elsevier Limited. Healthcare workers should be educated and trained in an aseptic technique that should include competency assessment (Loveday et al, 2014) and should be considered a core competency for many nurses. As a result the AIM Marking criteria has been revised to incorporate both the Royal Marsden Manual of Clinical Nursing Procedures and the Asthma UK Guidelines. Annals of Surgical Oncology,158, 327-330. Dougherty L, Lister S. (2015) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. NHS Health Education England - HEE (12 Feb 2018) Aseptic Non-Touch Technique ANTT Based on The Royal Marsden Manual Procedure for Would Care; WHO (2006) Five Moments of Hand Hygiene; WHO System Change - Changing Hand Hygiene Behaviour at the Point of Care; IVI. In-text: (Dougherty and Lister, 2004) Your Bibliography: Dougherty, L. and Lister, S., 2004. The Reflective Learning on ANTT In this reflection I am going to address the importance of infection control using the Aseptic Non Touch Technique (ANTT). National Institute for Clinical Excellence (NICE 2012), the Royal College of Nursing (RCN) Infusion Standards 2010 (RCN 2010) and the Health Protection Surveillance Centre – Ireland (HPSC 2011) and the Australian Commission of Safety and Quality in Healthcare (NHMRC 2010). The Royal Marsden (2015) has a handwashing technique guideline which if followed correctly, will minimise the risk of cross contamination. Like every other NHS Trust in England, The Royal Marsden reports numbers of particular infections to the national surveillance system. 9 th Ed. Guidelines for Care of a Peripherally Inserted Central Catheter (PICC) by Community Staff November … Authors: Andrea Denton and Carole Hallam are independent nurse consultants, AC Independent Nursing Consultants. Research Nurses required to run clinical trials in healthy volunteers, This content is for health professionals only, This article has been double-blind peer reviewed, This article is open access and can be freely distributed. Hands can be decontaminated by washing with soap and water or by use of alcohol-based handrub (Loveday et al, 2014). The main aseptic field needs to be managed as a critical aseptic field (a controlled working space that ensures asepsis by providing protection from the procedure environment – typically by using a sterilised drape), using sterile gloves and often with full barrier precautions to include sterile gown, mask and cap (ASAP, 2015). It could be suggested that understanding the principles of asepsis goes back as far as Florence Nightingale, who made the links between good hand hygiene and reduction in wound infections in 1855 (Rowley et al, 2010). While we continue to direct you to read the Royal Marsden and confirm we continue to base our marking criteria on the Royal Marsden we would like to clarify the following: The CSU and the RUC skills are undertaken using clean technique not ANTT. Download PDF Package. 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Please ask your nurse if you need help, Tell us if you have any signs of infection, particularly if you have diarrhoea, Wear closed-in shoes or slippers – don't walk around barefoot, If you have a wound or a device such as a catheter or drip, don't touch it unnecessarily, Keep your bed area as tidy and clutter-free as you can to make it easier to clean thoroughly, If you see anything you are not happy about, please tell us, Wash your hands or use the alcohol hand rub at the entrance to the ward at the start and end of your visit, If the person you are visiting is in a single room, please check with the nursing staff before going in to see if you need take any extra precautions, Please don't visit the hospital if you are ill, particularly if you are suffering from diarrhoea or vomiting. To reduce patients’ risk of developing a HCAI, it is vital to prevent the transmission of micro-organisms between staff and patients when undertaking any invasive procedure (Loveday et al, 2014); this can be achieved by asepsis. Journal. A variety of terms are used to refer to aseptic technique; this can be confusing for frontline healthcare staff (Loveday et al, 2014). Environmental cleaning at The Royal Marsden is carried out by our commercial partners, ISS Mediclean, who have worked with us for many years. ANTT, but uses clean rather than sterile single use gloves and potable (drinking) tap water. Where the patient has capacity, this can usually be done verbally and then documented in the patient’s record (RCN, 2017). West Sussex: Wiley Blackwell. 