Asepsis Gloving

BASIC GUIDELINES FOR MAINTAINING SURGICAL ASEPSIS
All practitioners involved in the intraoperative phase have a responsibility to provide and
maintain a safe environment. Adherence to aseptic practice is part of this responsibility.
The 8 basic principles of aseptic technique are as follows:
1. All materials in contact with the surgical wound and used within the sterile field must be
sterile. Sterile surfaces or articles may touch other sterile surfaces or articles and remain
sterile; contact with unsterile objects at any point renders a sterile area contaminated.
2. Gowns of the surgical team are considered sterile from the front the chest to the level of
the sterile field. The sleeves are also considered sterile from 2 inches above the elbow to
the stockinette cuff.
3. Sterile drapes are used to create a sterile field. Only the top surface of a draped table is
considered sterile. During draping of a table or patient, the sterile drape is held well above
the surface to be covered and is positioned from front to back.
4. Items should be dispensed to a sterile field by methods that preserve the sterility of the
items and the integrity of the sterile field. After a sterile package is opened, the edges are
considered unsterile. The sterile supplies, including solutions, are delivered to a sterile field
or handed to a scrubbed person in such a way that the sterility of the object or fluid remains
intact.
5. The movements of the surgical team are from sterile to sterile areas and from unsterile to
unsterile areas. Scrubbed persons and sterile items contact only sterile areas; circulating
nurses and unsterile items contact only unsterile areas.
6. Movement around a sterile field must not cause contamination of the field. Sterile areas
must be kept in view during movement around the area. At least a 1-foot distance from the
sterile field must be maintained to prevent inadvertent contamination.
7. Whenever a sterile barrier is breached, the area must be considered contaminated. A tear
or puncture of the drape permitting access to an unsterile surface underneath renders the
area unsterile. Such a drape must be replaced.
8. Every sterile field should be constantly monitored and maintained. Items of doubtful
sterility are considered unsterile. Sterile fields should be prepared as close as possible to
the time of use.
DONNING and REMOVING STERILE GLOVES
(Open Glove Technique)
The sterile gloves provide a barrier between the nurse’s hands and the objects she contacts.
She is able to freely touch objects in a sterile field without fear of contamination. When wearing
sterile gloves, she should always remain conscious of which objects are sterile and which are not.
Equipment:
A pair of sterile prepowdered gloves
Procedure
Action Rationale
To don gloves:
1. Perform thorough hand hygiene / Reduces number of microorganisms residing

scrub hands thoroughly. on surfaces of hands.
2. Remove carefully the outer package Prevents inner glove package from
wrapper by separately peeling apart accidentally opening and touching
the sides. contaminated objects.
3. Grasp inner package and lay it on a Sterile objects held below your waist is
clean flat surface just above waist considered contaminated. Inner surface of your
level. Open the package keeping the glove package is considered sterile.
gloves on the wrappers inside
surface.
4. Identify right and left gloves. Each Proper identification of gloves prevents
glove has a cuff approximately 5 contamination by improper fit. Gloving of
cms. (2 inches) wide. Glove your dominant hand first improves your dexterity.
dominant hand first.
5. With thumb and first two fingers of Inner edge of cuff will lie against your skin and
your non–dominant hand, grasp that is not considered sterile.
edge of cuff of glove for dominant
hand. Touch only inside surface of
glove.
6. Carefully pull glove over your If glove’s outer surface touches your hand or
dominant hand, leaving a cuff and wrist, it is contaminated.
being sure that cuff does not roll up
to your wrist. Be sure that thumb and
fingers are in proper spaces.
7. With your gloved dominant hand, slip Cuff protects your gloved fingers. Sterile
your four fingers underneath second touching sterile prevents glove contamination.
glove’s cuff with the thumb
abducted.
8. Carefully pull second glove over your Contact of gloved hand with exposed hand
non–dominant hand. Do not allow results in contamination.
fingers and thumb of gloved
dominant hand to touch any part of
your exposed non dominant hand.
To remove gloves:
9. Use dominant hand to grasp the Contaminated area does not come in contact
opposite glove near cuff end on the with hands or waist.
outside exposed area. Remove it by
pulling it off, inserting it as it is
pulled, keeping the contaminated
area on the inside. Hold the removed
glove on the remaining glove hand.
10. Slide fingers of ungloved hand

between the remaining glove and
wrist, remove it by pulling it off,
inverting as it is pulled keeping the
contaminated area on the inside and
securing the first glove inside the
second.
Proper disposal reduces risk for infection,

transmission and contamination of othe items.
Handwashing reduces the spread of
microorganism.
11. Discard gloves inside the wrapper
into the appropriate container and
wash hands.
SAN PEDRO COLLEGE

Davao City
PERFORMANCE CHECKLIST
DONNING AND REMOVING STERILE GLOVES
Name:__________________________________ Grade: ___________________
Year and Sec.: _________________ Date : ___________________
Legend: 5 – Excellent; 4 – Very good; 3 – Good; 2 – Fair; 1 – Poor
Rating
5 4 3 2 1
1. Washes hands.
2. Selects appropriate size of gloves.
3. Prepares adequate work area at waist height.
4. Opens wrapper correctly.
5. Places gloves with cuff end toward the body.
6. Grasps first glove touching inside only.
7. Turns to side of sterile field and pulls glove.
8. Lifts second glove by slipping gloved fingers under cuff.
9. Turns to side of sterile field and pulls glove on.
10. Unrolls cuff touching only outside of glove.
11. After use, removes gloves by turning them inside out
without touching outside surface with bare hands.
12. Drops used gloves onto wrapper.
13. Rolls gloves in wrapper and disposes them properly.
14. Maintains body mechanics throughout the
performance of the procedures.
15. Manifests neatness in the performed procedure.
16. Receptive to criticisms.
17. Observes courtesy.
18. Shows calmness while performing the procedure.
19. Uses correct English.
20. Shows mastery of the procedure.
Remarks:
Criteria : I Knowledge (quiz) 30%

II Performance 70%
100%
________________________________ __________________________
Student’s Signature Over Printed Name Date
________________________________ __________________________
Instructor’s Signature Over Printed Name Date

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BASIC GUIDELINES FOR MAINTAINING SURGICAL ASEPSIS

1. Perform thorough hand hygiene / Reduces number of microorganisms residing

10. Slide fingers of ungloved hand

Proper disposal reduces risk for infection,

SAN PEDRO COLLEGE

Criteria : I Knowledge (quiz) 30%

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