Gowning and Gloving

The sterile gown is put on immediately after the surgical scrub. The Sterile gloves are put on immediately after gowning. Purpose A sterile gown and gloves are worn to exclude skin as possible contaminant and to create a barrier between the sterile and nonsterile areas. General Considerations 1. The scrub person gowns and gloves himself or herself and then may goen and glove the surgeon and the assistants. 2. Gown packages preferably are opened on a separate table from other packages to avoid any chance of contamination from dripping water 3. Avoid splashing water on scrub attire during the surgical scrub because moisture may contaminate the sterile gown Drying the Hand and Arms After scrubbing, the hands and arms should be thoroughly dried before the sterile gown is donned to prevent contamination of the gown by strike-through of organisms from wet skin Gowning and Gloving Techniques Sterile gloves may be put on in two ways: by the closed gloving technique or by the open gloving technique. If it is done properly, gloves can be put on safely either way. The method of gloving determines how the gown is donned.

Closed Glove Technique

The closed gloving method is preferred except when changing a glove during a surgical procedure or when donning gloves for procedures not requiring gowns. Properly executed, the closed gloving method affords assurance against

contamination when gloving oneself, process.

because no bare skin is exposed in the

Gowning for the Closed Glove Technique 1. Reach down to the sterile package and lift the folded gown directly upward 2. Step back away from the table into an unobstructed area to providea wide margin of safety while gowning. 3. Holding the folded gown, carefully locate the neckline 4. Holding the inside front of the gown just below the neckline with both hands, let the gown unfold, keeping the inside of the gown toward the body. Do not touch the outside of the gown with bare hands 5. Holding the hands at the shoulder level, slip both arms into the armholes simultaneously 6. The circulator brings the gown over the shoulders by reaching inside to the shoulder and arm seams. The gown is pulled on, leaving the cuffs of the sleeves extended over the hands. The back of the gown is securely tied or fastened at the neck and waist, touching the outside of the gown at the line of ties or fasteners in the back only. Gloving by the Closed Glove technique 1. Using the left hand and keeping it within the cuff of the left sleeve, pick up the right glove from the inner wrap of the glove package by grasping the folded cuff 2. Extend the right forearm with the palm upward. Place the palm of the glove against the palm of the right hand, grasping in the right hand the top edge of the cuff, above the palm. In correct position, glove fingers are pointing toward you and the thumb of the glove is to the right. The thumb side of the glove is down.

3. Grasp the back of the cuff in the left hand and turn it over the end of the right sleeve and hand. The cuff of the glove is now over the stockinette cuff of the gown, with the hand still inside the sleeve 4. Grasp the top of the right glove and underlying gown sleeve with the covered left hand. Pull the glove on over the extended right fingers until it completely covers the stockinette cuff. 5. Glove the left hand in the same manner, reversing hands. Use the gloved right hand to pull on the left glove

Open Glove Technique

The open gloving technique is used for changing a glove or the gown and gloves during a surgical procedure. It is also used when only sterile gloves are worn, as for intravenous cutdown or administration of spinal anesthesisa, or in the emergency department when donning sterile gloves,a s for suturing lacerations. Gowning for the Open glove Technique 1. Reach down to the sterile package and lift the folded gown directly upward 2. Step back away from the table into a clear unobstructed area to provide wide margin of safety while gowning. 3. Holding the folded gown, carefully locate the neckline 4. Holding the inside front of the gown just below the neckline with both hands, let the gown unfold, keeping the inside of the gown toward the body. Do not touch the outside of the gown with bare hands 5. Holding the hands at the shoulder level, slip both arms into the armholes simultaneously 6. The circulator brings the gown over the shoulders by reaching inside to the shoulder and arm seams. The gown is pulled on, leaving the cuffs of the sleeves extended over the hands. The back of the gown is securely tied or fastened at the neck and waist, touching the outside of the gown at the line of ties or fasteners in the back only.

Gloving by the Open Glove technique This method of gloving uses a skin-to-skin, glove-to-glove technique. The hand, although scrubbed, is not sterile and must not contact the exterior of the sterile gloves. The everted cuff on the gloves exposes the inner surfaces. The first glove is put on with the skin-to-skin technique, bare hand to inside cuff. The sterile fingers of that gloved hand then may touch the sterile exterior of the second glove. The procedure is as follows: 1. With the left hand, grasp the cuff of the right glove on the fold. Pick up the glove and step back from the table. Look behind you before moving 2. Insert the right hand into the glove and pull it on, leaving the cuff turned well done over the hand 3. Slip the fingers of the gloved right hand under the evrted cuff of the left glove. Pick up the glove and step back 4. Insert the hand into the left glove and pull it on, leaving the cuff turned doen over the hand. 5. With the fingers of the right hand, pull the cuff of the left glove over the cuff on 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 wrist. 6. Repeat step 5 for the right cuff, using the left hand, and thereby completely gloving the right hand.

Sources: Nancymarie Fortunato. Berry & Kohns Operating Room Technique 9th Edition. (St. Louis, Missouri. Mosby, Inc. 2000: 246-251) http://www.scribd.com/doc/6685778/Surgical-Instruments

Angeles University Foundation Angeles city

A Written Report:

Gowning and Gloving

And

Surgical Instruments

Submitted to: Mrs. Anita Viray

Submitted by: Monette Palad

BSN IV-4 Group 16

Submitted on: September 11, 2009