Donning and Removing Gloves

1. Donning and Removing Gloves Abed el Fattah M. Yahia

2. Wearing Personal Protective Equipment • uniforms • gowns • masks • gloves • protective eyewear • Hair and Shoe Covers

3. 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

4. 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

5. Gloves • Examination gloves are generally made of latex • Unfortunately some nurses and clients are allergic to latex.

6. Types of gloves • Examination gloves , clean gloves , latex gloves and disposable gloves is the same meaning • Sterile gloves and surgical glovesis the same meaning

7. 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.

8. 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.

9. Creating a Sterile Field • A sterile fieldmeans a work area free of microorganisms

10. 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.

11. 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.

12. 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.

13. 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.

14. 13- Sterile items that are located or lowered below waist level are considered contaminated because they are not within critical view.

15. http://www.youtube.com/watch?v=pAKZ3mdFIj4 • http://www.youtube.com/watch?v=AL0EE8zhNVM