DONNING A STERILE GOWN AND CLOSE GLOVING

The nurse must wear a sterile gown in the Delivery Room, so sterile objects can be
comfortably handled with less risk of contamination. A gown is applied after surgical
handscrubbing and after the nurse has donned a mask and surgical cap.

Purpose:
1. Provide a barrier between microorganisms on the nurse’s uniform and the client.
2. Maintain a microbe free covering over the nurse’s uniform.
3. Prevent a nosocomial infection associated with an invasive procedure, such as handling
delivery.
Equipment:
1. Sterile gloves
2. Mask
3. Surgical cap/bonnet
4. Sterile gown
Expected Behavior
1. Inspect the autoclaving tape used to secure
the gown. Note that it confirms the sterility
of the contents.
2. Don mask and cap. Carry out surgical hand
scrubbing for at least 5 minutes each hand.
3. Pick up a gown, grasping inside surface at
the collar.
4. Stand away from the sterile pack and table.
Hold gown at arm’s length away from your
body to allow the gown to unfold by itself.
Be careful not to allow gown to touch the
floor or any unsterile field.
5. Hold gown by inside, open shoulder seams
and insert each hand through armholes.
6. Keeping your upper arms in front of you at
shoulder height, extend hands toward gown
cuff. Do not push hands through cuffs.
7. Having circulating nurse to assist by
reaching inner side of the gown and pulling
inner shoulder and side seams onto your
shoulders.
8. With your hands still inside the gown, open
the sterile inner wrapper of the glove on the
Rationale
When packs are sterilized, a special tape is used
which changed color pattern with heat. Contents
should not be used if the tape color remains
unchanged when heated.
Scrubbing eliminates microorganisms from
surface of hands. Mask and cap reduce chances
of transmitting organisms to gown by direct
contact or airborne transmission.
Hands are not completely sterile. Inside surface
of gown will contact clothes and skin surface so
it is considered contaminated.
Contact of outer surface of gown with a dirty or
clean surface would result in gown
contamination.
Inside surface of gown is considered
contaminated.
Extension of arms straight ahead keeps sterile
outer surface of gown in view and reduces risk of
touching floor or a portion of your body.
Working from behind scrub nurse prevents
contamination by circulating nurse. Gown should
fit comfortably.
This is to prevent contamination of the sterile
gloves.
 sterile field.
9. With your dominant sleeved hand, grasp the Only sterile items come in contact with each
cuff of the gloves for the non-dominant hand other.
and lay it on the extended non-dominant
forearm with palm up; place the palm of the
glove against the sleeved palm with fingers
of the glove facing toward the elbow.
10. Manipulate the glove so that the sleeved Prevents the hands from contaminating the sterile
thumb of the non-dominant hand is grasping gloves.
the cuff. With your dominant hand working
through its sleeve, grasp the upper side of
the glove’s cuff and stretches the cuff over
the end of cuff of the gown.
11. With sleeved dominant hand, grasp Provides a close sterile method of gloving.
the cuff of the glove and the gown sleeve of
the non-dominant hand. Slowly extend the
fingers into the gloves, making sure the cuff
of the glove remains above the cuff of the
gown sleeve.
12. With the gloved non-dominant hand, puts To maintain aseptic technique in donning gloves
the glove on the dominant hand by repeating on the dominant hand.
step 9 & 10.
13. Adjust fit and remove wrinkles of the
gloves.
 RETURN DEMONSTRATION EVALUATION TOOL FOR
DONNING STERILE GOWN AND CLOSE GLOVING TECHNIQUE

Name: ___________________________________ Grade: ______________

Date of RD: _____________________ Time Started: ________ TE:______

AREA OF EVALUATION RATING COMMENTS

5 4 3 2 1 0
SKILLS 35%
1. Inspects the sterility of the gown.
2. Don mask and cap. Carry out surgical
hand scrubbing.
3. Pick up a gown, grasping inside
surface at the collar.
4. Stand away from the sterile pack and
table. Hold gown at arm’s length
away from your body to allow the
gown to unfold by itself.
5. Hold the inside part of the gown,
open shoulder seams and insert each
hand through armholes.
6. Keeping your upper arms in front of
you at shoulder height, extend hands
toward gown cuff. Do not push hands
through cuffs.
7. Having circulating nurse to assist by
reaching inner side of the gown and
pulling inner shoulder and side seams
onto your shoulders.
8. With your hands still inside the
gown, open the sterile inner wrapper
of the glove on the sterile field.
9. With your dominant sleeved hand,
grasp the cuff of the gloves for the
non-dominant hand and lay it on the
extended non-dominant forearm with
palm up.
10. Place the palm of the glove against
the sleeved palm with fingers of the
glove facing toward the elbow.
11. Manipulate the glove so that the
sleeved thumb of the non-dominant
hand is grasping the cuff. With your
dominant hand working through its
sleeve, grasp the upper side of the
 glove’s cuff and stretches the cuff
over the end of cuff of the gown.
12. Slowly extend the fingers into the
gloves, making sure the cuff of the
glove remains above the cuff of the
gown sleeve.
13. With the gloved non-dominant hand,
puts the glove on the dominant hand
by repeating step 9 & 10.
14. Adjust fit and remove wrinkles of the
gloves.
KNOWLEDGE 15%
1. Gives rationale of the procedure.
2. Explain the elements and mechanics of the
procedure.
3. Knows the elements of nursing process as
applied.
4. States principles applied in the procedure.
ATTITUDE 10%
1. Is well - groomed
2. Wears prescribed, neat and clean uniform.
3. Arrives on time for the RD.
4. Speaks to CI and client tactfully.
5. Minimizes use of energy, time and effort.
6. Utilizes supplies efficiently.
7. Considers client safety, privacy and
comfort
8. Is well - organized
9. Keeps working area clean at all times
10. Gives high value for aesthetics
Comments:
________________________________________________________________________

CI's Signature: _____________________________________