PANGASINAN STATE UNIVERSITY

Bayambang, Pangasinan
Institute of Nursing

NCM 102 Fundamentals of Nursing Practice

NAME: DATE:
COURSE & SEC: RLE GROUP:

Highly Fairly Poorly Performed with Not

Performed Performed Performed Assistance Performed
(5) (4) (3) (2) (1)

5 – The student performs the procedure in a very consistent and independent manner.
4 – Perform with minimal assistance
3 – Perform with frequent guidance and supervision
2 – With errors even with frequent guidance and supervision
1 – Cannot perform even with close supervision and assistance

GOWNING and GLOVING

Purpose: To enable the nurse work close to a sterile field and handle sterile objects freely.
: To protect clients from becoming contaminated with microorganisms on the nurse’s hands, arms, and
clothing.

Equipment:
 Package of proper- size sterile gloves (latex free if nurse or patient has sensitivity or allergy)
 Sterile pack containing a sterile gown
 Clean, flat, dry surface
 Paper mask, cap or hood, surgical shoe cover
 Protective eyewear/face shield

ASSESSMENT
 Review the client’s record and orders to
determine what exactly procedure will be
performed that requires sterile gowns and gloves
PLANNING
 Determine what supplies are needed to perform
the procedure for the client. Always have an extra
pair of sterile gloves available
 Assemble equipment
GOWNING and GLOVING  Applying sterile gown and closed gloving can
be delegated to a properly trained surgical
technician.
1. Before entering operating room or treatment  Prevents hair and air droplet nuclei from
area, apply cap, face mask, eyewear, and foot contaminating sterile work areas.
covers (paper or clothe covers fit over work  Eyewear protects mucous membranes of
shoes). eyes.
 Foot covers reduce contamination from
shoes.
2. Perform thorough surgical handwash  Removes transient and resident bacteria
from fingers, hands, and forearms.
 3. Circulating nurse assists by opening sterile pack  Outer surface of gown remains sterile.
containing sterile gown (folded inside out)
4. Circulating nurse prepares glove package by  Keeps glove sterile and allows nurse who has
peeling outer wrapper open while keeping inner scrubbed to handle sterile items.
contents sterile. Places inner glove package on
sterile field created by sterile wrapper.
5. Reach down to sterile gown package; lift folded  Provides wide margin of safety, avoiding
gown directly upward and step back away from contamination of gown.
table.
6. Holding folded gown, locate neckband. With both  Clean hands can touch inside of gown
hands grasp inside front of gown just below without contaminating outer surface
neckband.
7. Allow gown to unfold, keeping inside of the gown  Outside of gown is sterile surface.
toward body. Do not touch outside of the gown
with bare hands.
8. With hands at shoulder level, slip both arms into  Careful application prevents contamination.
armholes simultaneously. Ask circulating nurse to Gown covers hands to prepared for closed
bring gown over your shoulders by reaching inside gloving
to arm seams and pulling gown on, leaving sleeves
covering hands.
9. Have circulating nurse securely tie back of gown at  Gown must completely enclose underlying
neck and waist. (if gown is wraparound style, do garments.
not touch sterile flap to cover it until you are
gloved.)
GLOVING (CLOSED GLOVING)
10. a. With hands covered by gown sleeves, open  Hands remain clean. Sterile gown cuff
sterile glove package touches sterile glove surface.
b. With dominant hand inside gown cuff, pick up  Sterile gown touches sterile glove.
