It’s easy to overlook basic safety practices that are simple and repetitive. Proper donning and doffing of disposable medical gloves is one of those practices. The key concern is creating a barrier between wearers’ skin and contaminants, pathogens or other hazardous materials. Healthcare workers, for instance, need a barrier between themselves and patients’ blood, skin and contaminated surfaces. However, if gloves are improperly donned, their ability to protect the users can be compromised For this reason, wearers must take the appropriate steps when putting on gloves.
Medical gloves are recommended to be worn for two main reasons:
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-care worker to the patient and vice versa, as well as from one patient to another.
Before gloves can be donned, the appropriate size must be found. Improperly sized gloves are more prone to tears, which can compromise the user’s safety. This applies to gloves that are too large or too small. A glove that is too tight can is more prone to punctures and tears and can reduce hand flexibility. A loose fit can lead to wrinkles, which can cause grip issues. Once the proper size gloves are selected, inspect the gloves for pinholes or tears before donning the gloves. Furthermore, all hand and wrist jewellery should be removed, and hands should be washed before gloves are worn.
STEPS TO DON MEDICAL GLOVES (NON-STERILE)
- Thoroughly wash hands for 20 seconds with an alcohol-based hand rub or hand wash with water.
- Select the appropriately sized gloves.
- Remove the glove from the glove box.
- Touch only a restricted surface of the love corresponding to the wrist (at the top edge of the cuff)
- Don the first glove by inserting your hand into a glove. When the base of your thumb reaches the cuff of the glove begin to spread fingers and insert your hand into a glove.
- Pull glove cuff towards wrist to cover as much skin as possible and secure glove.
- Take the second glove with the bare hand and touch only a restricted surface of the glove corresponding to the wrist.
- Avoid touching the skin of the forearm with the gloved hand while donning a second glove
- Once gloved, hands should not touch and surface that is not defined by indications and conditions of the gloves use.
It’s important to call out the importance of the first step. Bacteria can multiply rapidly in the moist environments underneath gloves, and it’s possible to have an unseen defect or tear happen during use. Wash your hands before donning gloves to ensure that the environment under the glove is clean to guarantee your safety.
When removing your medical gloves, do not touch the outside of the glove with bare skin in order to prevent cross-contamination. You should follow these steps to properly doff disposable gloves:
STEPS TO DOFF MEDICAL GLOVES
- Pinch one glove at the wrist level and gently peel off the hand allowing the glove to turn inside out.
- Continue holding the glove you just removed in your gloved hand. Remember not to touch the gloves with your bare skin.
- Slide a few fingers of your bare hand inside the cuff of the glove you are still wearing.
- Pulling away from your body, peel off the second glove, turning it inside out and leaving the first glove wrapped inside as you remove it.
- Dispose of gloves safely as per your facilities instructions
- Always remember to wash your hands after doffing gloves and before touching any other surfaces.
Summary of The Recommendations On Glove Use
- In no way does glove use modify hand hygiene indications or replace hand hygiene action by rubbing with an alcohol-based product or by handwashing with soap and water.
- Wear gloves when it can be reasonably anticipated that contact with blood or other body fluids, mucous membranes, non-intact skin or potentially infectious material will occur.
- Remove gloves after caring for a patient. Do not wear the same pair of gloves for the care of more than one patient.
- When wearing gloves, change or remove gloves in the following situations: during patient care if moving from a contaminated body site to another body site (including a mucous membrane, non-intact skin or a medical device within the same patient or the environment).
- The reuse of gloves after reprocessing or decontamination is not recommended