GLOVING(Open Method)

GLOVESIs 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 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 compositionNITRILE 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 compositionLATEX 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 DONTs 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 DONTs 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 DONTs 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. Dont use oil-based hand lotions or creams, because they will damage latex rubber gloves.

SOME DOs and DONTs About GLOVES

Dont hand lotions and moisturizers that are very fragrant (perfumed) as they irritate the skin. Dont 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)

ProceduresAssess 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

ProceduresEnsure 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

ProcedureWash hands and observe other appropriate infection control procedures. RATIONALE: - Deters spread of microorganisms

Provide for client privacy. RATIONALE: - Ensures cooperation

ProceduresOpen package of sterile gloves. Place the package of gloves on a clean dry place. RATIONALE: - Any moisture on the surface could contaminate the gloves

ProceduresIf 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.

ProceduresOpen the package according to the manufacturers 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.

ProceduresPut 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

ProceduresIf 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.

ProceduresPut 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.

ProceduresPull 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.

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