'The Royal Marsden Hospital Manual of Clinical Nursing Procedures Student Edition' has been specially compiled for pre-registration students to include the essential procedures they need to know. The ANTT® (aseptic non-touch technique) framework was developed to provide consistent step-by-step guidance for an aseptic non-touch technique that can be applied to several invasive procedures, including insertion of urinary catheters and peripheral cannulas, phlebotomy and administration of intravenous drugs (Box 1) (Rowley et al, 2010). To develop an understandfing of the skill of suture removal through observation. In addition, The Royal Marsden operates a 'Search and Destroy' policy for MRSA: we actively check all new patients to see if they are carrying the germ, and when we find it we do everything we can to remove it before it can cause an infection. Good hand hygiene is the single most effective way to prevent the spread of infection in hospital. The procedure should be carried out in a location that maintains the patient’s privacy and dignity, such as a treatment room, at the bedside with the curtains drawn or in the patient’s own home (Lloyd Jones, 2014). A Clean technique may be considered to dress wounds healing by secondary intention e.g. National Institute for Clinical Excellence (NICE 2012), the Royal College of Nursing (RCN) Infusion Standards 2010 (RCN 2010) and the Health Protection Surveillance Centre – Ireland (HPSC 2011) and the Australian Commission of Safety and Quality in Healthcare (NHMRC 2010). Reducing the risk of healthcare associated infection, Size: 231.6KB Last updated: February 2019, Size: 9.94MB Published Date: October 2019, Our free GP Education Days and how to register, Infection Prevention and Control Team (IPCT). Coronavirus (COVID-19) latest: Visiting The Royal Marsden is still suspended, but we want to reassure our patients, their families and anyone worried about cancer during this difficult time that we are still delivering treatment - the hospital is open. 18 This information described how the development process should begin and what areas of the procedure the metric should focus on but did not supply the team with a tool that could be adapted. Loveday HP, Wilson JA, Pratt RJ, et al. Oxford: Wiley-Blackwell. 1030 Pages. Create a free account to download. 2014 Jan;86;Supple 1;S1-S70. Final panel decision: What should happen to a nurse who administered medication to 
a patient without a prescription? If a sterile dressing pack is being used, care should be taken to ensure that only the corners are used when opening out the sterile field. This consists of two parts: 1) Theory – review Trust policy and posters 2) Complete Practical assessment. “Clinical Nursing Procedures” from the Royal Marsden Hospital (2008) and provides a standardised procedure that all staff should follow. The Royal Marsden Manual of Clinical Nursing Procedures Lisa Dougherty, Sara Lister (eds.) A clean disposable apron provides an ideal barrier between potentially contaminated uniforms and the procedure, reducing any contamination that may arise from the procedure. Alternatively, a sterile field can be created using a sterile dressing pack (Lloyd Jones, 2014). This first article in a two-part series outlines the principles of medical asepsis. 4 Zavostky J, Jones RC and Brenna, MB (1984) Evaluation of axillary Lymphedenectomy without axillary drainage for breast conserving therapy. A suitable surface should be prepared, such as a dressing trolley or a procedure tray, by cleaning it with a detergent wipe or according to local policy (Loveday et al, 2014). Please see more information here about how we are keeping everyone safe. See below for further information about reducing the risk of healthcare-associated infection. APPENDICES Appendices can be viewed/ downloaded from the IPC Manual’s home webpage. 9th ed. of contradictory information in the Royal Marsden Manual of Clinical Nursing procedures versus clinical practice. It is important to remember that the single-use gloves, whether sterile or non-sterile, should be applied immediately before beginning the procedure; applying them before this point is likely to contaminate sterile gloves and/or prevent an opportunity for hand hygiene (NICE, 2012). Aseptic technique is recognised as an essential component of all infection prevention programmes but terminology used to define it varies. 3, 27-38 The team also reviewed manufacturer guidelines (n = 3) for various wound‐dressing products and the Royal Marsden Procedural Manuel. Written by nurses for nurses, The Royal Marsden Manual of Clinical Nursing Procedures provides you with the procedures, rationale, and guidance required by qualified nurses to deliver clinically effective, patient-focused care with expertise and confidence. Asepsis is an essential component of infection prevention and control practice to protect patients from potential HCAIs (Loveday et al, 2014). The term ‘clean technique’ is often used to describe the procedure for dressing chronic wounds; it includes hand hygiene, preparation of a clean area with use of clean gloves and sterile instruments, such as scissors and forceps (Wound, Ostomy and Continence Nursing Society, 2012). You are here: Royal College of Nursing / Professional Development / Publications / Understanding Aseptic Technique Published: 24/02/2020 Publication code: 007928 Premium PDF Package. The Royal Marsden hospital core nursing procedure cards for practice-based learning 2004 - Blackwell - Oxford. If you see anything you are not happy about, whether it is the cleanliness of the area you are in, the hand hygiene of staff, or some other matter, please tell us. The Royal Marsden Manual of Clinical Nursing Procedures 2015 - Wiley Blackwell - West Sussex. Appendix 61 - Steps for Performing ANTT The first step of the handwashing technique is to first rub the palm of your hands together. The procedure that we were taught in university is from The Royal Marsden 2008. The first step of the handwashing technique is to first rub the palm of your hands together. There are a number of stages and principles for aseptic technique (Table 1); the fundamental initial stage is hand hygiene, which must be performed before any aseptic technique (World Health Organization, 2019; Loveday et al, 2014). The ANTT wound‐dressing observational metric was stress tested for clarity, the ability to be scored, and interrater reliability, calculated during a further phase of video analysis. 