GLOVING

(Open Method)

GLOVES
Is a type of garment which covers the hand.  Have separate sheaths or openings for each finger and the thumb.

WHEN TO WEAR GLOVES

There is a reasonable chance of hand contact with blood or other body fluids, mucous membranes or non intact skin.

WHEN TO WEAR GLOVES  They perform invasive medical procedures. (example: inserting IV) .

WHEN TO WEAR GLOVES  They handle contaminated waste items or touch contaminated surfaces. .

• Washed and rinsed. .5% chlorine solution for 10 minutes.WHAT TO DO WHEN SUPPLIES OF GLOVES ARE LIMITED  They are reprocessed or reused if they are: • Decontaminated by soaking in 0. • Sterilized (by autoclaving) or highlevel disinfected (by steaming).

TYPES OF GLOVES according to use  SURGICAL GLOVES – should be used when performing invasive medical or surgical procedures. .

TYPES OF GLOVES according to use  EXAMINATIO N GLOVES – provide protection when performing many routine activities. .

for handling and disposing of contaminated waste. and when cleaning contaminated surfaces.TYPES OF GLOVES according to use  UTILITY GLOVES . equipment and other items. .for processing instruments.

TYPES OF GLOVES according to composition  - - - VINYL GLOVES Made of polyvinyl chloride (PVC) Are latex-free Least expensive of the three types Limited elasticity .

and are three times more puncture resistant than natural rubber.preferred choice for staff with latex allergy  . .TYPES OF GLOVES according to composition NITRILE GLOVES manufactured using synthetic latex. contain no latex proteins.

Provide the best protection.TYPES OF GLOVES according to composition LATEX GLOVES manufactured using a milky fluid derived from the rubber tree.  . Hevea brasiliensis. .

which is a serious condition that requires immediate medical attention.WHAT IS LATEX ALLERGY? Natural rubber latex comes from a liquid in tropical rubber trees and then processed. This reaction can range from sneezing to anaphylactic shock.  The protein in rubber can cause an allergic reaction in some people.  .

.WHAT ARE THE SYMPTOMS OF LATEX ALLERGY?       Itchy. and paying more attention to hand care can help relieve these symptoms. using glove liners. red.Changing to non-latex gloves. watery eyes Sneezing or runny nose Coughing Rash Chest tightness Shortness of breath .

GLOVE REQUIREMENT FOR CLINICAL PROCEDURES            Blood pressure check Temperature check Injection Blood drawing IV insertion Pelvic examination Vaginal Delivery Cesarean Section Handling and cleaning instruments Handling contaminated wastes Cleaning blood or body fluid spills            NO NO YES YES YES YES YES YES YES YES YES .

 Touching any non sterile object with the glove.  Touching the outside of a glove with an ungloved hand.ACCIDENTAL CONTAMINATION OF STERILE GLOVES Tearing or puncturing the glove.  .

A poorly fitting glove can limit your ability to perform the task and may be damaged (torn or cut) more easily.SOME DOs and DON’Ts About GLOVES   Do wash hands or use an antiseptic hand rub before putting on gloves and after removing them. . particularly surgical gloves. Do wear the correct size glove.

SOME DOs and DON’Ts About GLOVES   Do change surgical gloves periodically during long cases as the protective effect of latex rubber gloves decreases with time and unapparent tears may occur. . Do keep fingernails trimmed moderately short to reduce the risk of tears.

Don’t use oil-based hand lotions or creams.SOME DOs and DON’Ts About GLOVES   Do use water-soluble (nonfat-containing) hand lotions and moisturizers often to prevent hands from drying . cracking. . because they will damage latex rubber gloves. and chapping due to frequent hand washing and gloving.

thus reducing their effectiveness.SOME DOs and DON’Ts About GLOVES   Don’t hand lotions and moisturizers that are very fragrant (perfumed) as they irritate the skin. Don’t store gloves in areas where there are extremes in temperature. . These conditions may damage the gloves.

DOONING AND REMOVING STERILE GLOVES (Open Method) .

RATIONALE: .To save time and effort  . RATIONALE: .Procedures Assess client for latex allergy.To protect the patient and to know the need for latex-free gloves  Assemble equipments and supplies.

RATIONALE: .Gain cooperation  .To protect the patient and yourself (healthcare provider). check expiration date. RATIONALE: .Procedures Ensure sterility of the package of gloves.  Explain to the client what you are going to do.

Deters spread of microorganisms  Provide for client privacy.Ensures cooperation  . RATIONALE: .Procedure Wash hands and observe other appropriate infection control procedures. RATIONALE: .

RATIONALE: .  Place the package of gloves on a clean dry place.Any moisture on the surface could contaminate the gloves  .Procedures Open package of sterile gloves.

open the outer package without contaminating the gloves or the inner package.  .  Remove the inner package from the outer package.Procedures If the gloves are packed in both inner and an outer package.

pluck the flap so that the fingers do not touch the inner surfaces.Procedures Open the package according to the manufacturer’s direction. RATIONALE: .  . which are next to the sterile gloves will remain sterile.The inner surfaces. If no tabs are provided.

or RATIONALE .  If the gloves are packaged so that they lie side by side.Procedures Put the glove on the dominant hand.The hands are not sterile. grasp the glove for the dominant hand by its folded cuff edge (on the palmar side) with the thumb and the first finger of the non dominant hand. By touching the inside of the glove. the nurse avoids contaminating the outside  . Touch only the inside of the cuff.

Keep the thumb of the inserted hand against the palm of the hand during insertion.  Insert the dominant hand into the glove and pull the glove on.  .If the thumb is kept against the palm.Procedures If the gloves are packaged one on top of the other. grasp the cuff of the top glove as above using the opposite hand. RATIONALE: . it is less likely to contaminate the outside of the glove  Leave the cuff turned down.

RATIONALE: .  Pick up the other glove with the sterile glove-gloved hand.  .Procedures Put the second glove on the non dominant hand.This helps prevent accidental contamination of the glove by the bare hand. inserting the gloved fingers under the cuff and holding the gloved thumb close to the gloved palm.

the thumb is less likely to touch the arm and become contaminated  Adjust each glove so that it fits smoothly.In this position.Procedures Pull on the second glove carefully.  . and carefully pull the cuffs up by sliding the fingers under the cuffs. RATIONALE: . Hold the thumb of the gloved first hand as far as possible from the palm.

If they are soiled with secretions.  .Procedures Remove and dispose of used gloves.  There is no special technique for removing sterile gloves. remove them by turning them inside out.  Document that sterile technique was used in the performance of the procedure.

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