00:04
Let's talk about
donning sterile gloves.
00:07
Now this procedure can be a
little tricky for new students
so this one really is
great to practice on.
00:12
So let's get started.
00:14
So first of all,
you're going to need your sterile gloves.
00:17
Now when you're
doing sterile gloves,
before you get started
on any procedure,
it's kind of important for you to
know which ones fit you first of all.
00:26
So when sterile gloves,
sometimes sizings going to go
from small, medium,
large, extra large,
or it could go something like
5 1/2, 6, 6 1/2.
00:38
So first of all,
before you get started,
check your agency's equipment and
then see which gloves work for you.
00:46
So before we start sterile gloving,
we always want to perform our hand hygiene.
00:50
Then we want to place this sterile
gloves on a clean, dry flat surface.
00:57
Now, when we open
the inner package,
there are little
bitty flaps on there,
we want to take the inner
edges of this wrapper
and we want to turn that outward,
and we're going to expose the gloves.
01:10
Now with your left hand, and
again, before I get started here,
this is going to take
some practice of,
"Do you want to start with your
right hand or with your left hand?"
So practice this thoroughly,
see which one's comfortable for you.
01:23
So for now,
I'm going to start with my left hand.
01:26
So with your left hand,
grasp the folded inner
surface of the glove
and that will be applied
to your right hand.
01:35
Now you're going to lift the glove
up and insert your right hand,
keep your palm facing up.
01:40
So always think about, "Oh,
kind of like a pizza pie if you will."
Now pull the inner cuff of the
right glove over your right hand.
01:50
So now that I've done this,
this right hand is glove and ready to go.
01:55
Now once your right
hand is completed,
we're going to insert
that gloved right hand
to the fold of the left
glove of your equipment.
02:05
Now we're going to lift the left
glove and insert that left hand.
02:09
Now remember, palm facing
up and kind of like a pizza.
02:14
Now pull that glove
down onto that left hand
and then you should
be ready to go.
02:19
Now sometimes here you
may need to pull down
and adjust the fitting
and the fingers.
02:24
So the main thing to know here,
once we don or put on
our sterile gloves,
it's okay to touch
sterile the sterile.
02:32
These are sterile gloves,
they came in a package.
02:35
So this is okay that
once we've got these on
that we want to make
sure they're fitted
and we can touch glove to
glove because it's sterile.
02:48
Now we're going to don
are sterile gloves.
02:50
So before we get started,
let's perform our hand hygiene.
02:58
So when we open
our sterile gloves,
this outside package
we're not going to need.
03:02
the gloves itself are encased in
almost like a package of its own.
03:08
Now open this up,
and then we're going to get rid of this.
03:14
Okay,
when you open up your package,
there's a lot of really nice
prompts on the package itself.
03:21
So I'm going to flatten these out,
then I'm going to open this up
and it also kind of tells
you like this side down.
03:29
Also, you're just going
to open it up like a book.
03:32
So I'm going to open up
my sterile gloves.
03:35
Try to keep that from
curling on itself.
03:37
So I'm going to kind of
push down some corners here,
try to lay that flat.
03:42
So once you open up your sterile
gloves, you'll notice on the package,
it'll tell you thumb on the
right thumb on the left,
this is really helpful and also how
you know you've got the right side up.
03:52
Also, what helps you is you'll
see these little tabs here,
that's what I'm going to use
to open up my sterile gloves.
04:00
I'm going to put my
fingers underneath here.
04:03
I'm going to take these
and then peel these down
so I can get to my gloves.
04:11
Okay, so now this is open.
04:14
You want to treat this also a lot like
a sterile field with a one inch border.
04:18
But we're really careful
once we open this package
to only touch with our bare
hands, the inner cuff.
04:26
So I want to take a moment to look
at these gloves real quick for you.
04:30
So notice when you
open this package,
these cuffs are folded up.
04:35
The reason why think about it
like inside out like a shirt.
04:39
This is the piece that's
going to touch your skin.
04:41
So this is the piece that I can touch
to don or put on my sterile gloves.
04:46
Okay, so let's get started.
04:48
Now one more thing to think
about before I get going.
04:51
It really is about personal
preference for you.
04:55
So I am right hand dominant.
04:57
I actually put on my left hand
first, we're right.
05:01
It's just what's
comfortable for me.
05:03
So this is a skill,
I really do say,
"Hey, if your nursing instructor
will give you a couple extra pair."
Practice this at home
and get comfortable.
05:12
Also one more thing to think
about, before you get started
donning sterile gloves in a
patient's room for procedure,
make sure you have
the right fit.
05:23
We don't want them too tight
that we break the glove
when we try to put them on.
05:28
We also don't want them so loose that
it's hard to perform a sterile procedure.
05:33
Okay, so now I'm going
to start on my left hand.
05:35
So notice, I'm going to
take my right hand and grasp
the cuff, this inner piece, because this
is the part that's touching my skin.
05:44
So I'm going to grasp it
and try to open this up,
I'm going to take my left hand
and slide it in like a pizza.
05:52
So I'm going to
look for the opening
and take your time
on this go slow.
05:57
The more you hurry, it really doesn't
help or provide any advantage, I promise.
06:02
So we're going to
slide my hand in.
06:05
Now one important thing I
want you to think about,
I don't want the fingers of
my glove dragging everywhere.
06:11
So I'm going to pick
this up nice and high,
so I maintain the
sterility of the gloves.
06:16
So I'm going to take my time and
just kind of wiggle those fingers in.
06:24
So I've just got the inner cuff.
06:26
Remember, that part's not sterile,
because it's going against me.
06:30
I'm going to readjust
here and don't be shy.
06:34
Most the time good sterile gloves,
you can just keep wiggling your fingers in
and pull hard and pull down.
06:41
Now this is not ideal
yet, but that's okay.
06:43
We'll fix this later.
06:45
So now I'm going to
start with my other hand.
06:47
You're going to take this piece and go
inside the inner cup of the other glove.
06:52
And we're going sterile to
sterile, so we really want to try
to get inside that cup itself.
06:58
So this can be a challenge depending on
how your gloves come out in your package.
07:02
But just take your
time here as well.
07:08
As you can see, it's not easy.
07:11
Alright, so we're just
going to take our time,
finagle my fingers here.
07:22
Sometimes this goes on really
quick and sometimes it doesn't,
so this is good for you to see.
07:27
The other thing you notice,
I try to keep my thumb up.
07:30
So I'm also not dragging all over the
place either or contaminate my gloves.
07:35
So now that I have my
other hand inside the cuff,
I'm going to slide my right
hand again like a pizza.
07:47
These gloves are
not my friend today,
but that's okay,
we're going to work with them.
07:51
Alright,
so I'm sliding my hand in.
07:54
And notice I'm just on
the inside of that glove,
pulling down that cuff.
08:00
Keep pulling,
don't be shy on this port.
08:03
Take your time and
let go with that cuff.
08:05
Now that we have each glove on,
now we can take sterile the sterile
and adjust these fingers as necessary.
08:15
And now we're ready
for a procedure.