open gloving procedure for return demons

NCM 101

1. gloving Donning and removing sterile gloves (open method)

2. Guidelines: Purpose: maintain sterility of equipment and protect a client’s open wound. Sterile gloves may be donned by open or the closed method. Open method – used outside the operating room. Closed method – performed when a sterile is used. Made of latex and vinyl. Latex: more flexible, molds to the wearer’s hand, allows freedom of movement reseals tiny punctures automatically. Tasks demanding flexibility. Tasks that paces stress on the materials. Involve high risks exposure to pathogens.

3. Donning and removing sterile gloves (open method) Purpose: Enables the nurse to handle sterile objects freely./ Prevent client at risk (open wounds) from becoming infected by microorganisms on the nurse’s hands.

4. Materials: Package of sterile gloves.

5. Procedure in Putting on Sterile Gloves Remove rings and wash hands. Rationale: Limits spread of microorganisms. Open the outer glove package, on a clean, dry, flat surface at waist level or higher. Rationale: Properly opening the sterile package of gloves protects them from becoming contaminated. If there is an inner package, open it in the same way, keeping the sterile gloves on the inside surface with cuffs toward you. Rationale: Ensure that the gloves remain sterile and ready to apply.

6. Use one hand to grasp the inside upper surface of the glove’s cuff for the opposite hand. Lift the glove up and clear it of the wrapper. Rationale: Touching the inner surface of the glove with your clean hand allows the outer surface to remain sterile. Insert the opposite hand into glove, placing the thumb and fingers in the proper openings. Pull the glove into place, touching only the inside of the glove at the cuff. Rationale: Attempts to unfold the glove cuff may result in contamination.

7. Slip the fingers of the sterile gloved hand under (inside) the cuff of the remaining glove while keeping the thumb pointed outward. Rationale: The sterile fingers touched only the outside of the second sterile gloves. This maintains sterility. Lift the glove up and clear it of the wrapper. The cuff protects the sterile gloved fingers as the ungloved hand is inserted into the other glove. Holding the thumb outward keeps it out of way and prevents it from touching the sterile area.

8. Insert the ungloved hand into the glove. Pull the second glove on, touching only the outside of the sterile glove with the other sterile gloved hand and keeping the fingers inside the cuff. Adjust gloves and snap cuffs into place. Avoid touching the inside glove and wrist areas. Rationale: Gloves remain sterile when touching other sterile areas. Keep the sterile gloved hands above waist level. Make sure not to touch the clothes. Keep hands folded when not performed a procedure. Rationale: Holding the hands above waist level keep them within sight. Keeping the sterile gloved hands folded when not performing a procedure helps to maintain control. Both actions help to prevent accidental contamination.

9. Procedure in Removal of Gloves Remove first glove by grasping it on its palmar surface just below the cuff, taking care not to touch only glove to glove. Pull the first glove completely off by inverting or rolling the glove inside out. Continue to hold the inverted glove by the fingers of the gloved hand. Place the two fingers of the bare hand inside the cuff of the gloved hand Pull the glove off to its fingers by turning it inside out. Using the bare hand, continue to remove the gloves, which are inside out and dispose them in the container

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