I don't know what it is about these gloves, but putting on sterile gloves makes
people panic. So today we're gonna talk about how to put them on and take them
off so that you don't break sterility. Right after this.
Welcome back my name is Tammy and this is nurseminder and on this channel we
do everything nursing so if you're new here consider subscribing below so that
you get the next video when it's released. So today we're talking about
sterile gloves; how to put them on and how to take them off. Now it's important
to know why you're using sterile gloves because there are non sterile gloves out
there as well. In sterile gloves you might be doing a dressing change in
which you want to protect the patient from microorganisms from the surface
around them and from yourself; you may be working with patients bodily fluids and
you don't want to get contaminated; or maybe you're giving medications that are
cancer-causing and you need that extra layer of protection. Whether you are
working in home care, whether you are caring for somebody who lives at home, or
you're working in the hospital sterile gloves protect both you and the patient.
So let's talk about what we need to do to get prepared. One of the first things
we need to know is how to identify sterile versus non sterile. If you see
gloves in a box like this - non sterile! We will use these to help clean our station
but they're not going to be the ones we use for our procedure. All right so what
we're looking for in a sterile package is in fact that it is in a sterile
wrapped container, sleeve - and we know that it's sterile because the package
tells us that it is. So I'm going to bring this up close and we can see that
it says it is sterile. The other thing we're going to look at our package is to
make sure we have the right size, so these ones are a medium. We need to look
at the expiry date and then we need to inspect the package itself to make sure
there's no rips or tears in those seams. So for example if this was the package I
picked up, it's already open I can see there's contamination these would go in
the garbage. So I've gathered the right package and now I know I'm going to get
my table ready because I need to make
sure I have a sterile surface to work with my
sterile gloves. So let's head to the table. Okay so here we are at the
workstation and one of the first things I want to do is make sure my work area
is clean, so I'm gonna put on a clean glove,
grab a disinfecting towelette, and wipe down my surface area. In this video, I'm
going to be demonstrating the donning and doffing of gloves from two angles;
first from the side as we are currently and then I will move the camera so that
you can see it from your positioning as you if were actually putting on the gloves.
So now that my area is clean and I've got that in the garbage, I'm going to now
take my sterile gloves and I'm gonna open up my package. So as I'm opening up
my first sterile package the first layer will reveal the second package which are the
sterile gloves. You want to be able to put this down so that you can read the
writing and I will just flip this around here so I can do that. Some will have a
right and a left picture on there and either way we're going to open it up and
we are going to then unfold the top and bottom flaps; and then you'll notice
there's also a flap down the medial - the middle - we're going to put our fingers
under there and pull open the paper. Now we visualize we have a right and a left
glove, they are folded so that the cuff is up towards the thumb on each glove.
I'm going to start with my non-dominant hand and grabbing the cuff of the
dominant glove, I make an opening so I can slide my right hand into the glove. I
want to be careful that I'm only touching that area of the glove and I
let it go once my glove is seated. My right hand is now sterile and I need to
stay on the inside of the cuff on the left handed glove; so I'm going to put my
fingers between the cuff and the glove, make an opening and slide my left hand
into the glove.
With this, as the glove is proceeding above my wrists, I can now extend that
glove keeping my fingertips only on that portion and release. You can see I
probably should have taken my watch off ahead of time. I can now take my gloved
hand under the cuff of the first glove and extend that one, and release as well.
Seat those fingers in tight and you are ready to go. In removing the glove
I'm going to take the inside cuff of one glove pull, it up and down over my
fingers, keeping all of the contamination controlled; then I'm going to slip my
clean hand under the cuff of my remaining glove and do the same; such
that the gloves will fold onto each other and controlling the contamination.
Now let's take a look at this from another angle. Step 1, let's open my
package. Inside this one will be a second sterile package that contains my gloves.
I see that they are medium. I can read the packaging so I'm now going to go
ahead and open this second sterile package. Unfold the top and the bottom
flaps and then along the middle you can see the other flap that you'll put your
fingers underneath and pull open. You can now see the gloves have a cuff that goes
up towards the thumbs on both the right and left glove. Using my left hand, I'm
going to create an opening at the base of the right glove so I can slide my
right hand in; dropping the cuff. My now right hand is sterile. I'm going to go
underneath the cuff of the left handed glove, create a pocket so that my left
hand can slip into the glove, and as you're sliding your glove on you may
notice that your fingers don't always go into the right spot- that is okay - just
take a moment; extend the cuff and drop it. Now you can take your sterile left
hand under the cuff of the right hand extend it and drop. Seat the fingers, make
sure the gloves are nice and snug and you're ready to go. Now at the end of
your procedure you want to remove those gloves. Grasp the inside cuff of one hand
pull it down towards your fingers, containing all the
contamination inside. Slip your clean hand under the cuff of the remaining
glove and do the same. Removing both gloves together and now all I need to do is
wash your hands and you're done. So there you have it. It's actually a pretty
straightforward process. So let's do a quick summary. Number one: are you needing
sterile gloves or clean gloves? You need to make that distinction. Number two:
gather your supplies and clean your station number. Three:
open up your gloves maintaining sterility and put one glove on at a time;
using those techniques I've shown you. Number four: when you take them off, you
want to make sure you still maintaining sterility. There's nothing worse than
putting body fluids on your hand and then you have to go and clean it up;
so follow those principles and you won't go wrong. Now it does take practice so
don't be afraid to reset your package and do it over and over again until you
are perfect.