SURGICAL GLOVES

IN HEALTH CARE
Dr.T.V.Rao MD

2/20/2016

Dr.T.V.Rao MD

WHAT IS A GLOVE
A glove (Middle English

from Old English glof) is a

garment covering the
whole hand. Gloves have
separate sheaths or
openings for each finger
and the thumb; if there is
an opening but no (or a
short) covering sheath
for each finger they are
called fingerless gloves.

2/20/2016

Dr.T.V.Rao MD

History of Gloves
Gloves appear to be of great antiquity. According to some translations of

Homer's The Odyssey, Lartes is described as wearing gloves while

walking in his garden so as to avoid the brambles. (Other translations,
however, insist that Laertes pulled his long sleeves over his hands.)
Herodotus, in The History of Herodotus (440 BC), tells how Leotychides
was incriminated by a glove (gauntlet) full of silver that he received as a
bribe. There are occasional references to the use of gloves among the
Romans as well. Pliny the Younger (c. 100), his uncle's shorthand writer
wore gloves in winter so as not to impede the elder Pliny's work.
2/20/2016

Dr.T.V.Rao MD

Rubber Glove
A rubber glove is a glove made out of rubber. Rubber gloves can be

unsupported (rubber only) or supported (rubber coating of textile

glove). Its primary purpose is protection of the hands while
performing tasks involving chemicals. Rubber gloves can be worn
during dishwashing to protect the hands from detergent and allow
the use of hotter water. Sometimes caregivers will use rubber gloves
during the diaper changing process to prevent contact with the child's
fecal material/urine. Health professionals use medical gloves rather
than rubber gloves when performing surgical operations.
2/20/2016

Dr.T.V.Rao MD

Gloves
Patient care, environmental services, other
Glove material vinyl, latex, nitrile, other

Sterile or non-sterile
One or two pair

Single use or reusable

2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

Medical gloves
Medical gloves are examples of

personal protective equipment

that are used to protect the
wearer and/or the patient from
the spread of infection or illness
during medical procedures and
examinations. Medical gloves
are one part of an infectioncontrol strategy.
2/20/2016

Dr.T.V.Rao MD

Medical gloves

2/20/2016

Medical gloves are disposable and

include examination gloves,
surgical gloves, and medical gloves
for handling chemotherapy agents
(chemotherapy gloves). These
gloves are regulated by the FDA as
Class I reserved medical devices
that require a 510(k) premarket
notification. FDA reviews these
devices to ensure that performance
criteria such as leak resistance, tear
resistance and biocompatibility are
met.

Dr.T.V.Rao MD

What gloves should be worn?

The gloves worn

should be able to
provide protection
from exposure to
blood-borne viruses
for the duration of
the tasks being
undertaken.
2/20/2016

Dr.T.V.Rao MD

What gloves should be worn?

This may mean having to

change them safely midtask if they become

damaged, and/or having
to wear a combination of
more than one type of
glove to provide
additional physical
protection:
2/20/2016

Dr.T.V.Rao MD

What you should know before using

medical gloves
Wash your hands before

putting on sterile gloves.

Make sure your gloves fit
properly for you to wear
them comfortably during
all patient care activities.
2/20/2016

Dr.T.V.Rao MD

10

Caution using the Gloves

Be aware that sharp objects can puncture medical gloves.
Always change your gloves if they rip or tear.
After removing gloves, wash your hands thoroughly with

soap and water or alcohol-based hand rub.

Never reuse medical gloves.
Never wash or disinfect medical gloves.
Never share medical gloves with other users.
2/20/2016

Dr.T.V.Rao MD

11

Dos and Donts of Glove Use

Work Opportunities from clean to dirty
for touch contamination protect yourself, others, and the environment
Dont touch your face or adjust PPE with contaminated
gloves
Dont touch environmental surfaces except as necessary
during patient care
2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

12

How to Don Gloves

Don gloves last
Select correct type and size

Insert hands into gloves

Extend gloves over isolation gown
cuffs
2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

13

How to Safely Use PPE

Keep gloved hands away from face

Avoid touching or adjusting other PPE

Remove gloves if they become torn;
perform hand hygiene before donning
new gloves

Limit surfaces and items touched

2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

14

Sequence for Removing PPE

Gloves FIRST
Face shield or goggles
Gown

Mask or respirator

2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

15

Where to Remove Gloves

At doorway, before leaving patient room or in
anteroom*
Remove respirator outside room, after door has
been closed*
* Ensure

that hand hygiene facilities are

available at the point needed, e.g., sink or
alcohol-based hand rub
2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

16

How to Remove Gloves (1)

Grasp outside edge
near wrist
Peel away from hand,
turning glove inside-out
Hold in opposite gloved
hand
2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

17

How to Remove Gloves (2)

