Definition
Gloving is defined as the donning of a pair of sterile gloves to protect one’s own hands from pathogenic microorganisms and to avoid contamination of a sterile area by hand.
Purpose
- To protect the nurse from pathogenic microorganism
- To handle sterile articles without contaminating
Articles required
- Soap or antiseptic detergent.
- Running warm water.
- Nail Bruch in antiseptic lotion.
- Towel.
- Mask
- A pair of sterile surgical gloves.
Procedure (donning of gloves)
| Nursing action | Rationale | |
| 1 | Before procedure Perform through surgical hand and dry hands using sterile towel. | Hand washing deters the spread of microorganisms. Gloves are easier to don when hands are dry. |
| 2 | During procedure The circulating nurse removes the outer glove package by care full separating and peeling apart the side. Scrubbed nurses pull out the inner glove pack taking care not touch the outer one. | Prevents inner glove package from accidentally opening and touching contaminated objects. |
| 3 | Grasp inner package and lay it on clean, flat surface just above waist level. Open package, keeping gloves n wrapper’s inside surface | Sterile object held below waist is contaminated. Inner surface of glove package is sterile |
| 4 | If gloves are not pre powered, take packet of powder and apply lightly to hands over sink or waste basket | |
| 5 | Identify right and left glove. Each glove has a cuff of approximately 5 cm (2 inches) wide. Glove dominant hand first. | Proper identification of gloves prevents contamination by improper fit. gloving dominant hand first improves dexterity. |
| 6 | With thumb and first two fingers of nondominant hand, grasp edge of cuff of glove of dominant hand. Touch only the inside surface of gloves. | Inner edge of cuff will lie against skin and thus it is not sterile. |
| 7 | Carefully pull glove over dominant hand making sure the thumb and fingers fit into the proper space of the glove. | Prevents tearing the glove material, guiding the fingers into proper place facilitates gloving. |
| 8 | Slip in the fingers of the gloved dominant hand abducted back to avoid touching of exposed non gloved hand. | If glove’s outer surface touches hand/wrist, then it is contaminated. Cuff protects gloved fingers maintaining sterility. |
| 9 | Carefully slip the glove onto your non dominant hand making sure that the fingers slip into the proper spaces. | |
| 10 | Ater procedure With gloved hands, interlock fingers to fit the gloves onto each finger. | Promotes proper fit over the fingers |
| 11 | After the donning of complete surgical attire ensure that the gloved hands are maintained in a position above the waist level keeping in mind the zones of sterile field. |
Removal of glove
| 1 | Remove the first glove by grasping it on its palmar surface taking care to avoid touching wrist. | This keeps the soiled parts of the used glove from touching the skin of the wrist/hand. |
| 2 | Pull the first glove completely off from the dominant hand by inverting or rolling the glove inside out. | Outside of glove does not touch skin surface. |
| 3 | Hold the pulled-out gloves of the dominant hand in the gloved nondominant hand. | |
| 4 | Insert fingers of bare hand on the inside of the cuff surface touching the wrist. Peel glove off, inside out. | |
| 5 | Discard both in the receptacle and wash hands. |
REFERENCES
- Annamma Jacob, Rekha, Jhadav Sonali Tarachand: Clinical Nursing Procedures: The Art of Nursing Practice, 5th Edition, March 2023, Jaypee Publishers, ISBN-13: 978-9356961845 ISBN-10: 9356961840
- Omayalachi CON, Manual of Nursing Procedures and Practice, Vol 1, 3 Edition 2023, Published by Wolters Kluwer’s, ISBN: 978-9393553294
- Sandra Nettina, Lippincott Manual of Nursing Practice, 11th Edition, January 2019, Published by Wolters Kluwers, ISBN-13:978-9388313285
- Adrianne Dill Linton, Medical-Surgical Nursing, 8th Edition, 2023, Elsevier Publications, ISBN: 978-0323826716
- Donna Ignatavicius, Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care, 11th Edition ,2024, Elsevier Publications, ISBN: 978-0323878265
- Lewis’s Medical-Surgical Nursing, 12th Edition,2024, Elsevier Publications, ISBN: 978-0323789615
- AACN Essentials of Critical Care Nursing, 5th Ed. Sarah. Delgado, 2023, Published by American Association of Critical-Care Nurses ISBN: 978-1264269884
- Ernstmeyer K, Christman E, editors. Nursing Fundamentals [Internet]. 2nd edition. Eau Claire (WI): Chippewa Valley Technical College; 2024. PART IV, NURSING PROCESS. Available from: https://www.ncbi.nlm.nih.gov/books/NBK610818/
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