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I Page: of4 I 12198. 1/01,10104 Reviewed: Revised:2/07
To prevent contaminationto the surgical wound and help control infection via aseptic principles. Attention of surgical team to asepticprinciples and standardprecautionshelp ensurethe control of infection and microbial contaminationby skin flora. of Association of Operating Room Nurses (AORN) Standards Care.
I. Gowning and Gloving 1. Gowning: To don the gown, the scrub person: a. b. c. d. Lifts the folded gown directly upward from the sterile package. Stepsback from the table into an unobstnrctedarea; just Carefully locatesthe neckbandand holds the inside front of the gown below the neckbandwith both hands; Lets the gown unfold while keeping the inside of the gown toward the body witf,out touching the sterile exterior of the gown with bare hands then the circulating 6NCifE: IF the gown does not unfold completely, ngrse may assisiby pulling down the unfolded boffom inside the gown); Holds the hands aisloulder level and slips both arms into the armhole simultaneouslY. 2. Gloving: A. Closed Glove Technique-In the closed-glovetechnique,the scrub person's hands remains inside the sleevesand should not touch the cuffs. In the open-glove technique,the scrub person's hands slide all the way through the sleevesout beyond the cuffs. Keeps both hands within the cuffso that the handsdo not touch the cuff edges; b . Graspsthe fotded cuff of the left glove with the right hand; c . Holds the top edge of the cuffin the left hand above the palm; glove d. Placesthe palm of ttt" glove againstthe palm of the left hand-the point uP the forearm; fingers end e- Crlpt itt" Uu"t of the cuff in the right hand and turn it over the open the left glove and of the left sleeveand hand while holding the top of underlying gown sleevewith the coveredright hand; pushing the f. Pulls tire gto"" over the extendedleft finger onto the wrist by the glove until it completely covers the cuff of the glove; hand through g- Gloves the right hand in the samemannerby reversingthe above steps h. lnspectsthe gloves for integrity after denning; and the i. Hands the tie end to the circulator and secures wraparoundglove (when used.) a.
IL SurgicalServices 2 Page: of4 I 12198.the scrub Person: l) Stepsaway from the sterile field.The closed glove techniqueshould not be used when changing one or both glovesbecauseonce the hand hasbeen passedthrough the cuffs.the open-glovetechniqueis used. Opening the towel that the other member will use to dry hislher hands I-ayngthe towel on the team member's hand without touching hislher hands. Open Glove Technique. they are contaminated. To changeone glove during the procedureusing the open-glove technique. b. and pulls the left glove cuff over the sleeve cuff. 2\ extendsthe contaminatedglove awayfrom the sterile field so that the circulator.l/01.the scrub Person: 1) Follows instructions I and 2 above. Holding the gown at the neckbandand carefully unfolding it . b. gowning.University of Illinois at Chicago UIC Medical Center Chicago. rotatesthe arm. and gloving by: a. 4) Inserts the hand into the glove and pulls it on. 2\ Picks up the left glove cuff.keeping the gloved fingers under the folded cuff. 7') Placesthe gloved right-hand fingers under the folded left glove cuff. 3) Pulls the glove onto the left hand and leavesthe glove cuff turned down. 10/04 Reviewed: 2/07 Revised: GOWNINGAND GLOVINGTECHNIQUE B. leaving the cuff turned well down over the hand and avoiding inward rolling of the cuff. Assisting gowning. c. 6) Pulls the right glove cuff over the sleevecuffby rotating the arm. 5) Slides the right hand fingers inside the right glove cuff and pulls the glove onto the right hand while avoiding inward rolling of the cuff. Assisted Gowning and Gloving 1. a. When a glove must be changedwithout assistance during a surgical procedure. II. letting the gloved fingers touch only the outside of the other glove.can remove it. using exam gloves to protect his/her hands. The bare hand doesnot touch the outside of the glove. touching only the edge of the cuff with his or her right thumb and index finger. and 5) Rotatesthe arm and pulls the cuff of the glove up and over the sleevecuff.The scrub perconmay assistanothermember in drying. 4) Picks up the right glove with the gloved left hand. 3) tifts the new sterile glove under the cuffwith the uncontaminated gloved hand. To changeboth gloves during a procedureusing an open-glove technique.
