AMBULATORY

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OPEN

GLOVING
1. Perform through hand hygiene.
2. Remove outer glove package wrapper by carefully separating and
peeling apart side.
3. Grasp inner package, and lay it on clean, flat surface just above
waist level. Open package, keeping gloves on wrapper's inside
surface.
4. If gloves are not prepowdered, take packet of powder and apply
lightly to hands over sink or wastebasket.
5. Identify right and left glove.
6. Glove dominant hand first.
7. With thumb and first two fingers of nondominant
8. Carefully pull glove over dominant hand, leaving cuff and being
sure cuff does not roll up wrist. Be sure thumb and fingers are in
proper spaces.
9. With gloved hand, slip fingers underneath second glove’s cuff to
pick it up
10. Carefully pull second glove over nondominant hand. Do not
allow fingers and thumb of gloved dominant hand to touch any
part of exposed nondominant hand. Keep thumb of dominant hand
abducted back
11.After second glove is on, interlock hands. The cuffs usually fall
down after application. Be sure to touch only sterile sides.
12. Glove disposal
A. Grasp outside of one cuff with other gloved hand; avoid
touching wrist. Pull halfway down palm of hand. Take thumb of
half ungloved hand, and place under cuff of the other glove
B. Pull glove off, turning it inside out. Discard in receptacle.
C. Take fingers of bare hand and tuck inside remaining glove cuff.
Peel glove off, inside out. Discard in receptacle
D. Perform hand hygiene.
CLOSED
GLOVING
A. With hands covered by gown sleeves, open inner sterile glove package.
B. With dominant hand inside gown cuff, pick up glove for nondominant hand by
gasping folded cuff.
C. Extend non dominant forearm with palm up, and place palm of glove against
palm of nondominant hand. Glove fingers will point towards the elbow .
D. Grasp back of glove cuff with covered dominant hand, and turn glove 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 gloves cuff covers gown’s cuff.
F. Glove dominant hand in the same manner, reversing hands. Use gloved
nondominant hand to pull on glove. Keep hand inside sleeve.
G. Be sure fingers are fully extended into both gloves.
Advantages of ambulatory care information system

5. Improved clinical outcome


4. Automated and integrated analysis-enhanced research
back-end process such as productivity through data
pharmacy billing, purchasing, mining and facilitate
inventory management, etc. institutional handling of
managed care challenges in a
time manner
Advantages of ambulatory care information system

6. Improve hospital inventory 7. Better monitoring and


management management of costs-
prescription, consumables,
doctor’s fees, etc.

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