glove for nondominant hand by grasping folded
cuff
c. Extend nondominant forearm and place palm of  Position glove for application over cuffed
glove against palm of nondominant hand. Glove hand, keeping glove sterile
fingers point toward elbow.
d. Grasp back of glove cuff with covered dominant  Seal created by glove cuff over gown
hand and turn glove cuff over end of nondominant prevents exit of microorganism over
hand and gown cuff. operative sterile field.
e. Grasp top of glove and underlying gown sleeve
with covered dominant hand. Carefully extend
fingers into glove, being sure that glove cuff covers
gown cuff.
f. Glove dominant hand in same manner, reversing  Sterile touches sterile
hands. Use gloved nondominant hand to pull on
glove. Keep hand inside sleeve.
g. Be sure that fingers are carefully extended into  Ensures that nurse has fully dexterity while
both gloves. using gloved hand.
OPEN GLOVING  The skill of open gloving van be delegated
when personnel are trained to perform a
sterile procedure.
1. Perform hand hygiene  Removes bacteria from skin surfaces and
reduces transmission of infection.
2. Remove outer glove package wrapper carefully  Prevents inner glove package from
separating and peeling apart sides. accidentally opening and touching
contaminated objects.
3. Grasp inner package and lay it on clean, flat  Sterile object held below waist is
surface just above the waist level. Open package, contaminated. Inner surface of glove package
keeping gloves on wrappers inside surface. is sterile.
 4. Identify right and left glove. Each glove has cuff  Proper identification of gloves prevents
approximately 5cm (2 inches) wide. Glove contamination by improper fit. Gloving of
dominant hand first. dominant hand first improves dexterity.
5. With thumb and first two fingers of nondominant  Inner edge of cuff lies against skin and thus is
hand, grasp edge of cuff of glove for dominant not sterile.
hand. Touch only inside surface of glove.
6. Carefully pull glove over dominant hand, leaving  If outer surface of glove touches hand or
cuff and being sure that thumb and fingers are in wrist, it is contaminated.
proper spaces.
7. With gloved dominant hand, slip fingers  Cuff protects gloved fingers. Sterile touching
underneath cuff of second glove. sterile prevents glove contamination.
8. Carefully pull over nondominant hand.  Contact of gloved hand with exposed hand
results in contamination.
9. After second glove is on, interlock fingers of  Prevents accidental contamination from hand
gloved hands and hold away from body above movement.
waist level until beginning procedure.
GLOVE DISPOSAL
10. Grasp outside of one cuff with other gloved hand;  Minimizes contamination of underlying skin
avoid touching wrist. Pull halfway down of the
palm. Take thumb of half-ungloved hand and place
under cuff of other glove.
11. Pull off glove, turning it inside out, discard in
receptacle.  Outside of glove does not touch skin surface.
12. Take fingers of bare hand and tuck inside
remaining glove cuff. Peel gloves off, inside out.
Discard in receptable.
REMOVING THE GOWN
1. Grasp the right shoulder of the loosened gown
with the left hand and pull the gown downward
from the shoulder and off the right arm turning
the sleeves inside out
2. Turn the outside of the gown away from the body
with flexed elbows
3. Grasp the left shoulder with the right hand and
remove the gown entirely, pulling it off inside out
4. Discard the gown in a laundry hamper or in a trash
receptacle.
5. Do handwashing.

