1.1 Open Method Gloving

GLOVING
(Open Method)
BY:
JESUS S. MUECO, RN, EMT

GLOVES
 Is a type of
garment which
covers the hand.
 Have separate
sheaths or
openings for
each finger and
the thumb.
WHEN TO WEAR GLOVES
 There is a reasonable
chance of hand contact with
blood or other body fluids,
mucous membranes or non
intact skin.
WHEN TO WEAR GLOVES
 They perform invasive
medical procedures.
(example: inserting IV)
WHEN TO WEAR GLOVES
 They handle contaminated
waste items or touch
contaminated surfaces.
WHAT TO DO WHEN SUPPLIES
OF GLOVES ARE LIMITED
 They are reprocessed or reused if
they are:
• Decontaminated by soaking in 0.5%
chlorine solution for 10 minutes.
• Washed and rinsed.
• Sterilized (by autoclaving) or high-
level disinfected (by steaming).
TYPES OF GLOVES according to use
 SURGICAL
GLOVES –
should be used
when
performing
invasive medical
or surgical
procedures.
 EXAMINATIO
N GLOVES –
provide
protection when
performing
many routine
activities.
 UTILITY GLOVES
- for processing
instruments,
equipment and other
items; for handling
and disposing of
contaminated waste;
and when cleaning
contaminated
surfaces.
TYPES OF GLOVES according to
composition
 VINYL GLOVES
- Made of polyvinyl
chloride (PVC)
- Are latex-free
- Least expensive of
the three types

- Limited elasticity
composition
 NITRILE GLOVES -
manufactured using
synthetic latex, contain
no latex proteins, and
are three times more
puncture resistant than
natural rubber.
- preferred choice for
staff with latex allergy
composition
 LATEX GLOVES -
manufactured using a
milky fluid derived
from the rubber tree,
Hevea brasiliensis.
- Provide the best
protection.
WHAT IS LATEX ALLERGY?
 Natural rubber latex comes from a liquid in
tropical rubber trees and then processed.
 The protein in rubber can cause an allergic
reaction in some people. This reaction can

range from sneezing to anaphylactic shock,
which is a serious condition that requires
immediate medical attention.
WHAT ARE THE SYMPTOMS OF
LATEX ALLERGY?
 Itchy, red, watery eyes
 Sneezing or runny nose
 Coughing
 Rash
 Chest tightness
 Shortness of breath
- Changing to non-latex gloves, using
glove liners, and paying more attention to
hand care can help relieve these symptoms.
GLOVE REQUIREMENT FOR
CLINICAL PROCEDURES
 Blood pressure check  NO
 Temperature check  NO
 Injection
 YES
 Blood drawing
 YES
 IV insertion
 YES
 Pelvic examination
 YES
 Vaginal Delivery
 YES
 YES
 Cesarean Section
 YES
 Handling and cleaning instruments  YES
 Handling contaminated wastes  YES
 Cleaning blood or body fluid spills
ACCIDENTAL
CONTAMINATION OF STERILE
GLOVES
 Tearing or puncturing the glove.
 Touching any non sterile object
with the glove.

 Touching the outside of a glove
with an ungloved hand.

SOME DOs and DON’Ts About
GLOVES
 Do wash hands or use an antiseptic hand
rub before putting on gloves and after
removing them.
 Do wear the correct size glove,
particularly surgical gloves. A poorly
fitting glove can limit your ability to
perform the task and may be damaged
(torn or cut) more easily.
GLOVES
 Do change surgical gloves periodically
during long cases as the protective effect
of latex rubber gloves decreases with
time and unapparent tears may occur.
 Do keep fingernails trimmed moderately
short to reduce the risk of tears.
GLOVES
 Do use water-soluble (nonfat-containing)
hand lotions and moisturizers often to
prevent hands from drying , cracking, and
chapping due to frequent hand washing
and gloving.
 Don’t use oil-based hand lotions or
creams, because they will damage latex
rubber gloves.
GLOVES
 Don’t hand lotions and moisturizers that
are very fragrant (perfumed) as they
irritate the skin.
 Don’t store gloves in areas where there
are extremes in temperature. These
conditions may damage the gloves, thus
reducing their effectiveness.
DOONING AND REMOVING
STERILE GLOVES (Open Method)
Procedures
 Assess client for latex allergy.
RATIONALE:
- To protect the patient and to know the
need for latex-free gloves
 Assemble equipments and supplies.

RATIONALE:
- To save time and effort
Procedures
 Ensure sterility of the package of gloves.
RATIONALE:
- To protect the patient and yourself
(healthcare provider); check expiration date.
 Explain to the client what you are going to

do.
RATIONALE:
- Gain cooperation
Procedure
 Wash hands and observe other
appropriate infection control
procedures.
RATIONALE:
- Deters spread of microorganisms
 Provide for client privacy.

RATIONALE:
- Ensures cooperation
Procedures
 Open package of sterile gloves.
 Place the package of gloves on a clean
dry place.
RATIONALE:
- Any moisture on the surface could
contaminate the gloves

Procedures
 If the gloves are packed in both inner
and an outer package, open the outer
package without contaminating the
gloves or the inner package.
 Remove the inner package from the
outer package.
Procedures
 Open the package according to the
manufacturer’s direction. If no tabs are
provided, pluck the flap so that the
fingers do not touch the inner surfaces.
RATIONALE:
- The inner surfaces, which are next to the
sterile gloves will remain sterile.
Procedures
 Put the glove on the dominant hand.
 If the gloves are packaged so that they lie side by
side, grasp the glove for the dominant hand by its

folded cuff edge (on the palmar side) with the
thumb and the first finger of the non dominant hand.
Touch only the inside of the cuff; or
RATIONALE
- The hands are not sterile. By touching the inside of
the glove, the nurse avoids contaminating the
outside
Procedures
 If the gloves are packaged one on top of the other,
grasp the cuff of the top glove as above using the
opposite hand.
 Insert the dominant hand into the glove and pull the
glove on. Keep the thumb of the inserted hand

against the palm of the hand during insertion.
RATIONALE:
- If the thumb is kept against the palm, it is less likely
to contaminate the outside of the glove

 Leave the cuff turned down.
Procedures
 Put the second glove on the non
dominant hand.
 Pick up the other glove with the sterile
glove-gloved hand, inserting the gloved

fingers under the cuff and holding the
gloved thumb close to the gloved palm.
RATIONALE:
- This helps prevent accidental
contamination of the glove by the bare
hand.
Procedures
 Pull on the second glove carefully. Hold the
thumb of the gloved first hand as far as
possible from the palm.
RATIONALE:
- In this position, the thumb is less likely to
touch the arm and become contaminated

 Adjust each glove so that it fits smoothly, and
carefully pull the cuffs up by sliding the

fingers under the cuffs.
Procedures
 Remove and dispose of used gloves.
 There is no special technique for
removing sterile gloves. If they are

soiled with secretions, remove them by
turning them inside out.
 Document that sterile technique was
used in the performance of the

procedure.
THANK YOU

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GLOVING

JESUS S. MUECO, RN, EMT

the three types

reaction in some people. This reaction can

with the glove.

with an ungloved hand.

need for latex-free gloves

 Assemble equipments and supplies.

(healthcare provider); check expiration date.

 Explain to the client what you are going to

 Provide for client privacy.

contaminate the gloves

side, grasp the glove for the dominant hand by its

glove on. Keep the thumb of the inserted hand

to contaminate the outside of the glove

glove-gloved hand, inserting the gloved

touch the arm and become contaminated

carefully pull the cuffs up by sliding the

removing sterile gloves. If they are

used in the performance of the

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