Gloving

OUTLINES:
 Definition of gloving.
 Indications of sterile gloving.
 Types of gloves.
 Preparation.
 Assessment.
 Equipment.
 Procedure of wearing gloves.
 Reference.
Definition of gloving:
Sterile gloves protect the nurse from contact with blood and body fluids.
Indication of wearing gloves:
 To enable the nurse to handle or touch sterile objects freely without
contaminating them.
 To prevent transmission of potentially infective organisms from the nurse’s
hands to clients at high risk for infection.
Types of gloves:
 Nitrile gloves are more flexible than vinyl, mold to the wearer’s hands, and
allow freedom of movement. Wear nitrile gloves when performing tasks:
(a) that demand flexibility, (b) that place stress on the material (e.g., turning
stopcocks, handling sharp instruments or tape), and (c) that involve a high risk
of exposure to pathogens.
 Vinyl gloves should be chosen for tasks unlikely to stress the glove material,
requiring minimal precision, and with minimal risk of exposure to pathogens
Preparation:
 Check that the sterile glove package: Is dry and unopened.
 note expiration date, making sure that the date is still valid.
 Make sure that surface to place sterile glove package:
 on clean, dry surface, at or above your waist.
ASSESSMENT:
 Review the client’s record and orders to determine exactly what procedure will
be performed that requires sterile gloves.
 Check the client record and ask about latex allergies. Use nonlatex gloves
whenever possible.
Equipment
 Package of proper-size sterile gloves, latex or synthetic nonlatex (Note:
Hypoallergenic, low-powder, and low-protein latex gloves may still contain
enough latex protein to cause an allergic reaction.

procedure rational
Pre-procedure rational
Introduce self and verify the client’s To prevent wasting time, To reduce
identity using agency protocol. Explain patient, family members, and visitors
to the client what you are going to do, fears and anxiety.
why it is necessary.
Perform hand hygiene. Reduces transmission of
microorganisms.
procedure rational
Open the package of sterile gloves. Any moisture on the surface could
• Place inner wrapper onto a clean, dry contaminate the gloves.
surface.

Identify right and left hand; glove Dominant hand should facilitate
dominant hand first. motor dexterity during gloving
Put the first glove on the dominant Maintains sterility of the outer
hand. surfaces of the sterile glove.
• If the gloves are packaged so that they
lie side by side, grasp the glove for the
dominant hand by its folded cuff edge
(on the palmar side) with the thumb and
first finger of the nondominant hand.
Touch only the inside of the cuff.
Insert the dominant hand into the glove If the thumb is kept against the palm,
and pull the glove on. Keep the thumb it is less likely to contaminate the
of the inserted hand against the palm of outside of the glove.
the hand during insertion.
Leave the cuff in place once the Attempting to further unfold the cuff
unsterile hand releases the glove. is likely to contaminate the glove.
Put the second glove on the Maintains sterility of the outer
nondominant hand. surfaces of the sterile glove.
• Pick up the other glove with the sterile
gloved hand, inserting the gloved
fingers under the cuff and holding the
gloved thumb close to the gloved palm.
Pull on the second glove carefully. Hold In this position, the thumb is less
the thumb of the gloved first hand as far likely to touch the arm and become
as possible from the palm. contaminated.
Adjust each glove so that it fits Extend the sterile area.
smoothly, and carefully pull the cuffs up
by sliding the fingers under the cuffs.
Remove and dispose of used gloves. This action contains the reservoir of
• There is no technique for removing microorganism.
sterile gloves that is different from
removing unsterile gloves. If they are
soiled with secretions, remove them by
turning them inside out.
Remove the first glove by grasping it on This keeps the soiled parts of the used
its palmar surface, taking care to touch gloves from touching the skin of the
only glove to glove. wrist or hand.
Pull the first glove completely off by This keeps the soiled parts of the used
inverting or rolling the glove inside out. gloves from touching the skin of the
wrist or hand.
Continue to hold the inverted removed Touching the outside of the second
glove by the fingers of the remaining soiled glove with the bare hand is
gloved hand. Place the first two fingers avoided.
of the bare hand inside the cuff of the
second glove.
Pull the second glove off to the fingers The soiled part of the glove is folded
by turning it inside out. This pulls the to the inside to reduce the chance of
first glove inside the second glove. transferring any microorganisms by
direct contact.
Post-procedure rational
Perform hand hygiene. Reduces transmission of
microorganisms.
Document that sterile technique was To provide baseline data.
used in the performance of the
procedure.
 procedure rational
Pre-procedure rational
Introduce self and verify the client’s To prevent wasting time, To reduce
identity using agency protocol. Explain patient, family members, and visitors
to the client what you are going to do, fears and anxiety.
why it is necessary.
Perform hand hygiene. Reduces transmission of
microorganisms.
procedure rational
Select the appropriate size of non-sterile Reduces transmission of
gloves. Remove gloves one at a time out microorganisms.
of the box, touching only the top of the
cuff.
 Put hand through opening and pull up to Apply first glove
the wrist.
Repeat procedure with the second hand.
Adjust gloves to cover wrists or gown Prevents the contamination of the
as required. wrists.
Grasp glove on the outside about 1/2 Prevent contamination of the hand.
inch below the cuff (edge of the glove
opening). Do not touch the wrist with
the other hand.
Pull down glove, turning it inside out. Prevent contamination of the hand.
Hold the inside-out glove in the gloved
hand.
Gather the inside-out glove in the This step reduces the spread of
gloved hand. microorganisms.
Insert finger of the bare hand under the This keeps the soiled parts of the used
cuff of the gloved hand. gloves from touching the skin of the
wrist or hand.
Pull down the glove until it is inside out, Touching the outside of the second
drawing it over the first glove. soiled glove with the bare hand is
avoided.
Discard gloves in a garbage container. This step reduces the spread of
microorganisms.

Post-procedure rational
Perform hand hygiene. Reduces transmission of
microorganisms.

Steps of applying clean gloves:

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Reference:
Audrey, B., Geralyn, F. and Snyder Shirlee Berman (2021). kozier and erb’s
fundamentals of nursing, eBook, global edition. upper saddle river: pearson.
Taylor, Carol. Skill Checklists for Fundamentals of Nursing : the art and
science of nursing Care, Seventh Edition. Philadelphia, pa. ; london, lippincott
williams & wilkins, 2011.
Perry Anne Griffin , Potter A. Patricia and Wendy, O. (2014). clinical nrsing
skills & techniques. st. louis, mo.: mosby/elsevier.