The Royal Marsden Hospital Manual of Clinical Nursing Procedures - Lisa Dougherty [99]
2 Prepare all the equipment required for the procedure, including setting up the sterile field and tipping sterile items on to it from packets if you do not have an assistant, but do not touch any sterile item before putting on gloves. To avoid contaminating gloves with non-sterile packets. E
Procedure
3 Open the packet containing the gloves and open out the inside packaging on a clean surface so that the fingers of the gloves are pointed away from you, taking care not to touch the gloves or allow them to come into contact with anything that is non-sterile (see Action Figure 3). To prevent contamination of the gloves and to put them in the best position for putting them on. E
4 Hold the cuff of the left-hand glove with your right fingertips, at the uppermost edge where the cuff folds back on itself. Lift this edge away from the opposite edge to create an opening. Keeping them together, slide the fingers of the left hand into the glove, taking care not to contaminate the outside of the glove, while keeping hold of the folded edge in the other hand and pulling the glove onto the hand. Spread the fingers of the left hand slightly to help them enter the fingers of the glove (Action Figure 4a, 4b, 4c). To prevent contamination of the outside of the glove. E
5 Open up the right-hand glove with your left hand fingertips by sliding them beneath the folded-back cuff. Taking care not to touch the left-hand glove or the outside of the right-hand glove, and keeping the fingers together, slide the fingers of the right hand into the right-hand glove. Again, spread your fingers slightly once inside the body of the glove to help them into the glove fingers (see Action Figure 5a, 5b). To prevent contamination of the outside of the glove. E
6 When both gloves are on, adjust the fit by pulling on the body of the glove to get your fingers to the end of the glove fingers (see Action Figure 6a, 6b). To ensure the gloves are comfortable to wear and do not interfere with the procedure. E
Postprocedure
7 Remove the gloves when the procedure is completed, taking care not to contaminate the hands or the environment from the outside of the gloves. The outside of the glove is likely to be contaminated. E
8 First, remove the first glove by firmly holding the outside of the glove wrist and pulling off the glove in such a way as to turn it inside out. Whilst removing the first glove, the second gloved hand continues to be protected. By turning the glove inside out during removal, any contamination is contained inside the glove. E
9 Then remove the second glove by slipping the fingers of the ungloved hand inside the wrist of the glove and pulling it off whilst at the same time turning it inside out. By putting the fingers inside the glove, the fingers will not be in contact with the potentially contaminated outer surface of the glove. E
10 Dispose of used gloves 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, excretions, secretions and infectious agents thought to pose a particular risk should be disposed of as hazardous infectious waste. Orange is the recognized colour for hazardous infectious waste that does not require incineration and may be made safe by alternative treatment (DH 2006a, C).
11 After removing the gloves, decontaminate your hands. Hands may have become contaminated (Pratt et al. 2007, C).
Action Figure 3 Open the packet containing the gloves onto a clean surface and open out the inside packaging so that the fingers of the gloves point away from you.
Action Figure 4a Hold the cuff of the first glove with the opposite hand and slide the fingertips of the other hand (that the glove is to go on) into the opening.
Action Figure 4b Keep hold of the folded edge and pull the glove onto your hand.
Action Figure 4c Spread your fingers slightly to help them enter the fingers of the glove.
Action Figure 5a Slide the fingertips of your gloved hand beneath the