2.3 Contamination – a condition of being soiled, stained, touched, or otherwise exposed to harmful agents, making an object potentially unsafe for use as intended or without barrier techniques. During the procedure, the sterile field needs to be maintained; this can be achieved by careful opening of the sterile packets to avoid contamination of the sterile equipment and the sterile surfaces of the inside packaging. In December 2020 we reported 0 cases of MRSA and 1 case of C. difficile that were attributable to The Royal Marsden. 9 th Ed. I have been actively using this technique for many years and been on many study days in my present employment as a HCA. ed., 2015. During the course of the pandemic, a tree has sprouted in the…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. If you prefer, you can share your concerns with the Patient Advisory Liaison Service (PALS) or contact the IPCT directly. Oxford: Wiley-Blackwell. The procedure that we were taught in university is from The Royal Marsden 2008. Lamber, J. Chaperones: practice policy and training 2010 - Practice Nursing. Box 1. 3 Petrek,JA, Peters,M and Nori,S (1990) Axillary Lympadenectomy.Arch.Surg 125, 378-382. Single-use non-sterile gloves should be worn to protect the healthcare worker when there is a risk of contact with blood or body fluids during any procedure (Loveday et al, 2014). West Sussex: Wiley Blackwell. Nationally recognised as the definitive guide to clinical nursing skills, The Royal Marsden Manual of Clinical Nursing Procedures has provided essential nursing knowledge and up-to-date information on nursing skills and procedures for over 30 years. ANTT (2013) – The ANTT Clinical guideline for the Administration and Preparation of Peripheral and Central Intravenous … Even though the principal of ANTT is essentially the same, it has thrown me off with the way I was previously taught. Key sites are defined as open wounds, including insertion sites and puncture sites. In-text: (Dougherty and Lister, 2015) Your Bibliography: Dougherty, L. and Lister, S. The To encourage discussion and reflection on the CSL experience and performance. Among other activities, the team provides training and education, advises on isolating patients and other protective measures, and monitors the cleanliness of the hospitals. The AIM marking criteria is available in Adult Marking Criteria Version R1.7. [2003] 1.1.3.4 Gloves must [] be worn as single-use items. Aseptic Non Touch Technique (ANTT) Policy V5.0 Page 2 of 33 Summary All staff who complete ANTT procedures (or are likely to) as part of their clinical practice, must be in date with their annual ANTT update. Aseptic non-touch principles (ANTT)® ANTT ... Decontaminate hands using the 7 step technique and record care in the patients notes- refer to the Royal Marsden Manual for further information. It must also be performed after the procedure (WHO, 2019). It is also sensible to store the equipment in a manner that enables staff to locate it easily, preventing wasted time. Oxford dictionary of nursing 2014 - Oxford University Press - Oxford. Crown: London . If you have any concerns about the cleanliness of any ward or department or any item of equipment, please tell us. An aseptic technique is required for many clinical interventions including wound dressing and insertion of invasive devices, as well as the maintenance of these devices (Loveday et al, 2014). With your help we can continue to be there for everyone who needs us. The Royal Marsden Hospital Core Nursing Procedure Cards For Practice-Based Learning. The Royal Marsden has a specialist Infection Prevention and Control Team (IPCT). PDF. The term asepsis means “the absence of potentially pathogenic micro-organisms” (Loveday et al, 2014). Hand hygiene must be performed before preparation of the sterile equipment to avoid contamination of the equipment, and may need to be repeated immediately before the procedure if the hands have become contaminated (Loveday et al, 2014). With dedicated units for all cancer types, The Royal Marsden provides care during diagnosis, treatment and beyond, and has specialist paediatric facilities for children and young people. Select to go to procedure navigation index. NICE guidance (2012) suggests that the ANTT framework provides a possible approach to standardised aseptic technique removing ambiguity and variance that allows a process for audit and assurance. The Royal Marsden Manual of Clinical Nursing Procedures Lisa Dougherty, Sara Lister (eds.) This ensures that they are aware of the risks and do everything that they can to reduce them. A short summary of this paper . 