Slide ungloved finger

under the wrist of

the remaining glove
Peel off from inside,
creating a bag for
both gloves
Discard
2/20/2016
PPE
Use in Healthcare Settings

Dr.T.V.Rao MD

18

When to do Double gloving

For some surgical work eg,

orthopaedic or dentistry,
where additional physical
protection may be needed,
double gloving, the use of
glove liners or of knitted or
steel weave outer gloves
may be appropriate and are
proven to be beneficial.
2/20/2016

Dr.T.V.Rao MD

19

Use of Gloves in Post-mortem

examination
For some work, such as post

mortem examination or
embalming, where there is
a risk of exposure to bloodborne viruses as well as the
requirement to use knives,
saws etc, pierce and cutresistant gloves are likely to
be needed, in addition to
those providing
microbiological protection.
2/20/2016

Dr.T.V.Rao MD

20

Allergies with Gloves

Latex allergies are becoming common with

prolonged use of latex gloves, and the use of nitrile

or vinyl gloves is recommended to avoid becoming
sensitised. It is recognised, however, that within
certain work environments, latex gloves are still
used in large numbers due to their efficacy and
relatively low cost.
2/20/2016

Dr.T.V.Rao MD

21

Allergies with Gloves

If latex gloves are worn, then powder free, low

protein content materials must be chosen to help

prevent latex allergy. Powdered gloves should be
avoided as they can increase skin irritation and the
likelihood of allergy development. Where latex
gloves are in use appropriate health surveillance
should be implemented.
2/20/2016

Dr.T.V.Rao MD

22

Hand hygiene and disposable gloves

It is important to remember that glove use is not a replacement

for effective hand washing, and the two should work together to
protect the wearer and others, such as a patient or client being
treated. Key requirements are:
When using disposable type gloves, your hands should be washed

and dried thoroughly before putting the gloves on;

Where client or patient treatments are involved, a fresh pair of

disposable examination-style gloves must be worn for each

procedure and must be disposed of between procedures to avoid
cross-infection. Never wash and reuse disposable gloves;
2/20/2016

Dr.T.V.Rao MD

23

Gloving is not Replacement for Hand Washing

We should not forget Hand Washing is great step in prevention of
spread of Infectious diseases
If you work anywhere in the health care industry, you are likely

aware of the importance of performing proper hand hygiene and

glove use to reduce the spread of infectious organisms.
In the Five Moments for Hand Hygiene as outlined by the World

Health Organization (WHO,) the first moment for performing

hand hygiene is Before Patient Contact.
But is this step really necessary, especially when you are about to

don a pair of gloves before touching the patient?

2/20/2016

Dr.T.V.Rao MD

24

Gloving is not Replacement for Hand Washing

We should not forget Hand Washing is great step in
prevention of spread of Infectious diseases

2/20/2016

Dr.T.V.Rao MD

25

Hand Hygiene and Disposable gloves

If you need to stop work temporarily, eg to answer a phone,

always remove and discard the gloves you are wearing and
replace them when you continue working;
Always wash your hands after glove removal - gloves are not a

replacement for hand washing; and,

Moisturising hand cream, applied after hand washing, can help

prevent skin drying after frequent washing. Such products

should never be relied upon as a physical barrier to protect the
skin from infection.
2/20/2016

Dr.T.V.Rao MD

26

References
1The use of gloves Health and safety executive

internet resource
2 Guidance for the Selection and Use of Personal
Protective Equipment (PPE) in Healthcare
Settings CDC resource
Medical Gloves FDA
Wikipedia on Gloves
2/20/2016

Dr.T.V.Rao MD

27

Attention of viewers

I am thankful to many in the world who made me to achieve my desired goals faster than I thought, having > 3-5 million
health professionals share and utilize my knowledge for the benefit of mankind, Today I wish to be freelancer to the world to
create interest in Medical, Clinical and Diagnostic Microbiology with more emphasis on Infectious diseases and Hospital
associated Infection wish to be your partner in educating many millions who know well the importance of Infectious diseases

You can visit many web sites of mine

www.medmicrobes.com

www.slidehsare.com

www.authourstream.com

www,scribd.com

Be a friend on Facebook with tummalapalli venkateswararao access

Raos Microbiology

Raos Infection care

Microbiology connected Travancore Medical College

For any assistance on INFECTION REALTED ISSUES CONTACT ME AT doctortvrao@gmail.com

Mob +91 7204113154

2/20/2016

Dr.T.V.Rao MD

28

Program file crated by Dr.T.V.Rao MD for

benefit of Medical and Paramedical

Professionals in the Developing World for
Scientific use of Surgical Gloves
Dr.T.V.Rao MD
Freelance Clinical Microbiologist
2/20/2016

Dr.T.V.Rao MD

29