Tuesday, September 14, 2010

Gowning and Gloving: Open Gloved Technique

Planning/Implementation:

Reach down to the sterile package and lift the folded gown directly upward. Step back away from the table, into a clear area, to provide a wide margin of safety while gowning. Holding the folded gown, carefully locate the neckband. Holding the inside front of the gown just below the neckband with both hands, let the gown unfold, keeping the inside of the gown toward the body. Holding the hands at shoulder level, slip them into the armholed simultaneously, without touching the sterile exterior of the gown with bare hands. The circular reaches inside the gown to the sleeve seams and pulls the sleeves over the hands to the wrists.

Gloving:
This method of gloving uses a skin-to-skin, glove-to-glove technique technique. The hand, although scrubbed, is not sterile and must not contact the exterior of the sterile gloves. The everted cuff on the gloved exposes the inner surfaces. The first glove is put on with skin-to-skin technique, bare hand to inside cuff. The sterile fingers of that goved hand then may touch the sterile exterior of the second glove, that is, glove-to-glove technique. With the left hand, grasp the cuff of the right glove on the fold. Pick up the glove on the fold. Pick up the glove and step back from the table. Look behind you before moving. Insert the right hand into the glove and pull it on, leaving hr cuff turned well down over the hand. Slip the fingers of the gloved right hand under the everted cuff of the left glove. Pick up the glove and step back. Insert the hand into the left glove and pull it on, leaving the cuff turned down over the hand. With the fingers of the right hand, pull the cuff of the left glove over the cuff of the left sleeve.If the stockinette is not tight, fold a pleat, holding it with the right thumb while pulling the glove over the cuff. Avoid touching the bare wrists.

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