Donning and Removing Gloves

Abed el Fattah M. Yahia

Wearing Personal Protective Equipment

• uniforms • gowns• masks

• gloves • protective eyewear• Hair and Shoe Covers

Gloves

Why nurses must wear gloves ?

Nurses wear gloves in the following circumstances:

1- As a barrier to prevent direct hand contact with blood, body fluids, secretions, excretions, mucous membranes, and non-intact skin

2- As a barrier to protect clients from microorganisms transmitted from nursing personnel when performing procedures

3- When there is a potential transfer of microorganisms from one client or object to another client during subsequent nursing care

Gloves

• Examination gloves are generally made of latex

• Unfortunately some nurses and clients are allergic to latex.

Types of gloves

• Examination gloves , clean gloves , latex gloves and disposable gloves is the same meaning

• Sterile gloves and surgical gloves is the same meaning

Clean gloves

• should be worn when hand contact with blood or potentially contaminated substances is possible.

• This includes handling dirty equipment and during procedures where hands may become contaminated.

• In these instances non-sterile procedure gloves are normally used.

Sterile gloves

• Gloves should also be worn during invasive or sterile procedures including surgical procedures and aseptic pharmaceutical preparation.

• In these instances sterile surgeon or sterile examination gloves are normally used.

Creating a Sterile Field

• A sterile field means a work area free of microorganisms

Principles of Sterile Field

1- They preserve sterility by touching one sterile item with another that is sterile.

2- Once a sterile item touches something that is not, it is considered contaminated.

3- Any partially unwrapped sterile package is considered contaminated.

4- If there is a question about the sterility of an item, it is considered unsterile.

5- The longer the time since sterilization, the more likely it is that the item is no longer sterile.

6- A commercially packaged sterile item is not considered sterile past its recommended expiration date.

7- Once a sterile item is opened or uncovered, it is only a matter of time before it becomes contaminated.

8- The outer 1-inch margin of a sterile area is considered a zone of contamination.

9- sterile wrapper, if it becomes wet, wicks microorganisms from its supporting surface, causing contamination.

10- Any opened sterile item or sterile area is considered contaminated if it is left unattended.

11- Coughing, sneezing, or excessive talking over a sterile field causes contamination.

12- Reaching across an area that contains sterile equipment has a high potential for causing contamination and is therefore avoided.

13- Sterile items that are located or lowered below waist level are considered contaminated because they are not within critical view.

• http://www.youtube.com/watch?v=pAKZ3mdFIj4

• http://www.youtube.com/watch?v=AL0EE8zhNVM