GLOVING In Healthcare Setting
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GLOVINGIn Healthcare Setting
3 Kinds of Gloves Used in Healthcare Setting:
Surgical Gloves / Sterile GlovesSingle Use Examination GlovesUtility or Heavy Duty Household Gloves
Sterile Gloves Single Use Clean Gloves
Surgical Gloves/ Sterile Gloves
Used when there be contact with the bloodstream or tissue under the skin
( surgical procedures or implants, pelvic exams for women in labor, minor / major surgery.
These gloves are the most expensive kind.
Use them only when necessary
Single Use Examination GlovesUsed when there will be contact
with intact mucous membrane ( IV insertion, pelvic examination etc.) or where the primary purpose is to reduce the risk that the provider will be expose to blood or other body fluids ( when drawing blood).
Usually made of latex or vinyl and are supplied in box or individual pack.
These gloves are clean but not sterile.
Utility or Heavy Duty Household Gloves
Used for handling contaminated instruments and soiled linen.
Used for medical or chemical wasteUsed for performing housekeeping
activitiesThese gloves are reusable after
nosing and washing.
Purpose1. To prevent patients with impaired
resistance from becoming infected.2. To prevent microorganisms from
entering the wound.3. To provide sterile working field for
dressing changes.4. To protect members of the health
team.
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ASSESSMENT:
Assess the situation to determine the necessity for sterile gloves.
Check the patient’s chart for possible latex allergy.
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NURSING DIAGNOSIS:DETERMINE THE RELATED FACTORS FOR
THE NURSING DIAGNOSES BASED ON THE PATIENT’S CURRENT STATUS.
Risk for InfectionIneffective ProtectionRisk for Latex Allergy Response
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PROCEDURE:Putting on Sterile Gloves and Removing Soiled Gloves:
ACTION RATIONALE
1. Identify the patient and explain the procedure
It ensures the right patient receives the intervention. An explanation encourages patient cooperation and reduces apprehension.
2. Perform Hand hygiene Hand hygiene deters the spread of microorganisms.
3. Check the sterile package is dry and unopened. Also note for the expiration date.
Moisture contaminates a sterile package. Expiration date indicates period that package remains sterile.
4. Place sterile glove package on clean, dry surface or at above your waist.
Moisture could contaminate the sterile gloves. Any sterile object held below the waist is considered contaminated.
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ACTION RATIONALE
5. Open the outside wrapper by peeling the top layer back. Remove inner package, handling only the outside of it.
This maintains the sterility of gloves in inner packet.
6. Place the inner package on the work surface with the labeled “cuff end” closest to the body.
It allows for ease of gloves application.
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ACTION RATIONALE
7. Carefully open the inner package. Fold open the top flap, then the bottom and sides. Take care not to touch the inner surface of the package or the gloves.
The inner surface of the package is considered sterile. The outer 1 inch of border in the inner package is considered contaminated. The sterile gloves are exposed with the cuff end close.st to the nurse
8. With the thumb and forefinger of the non-dominant hand, grasp the folded cuff of the glove for dominant hand, touching only the exposed inside of the glove.
Unsterile hand touches only inside of glove. Outside remains sterile.
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ACTION RATIONALE
9. Keeping the hands above the waistline, lift and hold the glove up and off the inner package with fingers down. Be careful it does not touch any unsterile object.
Glove is contaminated if it touches unsterile object.
10. Carefully insert dominant hand palm into glove and pull glove on. Leave the cuff folded until the opposite hand is gloved.
Attempting to turn upward with unsterile hand may result in contamination
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ACTION RATIONALE
11. Hold the thumb of the gloved hand outward. Place the fingers of the gloved hand inside the cuff of the remaining glove. Lift it from the wrapper, taking care not to touch anything with the gloves or hands.
Thumb is less likely to become contaminated if held outward. Sterile surface touching sterile surface prevents contamination.
12. Carefully insert non-dominant hand into glove. Pull the glove on, taking care that the skin does not touch any of the outer surfaces of the gloves.
Sterile surface touching sterile surface prevents contamination
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ACTION RATIONALE
13. Slide the fingers of one hand under the cuff of the other and fully extend the cuff down the arm, touching only the sterile outside of the glove. Repeat for the remaining hand
Sterile surface touching sterile surface prevents contamination
14. Adjust gloves on both hands if necessary, touching only sterile areas with other sterile areas.
Sterile surface touching sterile surface prevents contamination
15. Continue with procedure as indicated.
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PROCEDURE: Removing Soiled Gloves:
ACTION RATIONALE
16. Use dominant hand to grasp the opposite glove near cuff end on the outside exposed area. Remove it by pulling it off, inverting it as it is pulled, keeping the contaminated area on the inside. Hold the removed glove in the remaining gloved hand.
Contaminated area does not come in contact with hands or wrists.
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ACTION RATIONALE
17. Slide fingers of ungloved hand between the remaining glove and the wrist. Take care to avoid touching the outer surface of the glove. Remove it by pulling it off, inverting it as it pulled, keeping the contaminated area on the inside, and securing the first glove inside the second.
Contaminated area does not come in contact with hands or wrists.
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ACTION RATIONALE
18 . Discard gloves in appropriate container and perform hand hygiene
Prevents transmission of microorganism. Hand hygiene deters the spread of microorganism..
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STEP 1:
PULLING TOP LAYER OF OUTSIDE WRAPPER BACK.
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STEP 2:
FOLDING BACK SIDE FLAPS
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STEP 3:
GRASPING CUFF OF GLOVE FOR DOMINANT HAND
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STEP 4:
LIFTING GLOVE FROM PACKAGE
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STEP 5:
INSERTING DOMINANT HAND INTO GLOVE
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STEP 6:
SLIDING FINGERS UNDER CUFF OF GLOVE FOR NON-DOMINANT HAND
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STEP 7:
ADJUSTING GLOVES AS NECESSARY
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REMOVING SOILED GLOVES
INVERTING GLOVE AS IT IS REMOVED.
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REMOVING SOILED GLOVES
SLIDING FINGERS OF UNGLOVED HAND INSIDE REMAINING GLOVE.
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DISPOSED PROPERLY
laivivar 2010
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THE END
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