Sterile Gowning and Gloving
Sterile Gowning with Closed Gloving Technique
1. Assistant opens gloves and sterile gown pack.
2. Lift folded sterile gown and step back from table. Allow gown to unfold with inside of gown toward you. Do not shake the gown.
3. Insert arms into sleeves.
4. Do not allow hands to protrude through cuffs.
5. Assistant fastens gown at neckline.
6. With dominant hand remaining inside sleeve, pick up glove for nondominant hand.
7. Insert nondominant hand into glove. Stretch cuff of glove over cuff of gown.
8. With nondominant hand, pick up second glove. Stretch cuff of glove over cuff of gown.
9. Closed gloving is complete.
10. Separate waist tie from gown and pass tie with tab to assistant.
11. Turn in a circle to wrap tie around your waist.
12. A sharp tug on tie will separate it from the contaminated tab, allowing you to fasten the tie without contaminating gown.
Open Gloving Technique
1. Perform hand hygiene. Obtain gloves, and check for correct size.
2. Open outer wrap to remove folded inner wrap.
3. Expose gloves with open ends facing you.
4. Open inner wrap completely, taking care not to contaminate gloves or wrap immediately surrounding gloves.
5. With one hand, grip cuff fold of glove for opposite hand.
6. Put on first glove, touching only inner surface of folded cuff.
7. Using gloved hand, grasp second glove under cuff.
8. Insert hand into second glove.
9. Put on second glove, and unfold cuff.
10. Insert fingers under cuff of first glove, and unfold cuff.
11. Gloving complete. Keep hands in front of body and at safe distance from uniform to avoid contamination.
Gowning Another Person
Grasp the gown so that the outside faces toward you. Holding the gown at the shoulders, cuff your hands under the gown's shoulders. The person steps forward and places his or her arms in the sleeves. Slide the gown up to the mid-upper arms. The circulator assists in pulling the gown up and tying it. Gently pull the cuffs back over the person's hands. Be careful that your gloved hands do not touch his or her bare hands.
Two-Person Gloving
Pick up the right glove and place the palm away from you. Slide the fingers under the glove cuff and spread them so a wide opening is created. Keep thumbs under the cuff. The person thrusts his or her hands into the glove. Do not release the glove yet. Gently release the cuff (do not let the cuff snap sharply) while unrolling it over the wrist. Proceed with the left glove, using the same technique.
Removing Sterile Gloves
Grasp the edge of the glove. Unroll the glove over the hand. Discard the glove. With the bare hand, grasp the opposite glove cuff on its inside surface. Remove the glove by inverting it over the hand. Discard the glove.