Closed Gloving

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CLOSED GLOVING

Instruction: Check under Correctly Done if identified skill is correctly performed; Incorrectly Done if skill
is not performed correctly; and Not Done if the student failed to perform the skill.

PROCEDURE CORRECTLY INCORRECTLY NOT DONE


DONE DONE
Donning a sterile gown:
1. Open the package of sterile gloves. Remove
the outer wrap from the sterile gloves and leave
the gloves in their inner sterile wrap on the
sterile field.
2. Unwrap the sterile gown pack.
3. Perform hand scrubbing.
4. Put on the sterile gown by grasping the
crease near the neck, hold it away from you,
and permit it to unfold freely without touching
anything, including the uniform.
5. Insert the hands inside the shoulders of the
gown down the sleeves to the beginning of the
cuffs without touching the outside of the gown.
6. Have a co-worker grab the neck ties without
touching the outside of the gown and pull the
gown upward to cover the neckline in front and
back
Close gloving:
7. Putting of glove on the non-dominant hand:
With the dominant hand, pick up the opposite
glove with the thumb and index finger, handling
it through the sleeve.
8. Position the dominant hand palm upward
inside the sleeve. Lay the glove on the opposite
gown cuff, thumb side down, with the glove
opening pointed toward the fingers.
9. Use the nondominant hand to grasp the cuff
of the glove through the gown cuff, and firmly
anchor it.
10. With the dominant hand working through
the sleeve, grasp the upper side of the glove’s
cuff, and stretch it over the cuff of the gown.
11. Pull the sleeve up to draw the cuff over the
wrist as you extend the fingers of the non-
dominant hand into the glove’s fingers
12. Put the glove on the dominant hand.
Placed the fingers of the gloved hand under the
cuff of the remaining glove.
13. Place the glove over the cuff of the second
sleeve.
14. Extend the fingers into the glove as you pull
the glove up over the cuff.
15. Complete gowning as follows:
Have a co-worker hold the waist tie of your
gown, using sterile gloves or sterile forceps.
16. Make a three-quarter turn, then take the tie
then secure it in front of the gown.
17. Have a co-worker take the two ties at each
side of the gown and tie them at the back of the
gown, making sure that your uniform is
completely covered.
18. After the procedure (surgery) remove and
dispose used gloves according to agency policy.
Remove gown by turning it inside out.
19.Perform hand hygiene.

Comment: _____________________________________________________________

Score: _________

Name of Student: Date Performed:


(Signature Over Printed Name)

Evaluated by: Date of Evaluation: ____


(Signature Over Printed Name)

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