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Action Figure 5b Slide the fingertips of your ungloved hand into the opening of the second glove.

Action Figure 6a Pull the glove onto your hand, again spreading your fingers slightly to help them enter the fingers of the glove.

Action Figure 6b When both gloves are on, adjust the fit.

Procedure guideline 3.8 Donning a sterile gown and gloves: closed technique

Note 1:These procedures will normally require participants to also wear a mask and eye protection.

Note 2: An assistant is required to open sterile gloves and tie the back of the gown.

Essential equipment

Sterile disposable gloves

Sterile disposable or reusable gown

Preprocedure

Action Rationale

1 Prepare the area where gowning and gloving will take place. Open the gown pack with clean hands. Do not touch the inside of the package. To ensure that there is adequate room to don gown and gloves and to avoid contaminating either. E

2 Wash your hands using a surgical scrub technique with either antiseptic hand wash solution or soap. Dry using a separate sterile paper towel for each hand and forearm. If hands have been washed with soap, apply an antiseptic handrub to the hands and forearms. To both disinfect and physically remove matter and micro-organisms from the hands (WHO 2009, C).

Procedure

3 Open the inner layer of the gown pack, if present (see Action Figure 3a, 3b). To allow the gown to be removed. E

4 Grasp the gown on its inside surface just below the neck opening (this should be uppermost if the gown pack has been opened correctly) and lift it up, holding it away from the body and any walls or furniture. The gown should fall open with the inside facing towards you (see Action Figure 4). To open out the gown while keeping its outer surface sterile. E

5 Insert the free hand into the corresponding sleeve of the gown, pulling the gown towards you, until your fingers reach, but do not go beyond, the cuff of the sleeve (see Action Figure 5). To pull on the gown while keeping its outer surface sterile. E

6 Release the inside surface of the gown and insert that hand into the corresponding sleeve, again until your fingers reach, but do not go beyond, the cuff of the sleeve. The assistant should help by pulling on the ties of the gown (see Action Figure 6). To pull on the gown while keeping its outer surface sterile. E

7 The assistant opens a pair of sterile gloves and presents the inner packaging for you to take. Place this on the sterile area of the open gown package so that the fingers of the gloves point towards you (see Action Figure 7). To prepare the gloves for donning while keeping them and the gown sterile. E

8 Open the inner packaging of the gloves. The fingers should be towards you, the thumbs uppermost and the cuffs folded over. Keeping your hands within the sleeves of the gown, slide the thumb of your right hand (still inside the sleeve) between the folded-over cuff and the body of the right glove. Pick up that glove. Grasp the cuff of that glove on the opposite side with the other hand (still inside its sleeve) and unfold it, pulling it over the cuff of the sleeve and the hand inside. Then push your right hand through the cuff of the sleeve into the glove. Repeat the process with the left hand. Once both hands are inside their respective gloves, there is no risk of contaminating the outside of the gloves or gown with your bare hands (see Action Figure 8a, 8b, 8c, 8d, 8e, 8f, 8g). To don the gloves while keeping their outer surface sterile and ensuring that there is no risk of contaminating the outside of the gown. E

9 If you need to change a glove because it is damaged or contaminated, pull the sleeve cuff down over your hand as you do so and don the replacement glove using the technique above. To minimize the risk of contaminating the gown or the sterile field. E

10 Dispose of used gloves and disposable gowns as ‘hazardous infectious waste’, that is, into an orange waste bag, unless instructed otherwise by the infection prevention and control team. All waste contaminated with blood, body fluids,