Rating: _______________
REMARKS
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Student’s Signature Clinical In

 PANGASINAN STATE UNIVERSITY
Bayambang, Pangasinan
Institute of Nursing

NCM 102 Fundamentals of Nursing Practice RLE

GOWNING and GLOVING

NAME: DATE:
COURSE & SEC: RLE GROUP:

Highly Fairly Poorly Performed with Not

Performed Performed Performed Assistance Performed
(5) (4) (3) (2) (1)

5 – The students performs the procedure in a very consistent and independent manner.
4 – Perform with minimal assistance
3 – Perform with frequent guidance and supervision
2 – With errors even with frequent guidance and supervision
1 – Cannot perform even with close supervision and assistance

GOWNING and GLOVING

Purpose : To enable the nurse work close to a sterile field and handle sterile objects freely.
: To protect clients from becoming contaminated with microorganisms on the nurse’s hands, arms, and
clothing.

Equipment:
 Package of proper- size sterile gloves (latex free if nurse or patient has sensitivity or allergy)
 Sterile pack containing a sterile gown
 Clean, flat, dry surface
 Paper mask, cap or hood, surgical shoe cover
 Protective eyewear/face shield

HP FP PF PA NP Remarks
Procedure 5 4 3 2 1
ASSESSMENT
1. Review the client’s record and orders to
determine what exactly procedure will be
performed that requires sterile gowns and
gloves
PLANNING
2. Determine what supplies are needed to
perform the procedure for the client.
Always have an extra pair of sterile gloves
available
3. Assemble equipment

GOWNING and GLOVING

1. Before entering operating room or
treatment area, apply cap, face mask,
eyewear, and foot covers (paper or clothe
 covers fit over work shoes).
2. Perform thorough surgical handwash
3. Circulating nurse assists by opening sterile
pack containing sterile gown (folded inside
out)
4. Circulating nurse prepares glove package by
peeling outer wrapper open while keeping
inner contents sterile. Places inner glove
package on sterile field created by sterile
wrapper.
5. Reach down to sterile gown package; lift
folded gown directly upward and step back
away from table.
6. Holding folded gown, locate neckband. With
both hands grasp inside front of gown just
below neckband.
7. Allow gown to unfold, keeping inside of the
gown toward body. Do not touch outside of
the gown with bare hands.
8. With hands at shoulder level, slip both arms
into armholes simultaneously. Ask
circulating nurse to bring gown over your
shoulders by reaching inside to arm seams
and pulling gown on, leaving sleeves
covering hands.
9. Have circulating nurse securely tie back of
gown at neck and waist. (if gown is
wraparound style, do not touch sterile flap
to cover it until you are gloved.)
GLOVING (CLOSED GLOVING)
10. a. With hands covered by gown sleeves, open
sterile glove package
b. With dominant hand inside gown cuff, pick up
glove for nondominant hand by grasping
folded cuff
c. Extend nondominant forearm with pal and
place palm of glove against palm of
nondominant hand. Glove fingers point
toward elbow.
d. Grasp back of glove cuff with covered
dominant hand and turn glove cuff over
end of nondominant hand and gown cuff.
e. Grasp top of glove and underlying gown
sleeve with covered dominant hand.
Carefully extend fingers into glove, being
sure that glove cuff covers gown cuff.
f. Glove dominant hand in same manner,
reversing hands. Use gloved nondominant
hand to pull on glove. Keep hand inside
sleeve.
g. Be sure that fingers are carefully extended
into both gloves.
h. For wraparound sterile gloves: take gloved
hand and release fastener or ties in front of
gown.
i. Hand paper tab connected to sterile tie to
circulating nurse, who is nonsterile.
j. Circulating nurse stands still as you turn
completely around
OPEN GLOVING
1. Perform hand hygiene
2. Remove outer glove package wrapper
carefully separating and peeling apart sides.
3. Grasp inner package and lay it on clean, flat
surface just above the waist level. Open
package, keeping gloves on wrappers inside
surface.
4. Identify right and left glove. Each glove has
cuff approximately 5cm (2 inches) wide.
Glove dominant hand first.
5. With thumb and first two fingers of
nondominant hand, grasp edge of cuff of
glove for dominant hand. Touch only inside
surface of glove.
6. Carefully pull glove over dominant hand,
leaving cuff and being sure that thumb and
fingers are in proper spaces.
7. With gloved dominant hand, slip fingers
underneath cuff of second glove.
8. Carefully pull over nondominant hand. Do
not allow fingers and
9. After second glove is on, interlock fingers of
gloved hands and hold away from body
above waist level until beginning procedure.
GLOVE DISPOSAL
1. Grasp outside of one cuff with other
gloved hand; avoid touching wrist. Pull
halfway down of the palm. Take thumb
of half-ungloved hand and place under
cuff of other glove.
2. Pull off glove, turning it inside out,
discard in receptacle.
3. Take fingers of bare hand and tuck
inside remaining glove cuff. Peel gloves
off, inside out. Discard in receptable.
REMOVING THE GOWN
1. Grasp the right shoulder of the loosened
gown with the left hand and pull the gown
downward from the shoulder and off the
right arm turning the sleeves inside out
2. Turn the outside of the gown away from the
body with flexed elbows
3. Grasp the left shoulder with the right hand
and remove the gown entirely, pulling it off
inside out
4. Discard the gown in a laundry hamper or in
a trash receptacle
 5. Do handwashing.

Rating: _______________
REMARKS
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Student’s Signature Clinical Instructor