GLOVING (Open Method)
GLOVES
Is a type of garment which covers the hand.
Have separate sheaths or openings for each finger and the thumb.
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.
WHAT TO DO WHEN SUPPLIES OF GLOVES ARE LIMITED
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They are reprocessed or reused if they are: Decontaminated by soaking in 0.5% chlorine solution for 10 minutes. Washed and rinsed. 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.
TYPES OF GLOVES according to use
UTILITY GLOVES - for processing instruments, equipment and other items; for handling and disposing of contaminated waste; and when cleaning contaminated surfaces.
TYPES OF GLOVES according to composition
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VINYL GLOVES
Made of polyvinyl chloride (PVC) Are latex-free Least expensive of the three types Limited elasticity
TYPES OF GLOVES according to composition NITRILE GLOVES manufactured using synthetic latex, contain no latex proteins, and are three times more puncture resistant than natural rubber. - preferred choice for staff with latex allergy
TYPES OF GLOVES according to composition
LATEX GLOVES manufactured using a milky fluid derived from the rubber tree, Hevea brasiliensis.
- Provide the best protection.
WHAT IS LATEX ALLERGY?
Natural rubber latex comes from a liquid in tropical rubber trees and then processed. The protein in rubber can cause an allergic reaction in some people. This reaction can range from sneezing to anaphylactic shock, which is a serious condition that requires immediate medical attention.
WHAT ARE THE SYMPTOMS OF LATEX ALLERGY?
Itchy, red, watery eyes
Sneezing or runny nose
Coughing
Rash
Chest tightness
Shortness of breath
- Changing to non-latex gloves, using glove liners, and paying more attention to hand care can help relieve these symptoms.
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
ACCIDENTAL CONTAMINATION OF STERILE GLOVES
Tearing or puncturing the glove. Touching any non sterile object with the glove. Touching the outside of a glove with an ungloved hand.
SOME DOs and DON’Ts About
GLOVES
Do wash hands or use an antiseptic hand rub before putting on gloves and after removing them. Do wear the correct size glove, particularly surgical gloves. 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 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.
SOME DOs and DON’Ts About
GLOVES
Do use water-soluble (nonfat-containing) hand lotions and moisturizers often to prevent hands from drying , cracking, and chapping due to frequent hand washing and gloving. Don’t use oil-based hand lotions or creams, because they will damage latex rubber gloves.
SOME DOs and DON’Ts About
GLOVES hand lotions and moisturizers that are very fragrant (perfumed) as they irritate the skin.
Don’t
Don’t
store gloves in areas where there are extremes in temperature. These conditions may damage the gloves, thus reducing their effectiveness.
DOONING AND REMOVING STERILE GLOVES (Open Method)
Procedures
Assess client for latex allergy.
RATIONALE: -
To protect the patient and to know the need for latex-free gloves Assemble equipments and supplies.
RATIONALE: - To save time and effort
Procedures Ensure sterility of the package of gloves. RATIONALE: - To protect the patient and yourself (healthcare provider); check expiration date.
Explain to the client what you are going to do. RATIONALE: - Gain cooperation
Procedure Wash hands and observe other appropriate infection control procedures. RATIONALE: - Deters spread of microorganisms
Provide for client privacy. RATIONALE: - Ensures cooperation
Procedures
Open package of sterile gloves.
Place the package of gloves on a clean dry place.
RATIONALE: -
Any moisture on the surface could contaminate the gloves
Procedures
If the gloves are packed in both inner and an outer package, open the outer package without contaminating the gloves or the inner package. Remove the inner package from the outer package.
Procedures
Open the package according to the manufacturer’s direction. If no tabs are
provided, pluck the flap so that the fingers do not touch the inner surfaces. RATIONALE: - The inner surfaces, which are next to the sterile gloves will remain sterile.
Procedures
Put the glove on the dominant hand.
If the gloves are packaged so that they lie side by side, 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. Touch only the inside of the cuff; or
RATIONALE
- The hands are not sterile. By touching the inside of the glove, the nurse avoids contaminating the outside
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. Insert the dominant hand into the glove and pull the glove on. Keep the thumb of the inserted hand against the palm of the hand during insertion.
RATIONALE: -
If the thumb is kept against the palm, it is less likely to contaminate the outside of the glove Leave the cuff turned down.
Procedures Put the second glove on the non dominant hand. Pick up the other glove with the sterile glove-gloved hand, inserting the gloved fingers under the cuff and holding the gloved thumb close to the gloved palm. RATIONALE: - This helps prevent accidental contamination of the glove by the bare hand.
Procedures Pull on the second glove carefully. Hold the thumb of the gloved first hand as far as possible from the palm. RATIONALE: - In this position, the thumb is less likely to touch the arm and become contaminated Adjust each glove so that it fits smoothly, and carefully pull the cuffs up by sliding the fingers under the cuffs.
