Hello and welcome to another AMBOSS tutorial. In this video, we'll show you how to put on a
surgical gown and gloves. First, let's go over the technique of gowning and gloving with minimal
assistance, using the closed glove technique. Make sure to check that you have the correct
glove size and that the packaging is intact. The gown is often one-size-fits-all.
Open the gown packet and drop the package wrapped in paper onto a clean table.
Open the gown pack by only grabbing the edges of the paper to maximise
the sterile field. Make sure to really only touch the corners while doing this!
The paper surface you've created in front of you is now your sterile field. You can now
drop the sterile paper packaging of the gloves onto it as well. Do this by opening your glove
package letting the inner sterile packet drop onto the sterile field without touching it.
Depending on what you're planning to do, it's now time to either disinfect
your hands or perform a surgical scrub. After scrubbing in, keeping your arms elevated,
dry your hands and forearms with the sterile towels in the gown packet.
Now you can put on the gown that is lying in front of you, folded inside out with the collar
and one of the two shoulder areas visible. Pick up the folded sterile gown so that it
can't unfold on its own. Hold it securely in front of you and step away from the sterile
area. The collar should be at the top. Now reach into the inside shoulder areas
with each hand in turn and hold the gown in front of you with outstretched arms.
Stand so that the gown can't touch anything when it unfolds.
Then allow the gown to unfold by itself, making sure it doesn't touch the floor. If it doesn’t
unfold easily, try giving it a gentle shake. Once the gown is fully unfolded, carefully
slide your arms into the armholes one at a time. You can slightly raise and spread your
arms to guide each arm through the sleeves. Since you're going to use the closed-glove
method to put on your gloves, make sure to keep your hands completely inside the sleeves for now.
Keep them at shoulder height so you don't touch anything and the gown doesn't slide back down.
At this point, you'll need some help. Ask an assistant to pull the gown all the way over
your shoulders and to help fasten the back and waistband. Keep your fingers inside the cuffs.
Now we'll show you the "closed-glove method".
First, unfold the sterile paper package and press the edges down so they don't fold back again.
Grab the right glove with your left hand. Now place the glove on your right palm,
flipping it over so the fingers point towards you and the thumb is on the correct side.
With your left hand, pinch the part of the cuff facing up,
and with your right hand pinch the part of the cuff facing down. Next,
use your left hand to pull the glove over your right hand and the gown sleeve.
When you pull back the gown sleeve,
the glove will pull back with it and let you slide your hand into the fingers. Done!
Do the same with the left glove: turn it, put it on your left palm, grab part of the
cuff facing down with your left hand and the part facing up with your right hand. Pull the
glove over your left hand and sleeve, pull it back with the gown, and slip into the glove.
Finally, the surgical gown has to be secured. If you'd like to look at this straight away,
just skip to the last section of the video.
Otherwise, we'll first look at how the whole thing works when
you have an assistant to help you gown and glove.
The sterile gown will often already be held open for you by an assistant after you’ve scrubbed in,
especially in the OR setting. All you have to do is slip your arms into the sleeves,
and the gown is pulled up over your shoulders and closed at the collar and
back. The wrists should remain covered by the gown. Keep your hands in front
of your chest so you don't accidentally touch anything and the gown doesn't slip back down.
Now it is time to get the gloves on. The assistant will often stretch the right glove open for you,
so you can easily get your hand in. Slide your hand in with the thumb adducted,
then spread your fingers slightly. The assistant will then pull the
glove all the way over your wrist and the gown's sleeve.
Next the left glove will be handed to you. Stretch the cuff open with your right hand and pull it on,
again keeping your thumb adducted initially as you slide your hand in.
Now secure the gown. The technique is always the same,
whether you have self-gowned or gowned with assistance.
Grab the paper tag hanging at waist level and pull off the left tie. Hold that tie firmly
in your left hand, and hand the paper tag to your assistant. Then do a counterclockwise turn, making
the tie close the gown. Grab the end of the other tie, taking care not to touch the tag itself!
Pull the tie off the tag, tie a bow, and your gown is secured!
Now that you have your gown and gloves on, it's best to keep your hands clasped
on your body at chest height while you're not actively using them.
Great! Now you're fully gowned and gloved and ready to go!
Do you want to learn more about preparing for medical procedures? Take a look at the
most important surgical knots in our corresponding AMBOSS Article!
See you next time!