STERILE GLOVING – Nursing is a profession within the healthcare sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other healthcare providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialisms with differing levels of prescriber authority.
Many nurses provide care within the ordering scope of physicians, and this traditional role has shaped the public image of nurses as care providers. However, nurses are permitted by most jurisdictions to practice independently in a variety of settings depending on training level. In the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing.
Nurses develop a plan of care, working collaboratively with physicians, therapists, the patient, the patient’s family, and other team members, that focus on treating illness to improve quality of life. Nurses may help coordinate the patient care performed by other members of an interdisciplinary healthcare team such as therapists, medical practitioners, and dietitians. Nurses provide care both interdependently, for example, with physicians, and independently as nursing professionals.
Definition of Sterile Gloving
Sterile gloving is the process of placing a sterile glove on each hand following a scrubbing hand washing process. This is to reduce infection during an intensive procedure, or one in which it would be bad for germs and bacteria to enter the body.
Or
Sterlie gloving is the prcedure of donning sterile rubber gloves, in such a way as to preserve asepsis of the operator, before each surgical procedure.
Purposes of Sterile Gloving
According to WHO (World Health Organization)
1. To reduce the risk of contamination of health-care workers hands with blood and other body fluids.
2. To reduce the risk of germ dissemination to the environment and of transmission from the health-carenoDiba Sworker to the paient and vice verst, as well as from one patient to another.
Types of Gloving:
There are two ttypes of gloving. The following types are given below-
1. Gloving by closed glove or surgical glove: Closed gloving is working from within the cuffs of the surgical gown the hands never touch the outside of the gown or gloves.
2. Gloving by open glove or general glove
Figure: Surgical glove
Figure: Open glove or normal glove
Procedure of Surgical Gloves Wearing:
This is the recommended technique for those involved in a surgical procedure.
1. Grip the sterile inside pack through your gown cuffs keeping the fingers inside the gown cuff, open and display the gloves upside down.
2. Place your right thumb inside the top cuff edge of the right glove (thumb-to-thumb), pick up and lay flat on your right hand.
3. Place left thumb under the cuff exposed on right glove, and stretch glove over right hand.
4. Keeping your right fingers straight, pull down the glove with your left hand, using a combination of glove and sleeve pulling.
5. Ensure the white cuff remains inside the glove.
6. Repeat procedure with left glove.
Figure: Steps of Surgical Gloving
Procedure of Removing Surgical Gloving:
With both hands gloved, grasp the outside of one glove at the top of your wrist, being careful not to touch your bare skin. Peel off this first glove, peeling away from your body and from wrist to fingertips, turning the glove inside out. Hold the glove you just removed in your gloved hand.
Figure: Procedure of Removing Surgical Gloving
Procedure of Wearing Open Gloves:
1. Pick up the cuff of the right glove with your left hand. Slide your right hand into the glove until you have a snug fit over the thumb joints and knuckles. Your bare left hand should only touch the folded cuff – the rest of the glove,
Figure: Steps of wearing general gloves.
2. Slide your fingertips into the folded cuff of the left glove
3. Use gloved left hand pick up folded cuff of right glove and pull glove up to gowned wrist.
4. Place the fingers of the gloved right hand under the cuff of the partially gloved left hand. Unfold the cuff down over your gown sleeves. Make sure your gloved finger tips do not touch your bare forearms or wrists
Indications for Gloving and For Glove Removal
Gloves on –
a) Before a sterile procedure
b) When anticipating contact with blood or another body fluid, regardless of the existence of sterile conditions and including contact with non-intact skin and mucous membrane
c) Contact with a patient (and his/her immediate surroundings during contact precautions.
Gloves Off –
a) As soon as gloves are damaged (or non-integrity suspected)
b) When contact with blood, another body fluid, non-intact skin and mucous membrane has occurred and has ended
c) When contact with a single patient and his/her surroundings, or a contaminated body site on a patient has ended
d) When there is an indication for hand hygiene.
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