the III. and Discards the rolled gown in the appropriatereceptacle. The circulator can assistby unfasteningthe neck and back closuresof the gown. f. c. Assisted gloving. the hand passes graspsthe shouldersof the gown. 3. Offering the inside of the gown to the other member so he or she can slip his or her handsinto the sleeves.ttjilt1". d. the gown is always removedbefore the gloves to prevent cross contamination of the wearer's scrub attire. or use the open-glove technique. Assisted re-gloving.l5.[iljl"131l^r. 3."Jl. 2. 2. Picks up the glove with his or her fingers under the cuff Holds the palrn of the glove toward the personbeing gloved Stretches cuff to open the glove and holds his or her thumbs out to keep the them from touching the other team member's bare hands As the other person insertshis or her handsinto the glove. 10/04 Revised:2/07 GOWNINGAND GLOVINGTECHNIQUE d.#$*:#**fr is.When a team member other than the scrub nursecontaminatesa I##illn:r*fi *ffi **. g. b. e.University of Illinois at Chicago IIIC Medical Center Chicago. Removing Gown and Gloves At the end of the procedure. The scrub person: a.'s.' :.IL Surgical Services Page:3 of 4 Reviewed: l2l98. The scrub person: l. edge curr would the cause orthe rhis H". f.l l/01. exertsupward firm pressuremaking sure the hand does not go below the waist Unfolds the inverted glove cuff over the cuffof the sleeve of Gloves the left hand with the assistance a team memberby repeating the steps Hold the tie as the other team member turns to securewraparound sterile gown when it is used.and turns the sleevesinside out.and Releasingthe gown when the team members' handsare in the sleeves. Keeping the handson the outside of the gown. folds the contaminatessurfaceof the gown on the inside and rolls it away from the body. pulls it downward from the shoulder and off the elrms. fonning a protective cuff of the neck and shoulderareaas the personbeing gowned holds both anns outstretched. In closed gloving.lf The options for the scrub nurse who needsto changegloves are to: remove both gown and gloves. Ihe closed-glovetechniquecannot be used to reglove.the scrub personalways gloves the other person's right hand first.Hllli.r. have anotherteam member assistin regloving.nff:.To glove anotherteam member. e. .
10104 1 Revised:2/07 GOWNINGAND GLOVINGTECHMQUE As the gown comes ofl it usually turns the cuffs of the gloves down.g. slips the ungloved fingers of the left hand inside the right glove and slips it off inside out.the gown cuffs should be considered contaminatedbecausethe scrubbedhand passedthrough them. The scrub person: l. Professorof Anesthesiology Associate Medical Officer Surgical Services . IV. 2. Once the original gloves are donned. If any part of the sterile attire becomescontaminated. The sleevesfrom two inchesabovethe elbow to the cuff 3. To removesthe gloves the wearer usesa glove-to-glove and then a skin-to-skin technique. The front of the gown from the table level or sterile field to two inchesbelow the neck 2. graspsthe under cuff of the left glove with the gloved fingers on the right and pulls it offinside out.This approachprotects handsfrom the contaminatedglove. discardsthe gloves in the appropriatereceptacle.and Washeshandsand arrnswith soapand water. 3.it must be changed immediately).IL Swgical Services Page: of4 4 Reviewed: 12/98. Removing the gloves after removing the gown preventsthe bare handsfrom contamination that would usually occur from handling the soiled gown. if a glove becomescontaminated.immediate corrective stepsmust be taken (e.University of Illinois at Chicago UIC Medical Center Chicago. The sterile areasare: 1. The surgicalgloves The underarmsare considerednonsterile. l/01. The back of the gown is not consideredsterile even if it is the wraparound sfyle. Maintaining a Sterile Field: The surgical team should take precautionsto avoid contamination and maintain the sterile field. The handsshould be kept above the waist and insight at all times. 4.
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