DONNING AND REMOVING GLOVES

I. DEFINITION

Gloves - sterile or clean filled coverings of hands, with separate sheath of each finger and thumb.
Sterile gloves are worn when there is contact with sterile instruments or patients sterile part.
Clean gloves are worn to protect the health care provider from urine, stool, blood, saliva, and
drainage from wound and lesions, and protect patient from health personnel who may have cuts.

I. RATIONALE

1. To provide a protective barrier and prevent gross contamination of the hands of the health care
provider.

2. To reduce the transmission of microorganisms to patients.

II. EQUIPMENT

Sterile gloves, a working space and a table/tray

III. PLANNING AND IMPLEMENTATION

Special Considerations:
a. Wearing gloves does not replace the need for hand hygiene, because the gloves may have
small defects or maybe torn during use, and hands can be contaminated from these leaks.

b. Gloves also must be changed between procedures on the same patient.

c. Examination gloves must not be worn outside the patient’s room except for certain
procedures.

d. Once sterile glove is worn, its sterility is maintained throughout the entire procedure.

e. Be aware of what glove to wear, the size, sterile or clean.

f. Replace the gloves that are torn, cut or punctured during the procedure.

g. Some gloves that are made from latex may cause allergy.

h. Before performing or assisting a certain procedure that requires gloving, you must know the
procedure to be performed first and the reason for it.

ACTION RATIONALE
1. Hand hygiene. To reduce transmission of microorganisms.

2. Set up a sterile field.

To check sterility and safety to use.

3. Inspect the package of gloves giving

attention to its expiration date, if it is dry
and free from any tear, puncture, holes
and watermarks. To make sure one has enough space.

To facilitate easy opening of the package.

4. Arrange a work surface.

To maintain asepsis.
5. Open the package, grasp the flaps and
gently peel them back.

6. Remove the inner package and place it in

the work surface. To facilitate easy donning of the gloves while
applying smoothly the sterile technique.

7. Read the manufacturer’s instructions to

the inner package.
8. Arrange the inner package for left, right,
up, and down. The cuffs are near you and
the fingers are pointing away.
To follow the principles of sterility. Edges of
anything that contains sterile articles are
considered unsterile.
To ensure that the inside of the package
including the gloves are sterile.

9. Grasp the folded edges of the inner

To ensure that sterile technique is being
package using index finger and thumb of
followed.
each hand.

To be reminded not to use your ungloved hand

10. Fold back the inner package to expose the
to straighten the gloves. Do not let the outside
gloves. Do not touch or otherwise of the glove touch any non-sterile surface.
contaminate the inside of the package or
the gloves.

11. Note that each glove has a cuff about 2 –

3 inches wide.
 12. Put on the right glove if you are right- The gloves on hand should be smooth and feel
handed. Put on the left glove if you are comfortable.
left-handed.

• Pick up the glove with your other

hand. Use your thumb, index and
To follow aseptic principles. A glove to glove
middle finger.
technique, wherein both outside surfaces of the
• Touch only the cuff and the inside of glove will only touch each other to prevent
the glove. contaminating the hands of soiled gloves.
• Turn the hand to be gloved, palm side
up.
• Lift the cuff up. Slide your fingers and
hand into the glove.
• Pull the glove up over your hand. If
some fingers get stuck, leave them
that way until the other glove is on.
• Leave the cuff toward down.

13. Put on the other glove. Your gloved hand

cannot touch the cuff or any surface. Hold
the thumb of your first gloved hand away
from your gloved palm.
To prevent contaminating hands with soiled
gloves.
14. Adjust each glove with the other hand.
To prevent spread of microorganisms in case the
hands are contaminated.
15. Slide your fingers under the cuffs to pull
them up.

16. Touch only sterile items until the

procedure is over.

On Removing the Gloves:

1. Make sure that glove touches only glove.

2. Grasp a glove just below the cuff. Grasp it

 on the outside part.

3. Pull the glove down over your hand, so it

is inside out.

4. Hold the removed glove with your other

gloved hand.

5. Reach inside the other glove. Use the first

two fingers of the ungloved hand.

6. Pull the glove down (inside out) over your

and the other glove.

7. Discard the gloves. Follow agency policy.

8. Decontaminate your hands.

IV. EVALUATION AND DOCUMENTATION

1. Principle of aseptic technique in opening and wearing a sterile glove is applied and practiced.

2. Sterility of the gloves is maintained throughout the procedure.

3. Contamination of a hand is prevented while removing a soiled glove.

 Desired Actual Comments
Donning Sterile Gloves (Open Method)
Score Score
1. Thoroughly washed the hands. 2
2. Placed the unopened package of gloves on a clean and 1
dry surface.
3. Opened the outside paper covering the sterile gloves by 2
grasping the tabs on top of the package and peeling the
paper open.
4. Opened the inner package by touching only the bottom 2
of the package.
5. With the thumb & finger of the non-dominant hand, 2
grasped the cuffed portion of the glove opposite the non-
dominant hand and lifted it while holding the fingers
down.
6. Slid the glove into the dominant hand, taking care not 2
to touch any portion of the glove except the glove portion.
7. Using the gloved hand, slid the fingers under the cuffed 2
portion of the other glove.
8. Slid the second glove on the hand without touching the 2
skin.
9. Turned the cuff of the second glove over the wrist 2
without touching the inside of the cuff.
10. Turned the cuff up on the other hand, taking care not 2
to touch the inside of the cuff.
Removing the Soiled Gloves
1. Grasped the outside lower portion of one glove & 2
pulled it off, inside out.
2. Slid the fingers under the other gloved hand & removed 2
the glove inside out.
3. Disposed the gloves properly and washed hands. 1
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