HANDWASHING,

GOWNING, & GLOVING

SUBMITTED TO : SUBMITTED BY :
MRS. HEMLATA NIKITA DALAL
TUTOR, B.Sc. (H) NURSING 4rth YEAR
COLLEGE OF NURSING, VMMC & SJH 01850306618
 HANDWASHING

 The single most effective way to prevent the spread of

germs/microorganisms which prevent communicable diseases.
 Good hand washing can prevent diseases such as: corona virus,
shigellosis, E.coli, streptococcal disease, influenza and the common cold.
 We can pick-up germs from doorknobs, stair railings or anything that has
been touched by others
 DEFINITION

 Hand washing or hand hygiene is the act of cleaning one’s hands with or
without the use of water or antiseptic liquid, or with the use of soap for the
purpose of removing soil, dirt, and/or microorganisms.
 PURPOSE

 To remove dirt and transient organism from the hands and to reduce total
microbial counts.
 To protect nursing personnel from pathogenic organisms.
 To reduce the risk of cross-infection.
 To reduce the risk of transmission of microorganism to patient.
 INDICATIONS

 Before contact with patients who are susceptible to infection.

 Before and after caring for the patient.
 After touching organic material such as blood, faeces, & body fluid.
 Before performing invasive procedure such as administration of injection,
catheterization, & suctioning.
 Before and after handling wound dressing or touching open wounds
 After handling contaminated equipment.
 Between contacts with different patient in high risk unit.
 ARTICLES REQUIRED

 Kidney tray
 Bowl with antiseptic lotion
 Soap
 Sterile towel
 Nail cutter
 Nail brush
 TYPES OF HANDWASHING

 MEDICAL HANDWASHING-
Hand washing is the act of cleaning hands for the purpose of
removing soil, dirt, & microorganism. The main medical purpose of
washing hands is to cleans the hand of pathogens and chemicals which
can cause harm or disease.
 SURGICAL HANDWASHING-
The purpose of surgical hand scrub is to remove debris and transient
microorganisms from nails, hands, and forearm. Reduce the resident
microbial count to the minimum, and inhibit rapid rebound growth of
microorganisms.
done prior to any surgery or any aseptic or invasive procedure
Steps of medical hand washing
 Steps of surgical hand washing

 Make sure that the nails are short. Remove artificial nails if it is there.
 Remove mail polish if any.
 Inspect your hands for any abrasions, cuts or open lesions
 All type of jewellery should be removed
 Turn on water tap using elbow
 Wet your hands and arms under running lukewarm water and lather with
soap to 5 cm above the elbows use firm circular movements to wash
palms, back of the hands, wrist, forearms and interdigital space for 20-25
seconds
 Hands should be rinsed properly and wash the hands thoroughly under
running water
 Clean under nails of both hands with nail brush
 Scrub nails of each hand with 15 strokes using antimicrobial agent
 Holding the brush perpendicular scrub palm, each side of thumb and
fingers and posterior side of hand with 10 strokes each
 Scrub from wrist to 5 cm above each elbow that is lower arm, upper
forearm and antecubital fossa to marginal area above elbows
 Entire scrub should last for 5-10 min
 Discard brush and rinse hands from fingertips to elbows
 Take care not to touch the tap or sides of the sink during the procedures
 Use a sterile towel to dry one hand moving from fingers to elbow. Dry
from cleanest to least clean area.
 Repeat drying of the other hand using a different towel. use one side to dry
one hand and reverse side for other hand, if only one towel is available
 Discard towel in laundry bag
 Proceed with sterile gowning
 GOWNING
 Clean or disposable gown or plastic
aprons are worn by surgeons during
operation.

 Sterile gown is to be worn by the

each of scrubbed surgical team
members immediately before the
operation which permits the
members to come near or within a
sterile field.
 PURPOSE

 The sterile gown is worn to avoid contamination of the sterile supply.

 The gown can be reusable and also disposable.
 To enhance easy handling of sterile equipments.
 To protect health care personnel from coming in contact with infected
material.
 ARTICLES REQUIRED

 Articles for surgical hand washing

 Sterile cheatle forceps in a container of disinfectant solution
 Sterile drum containing sterile gowns.
 STEPS OF GOWNING

 Pick up the gown in such a manner that each touch only the inside surface
at the neck.
 Open the gown to unfold downward in front of you.
 Find the arm holes
 Place both hands properly in the sleeves
 We should hold our arms out and slightly upwards as you slip your arms
into the sleeves
 The circulatory nurse who is not scrubbed will pull your gown onto you as
you extend your hands through the gown cuffs.
 GLOVING
 Gloving is defined as the donning
of a pair of sterile gloves to protect
one’s hands from pathogenic
microorganisms and to avoid
contamination of a sterile area by
hand.
 PURPOSE

 To protect the nurse from pathogenic microorganisms

 To handle sterile articles without contaminating.
 ARTICLES REQUIRED

 Soap
 Running lukewarm water
 Nail brush in antiseptic lotion
 Towel
 Pair of sterile gloves
 STEPS OF GLOVING
 Wear the right glove with your left hand and slowly push your fingers
gently into the gloves until it properly gets fit over the thumb.
 Make sure that your left hand should only touch the folded part of the
glove so that rest of the glove remain sterile.
 To wear left glove slowly slide your fingertips into the folded cuff of the
left glove see that other area should remain sterile.
 After wearing both the gloves use left hand to hold the folded cuff of the
right glove to cover the wrist part of the gown
 Put your fingers of the gloved right hand under the cuff of the partially
gloved left hand, unfold that cuff over the gown sleeves.
 See that your gloved finger should not touch bare forearm or wrist.
 DOFFING

 REMOVAL OF GLOVES
 Removal of first glove by grasping it on its palmar surface taking care
to avoid touching wrist.
 Pull the first glove completely off by inverting or rolling the glove
inside out and discard it.
 Take fingers of bare hand and tuck inside remaining glove cuff.
 Peel glove off, discard into designated receptacle.
 REMOVAL OF GOWN
 Untie the strings at the back of the gown.
 Remove gown, folding inside out to cover outside of gown
 Dispose gown into designated receptacle
 Wash hands.
 SUMMARY

 In this presentation I had included hand washing – it’s types,

purpose, indications, & steps ;
 gowning – it’s purpose, & steps ;
 gloving – it’s purpose & steps ; &
 doffing of gown and gloves.