So now that you've seen a little bit of
how to deal with sterile technique
and you have set up your sterile tray,
if you have already set it up for a particular procedure,
which is either going to be the cap change
or the dressing change,
the next thing that you would need to do
is to put on your sterile gloves.
Your hands have been washed.
Your mask is on.
Your tray is set up.
We have already cleaned the table,
so the surface has been cleaned with alcohol
and it’s ready to put your sterile gloves on.
Again, we have contents that are sterile on the inside,
and they do give you flaps in order to open it.
And here, even though the outside of this packaging was sterile,
it is now contaminated with my hands.
But it doesn’t matter because the inside is still sterile.
You’ll note that they give you edges
with which to open up and expose the gloves.
I find it best if you fold
the folds backwards on themselves
so that you have better control over the packaging.
And the same with this.
So again, you never touch the inside.
If you contaminate there,
your gloves, as they are shifting around
are also going to pick up that contamination.
So you only handle it by the edges that they give you.
They also are kind enough to tell you Left and Right,
and your hands will go into them in this manner.
And a little pinch on the inside here
usually helps to control that.
Do not put your hands here,
because the tendency of this packaging
is to fold back down on itself,
in which case it will contaminate your gloves.
It doesn’t matter which hand you start with.
It doesn’t matter if you are right or left-handed.
You just do whatever is comfortable.
But what you will have to do is put each glove on
in a slightly different fashion.
What you are going to do is
pick up the glove near the cuff.
You’ll note that I'm not touching any of the packaging,
and while this might look
like I'm contaminating the glove,
this part ends up against my skin,
which of course, we know now, is contaminated.
Lift the glove up.
Come away from the surface that you are using
so that you are in the free air
and you are not likely to hit the edge of something,
which will immediately contaminate your gloves.
If you can locate where the thumb is,
and again I remind you that
they are put in the packaging like this,
you slide your fingers in.
Try to locate the thumb, which is here,
and the rest of your fingers tend to
naturally fall into place.
I am allowed to grip up to here
because that’s what comes down on my arm.
I have one sterile glove on.
I’m not allowed now to touch anything
unless it is sterile.
So, I can’t, for example, touch it with my other hand.
But I can touch this glove, because it's sterile, too.
This glove, I cannot pick up like this,
because the likelihood of contaminating it
as I’m pulling it on is very high.
So instead, what I do--
--and I’m allowed to support the outside of this,
if I need to--
I’m going to tuck all four fingers under, like this.
I’m going to get my thumb out of the way,
spread my fingers to give the cuff a little bit of stability,
and again, I’m going to find the thumb,
and the other fingers, again,
keeping my thumb out of the way,
and the other fingers tend to find their way into their
respective slots.
I have two sterile gloves on.
I’m really not allowed to touch much of anything.
I could get rid of that,
and then my tray would either have to be
presented to me,
or it would have been left here ready for the procedure.
But, the correct positioning of your hands
after you have sterile gloves on
is in front of you so you remember
that they are sterile.
So, you don’t put them down by your sides
because the first thing you're probably going to do
is touch your pants or something.
So you hold them together in front of you
to remind you that they are sterile,
ready for the procedure.