Where should you place your hands after you have donned sterile gloves Quizlet

Procedure Steps
1. Assess the need for and gather PPE.

a. Gloves: When you may be exposed to body secretions directly or indirectly
Gloves provide a barrier against body fluids. All patients are considered potentially infected per standard precautions.

b. Gowns: When your uniform (e.g., scrubs) may become exposed to potentially infective secretions.
Examples include excessive wound drainage, fecal incontinence, or other discharges from the body, or when fluids may be splashed (as in eye irrigation).

c. Face mask: To prevent transmission of pathogens spread through close respiratory (3 ft or less) or mucous membrane contact with respiratory secretions.
Surgical masks provide a barrier to large-particle droplets (> 5 microns in diameter), helping prevent transmission of pathogens to the nurse's mucous membranes.

d. Face shield or eye goggles: When splashing might occur and fluids enter your eyes (e.g., blood splashes, respiratory droplets, wound débridement).
To protect the entire facial area, wear a face shield. It should protect the crown and chin and wrap around the face to the ear.
Helps prevent pathogens from entering the conjunctiva directly or indirectly.

e. N-95 respirator mask: When caring for clients infected with airborne organisms (< 5 microns) such as the tuberculosis bacillus.
This device prevents airborne transmission of the tuberculosis bacterium. The respirator mask is disposable; others are reusable.

f. Hair covers: When there is a potential for spraying or splashing body fluids.
Although not included in the CDC report (Siegel, Rhinehart, Jackson, et al., 2007), agency policy may advise hair covers in certain situations.

g. Shoe covers: When there is a potential for contamination of shoes with body fluids.
The floor (and anything in contact with it) is considered contaminated. However, certain categories of pathogens require full protective gear, and in those circumstances shoe covers are necessary.

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Terms in this set (10)

Describe the reason for performing hand hygiene before donning sterile gloves:

Hand hygiene reduces number of microorganisms on hands, thus reducing transmission to patient. Do not allow rinse water to run down arms onto clean hands (arms are considered dirty)

Describe process of removing gloves:

Glove - glove, skin - skin keeping contaminated surfaces wrapped and away from hands and body.

What major considerations must be taken into account when choosing proper size of sterile gloves?

The glove should not stretch so tightly that it can tear easily, yet it must be tight enough that you can pick up objects easily. Gloves too small can break while gloves too large increase the risk of contamination

Describe the major actions or considerations the nurse must use in establishing and maintaining a sterile field.

Do not hold arms over sterile field, keep hands and sterile field above waist level, sterile object remains sterile only when touched by another sterile object

In order to prevent contamination of the first sterile glove, during application of the second glove the nurse must grasp the second glove in what manner?

With gloved dominant hand, slip fingers underneath cuff of second glove and carefully pull second glove over fingers of non dominant glove.

Why must you avoid snapping gloves during removal?

To avoid the spread of microorganisms

When should sterile gloves be used?

When performing or aiding in any sterile procedure

When should clean gloves be used?

When dealing with anything not sterile that has a risk of exposure to bodily fluids

Describe possible causes of sterile glove contamination.

Placing hands below waist, touching a non sterile item, gloves become wet with a non sterile or contaminated item, gloves against your body

What action should a nurse take if you note contamination of the sterile field or sterile gloves?

Discard of gloves and start over with new sterile gloves and establish a new sterile field

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Where should you place your hands after you have donned sterile gloves?

Step 6..
Keep your hands in front of you and above your waist. Don't touch anything outside the sterile field..
If you break sterile procedure, remove the gloves, get a new package, and start again..

Where should you place your hands once you don a sterile gown?

Surgical gown donning instructions.
Grasp the sterile gown and step into an area where the gown may be opened without risk of contamination. ... .
Slip both hands and forearms into armholes and sleeves; keep hands at shoulder level and away from the body. ... .
If you are open glove donning, pull cuff to thumb level..

What is the correct action to take if the first sterile glove is donned and the fingers are misplaced in the glove?

What is the correct action to take if the first sterile glove is donned and the fingers are misplaced in the glove? Continue with donning the gloves and reposition the fingers after both gloves are donned.

What are the steps of donning sterile gloves?

Slip the hand into the glove. Using only thumb and index finger, grasp the folded cuff edge of the glove. Pick up 2nd glove by sliding gloved hand under the cuff of the glove. In a single movement, slip the 2nd glove onto the ungloved hand.