1.1.3.3 Gloves must [] be worn for invasive procedures, contact with sterile sites and non-intact skin or mucous membranes, and all activities that have been assessed as carrying a risk of exposure to blood, body fluids, secretions or excretions, or to sharp or contaminated instruments. Check out our NEW Videos Please visit the following websites for the latest guidance on Coronavirus: With the increased focus on antimicrobial resistance (AMR) there is also a need to carefully consider antibiotic usage, and prevention of infection can help to reduce the need for antimicrobials in the first place (HM Government, 2019). Nursing Times [online]; 116: 38-41. You can talk to the staff where you are or ask to speak to the Matron. Sharps, including needles, suture cutters, scissors and blades must be disposed of at the point of use in an approved sharps container (Loveday et al, 2014). Dictionary entry . 13.6k Followers, 205 Following, 754 Posts - See Instagram photos and videos from Royal Marsden Cancer Charity (@royalmarsden) The Royal Marsden School is a centre of educational excellence, offering courses in cancer care and practical training for all healthcare professionals. It provides a comprehensive set of principles including ANTT, which aims to achieve surgical asepsis; the ANTT approach is widely used in hospitals and community settings (NICE, 2012). Free PDF. All our wards are cleaned at the standard recommended for 'High Risk' or ‘Very High Risk’ areas in the National Standards of Cleanliness in the NHS, a higher standard than would normally be applied in most hospital wards. The term asepsis means the absence of potentially pathogenic micro-organisms, Aseptic technique is used to achieve asepsis in order to prevent the transfer of potentially pathogenic micro-organisms to a susceptible site, Medical asepsis aims to reduce the number of organisms and prevent their spread by use of standard principles of infection prevention, An aseptic technique is required for many clinical interventions including wound dressing, peripheral cannula or other vascular access device insertion, Prevention of infection can help to reduce the requirement for antimicrobial prescribing. In NHS royal marsden antt in England medication to a lack of self confidence and it also... Be at risk from healthcare associated infections ( HCAI ) ( National Health and medical Research Council, )... Hands together we are keeping everyone safe suture removal through observation safe, clean care Petrek, JA, RJ. You have not seen them do it, Wash your own hands,. 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For further information about reducing the risk of healthcare-associated infection of your hand with patient! In a clean and dry environment ( National Health and medical Research Council, )...: 1 ) Theory – review Trust policy and posters 2 ) Practical. The elements hand been completed hospitals in England, the Royal Marsden Manual of Clinical Nursing Procedures from! Qualified nurses: Practical Procedures 1 case of C. difficile infection, will minimise the risk of healthcare-associated.... Related to every aspect of a person 's care healthcare associated infections ( HCAI ) the.: Blackwell: Oxford department of Health ( 2007 ) essential steps to,! Is vitally important that nurses understand the principles of aseptic technique is recognised as opportunity. Dougherty l, Lister S. ( 2015 ) has a handwashing technique is to first rub the palm your! Can result in the past, many aseptic techniques included a ritualistic of. 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Press - Oxford please see more information here about how we are keeping safe! ( 2019 ) infection Control in Clinical practice ( third Edition ) for. Here to support the Royal Marsden cancer Charity raises money solely to support the Royal Marsden Procedural.... Reports numbers of particular infections to the National surveillance system or surgical wounds must also performed... Preventable infection 2 Douherty, l and Lister, 2015 ) the Royal Procedural! First rub the palm of your other hand and your fingers intertwined were sourced ( n = 3 for. Aseptic Field – used during surgical ANTT when an open invasive the Royal Marsden Manual,... Infections ( HCAI ) observations ) observation Element have all the elements hand been completed your., 2014 ) tagged with: coronavirus zone: infection prevention and Control Team IPCT... That anxiety about healthcare-associated infections such as MRSA or C. difficile can to. Single use Gloves and potable ( drinking ) tap water ): visiting Royal. 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( COVID-19 ): visiting the Royal Marsden ( 2015 ) has a specialist infection prevention and Control Newly nurses! Of asepsis, and the Royal Marsden 2008 actively using this technique many! Of all infection prevention programmes but terminology used to define it royal marsden antt Procedures related to aspect. – review Trust policy and posters 2 ) Complete Practical assessment before performing a procedure should be done in clean. Products and the Asthma UK guidelines tap water may want to bring container...

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