Wearing gloves can reduce the risk of cross-contamination between the patient and the healthcare staff, and proper use of gloves is a prerequisite for reducing exposure to harmful factors and ensuring the integrity of the gloves.
1 Correct use of medical latex gloves.
1.1 Wear dry gloves Firstly, apply a small amount of talc powder (or medical starch) to your hands. Use your right hand to hold the inside of the reflexive part of the glove. Take out a pair of dry gloves. Put your left hand first into the left glove and wear gloves. Put the left hand into the outer ring of the right hand reflexion, then the right hand into the glove (first right gloves can also be worn); the reflexed part of the glove is pulled over the wrist without exposing the wrist; before wearing no gloves Hand can not touch the outside of the glove, has been wearing gloves, can not touch the skin, then use sterile saline rinse the talcum powder gloves and then operate.
1.2 Wearing wet gloves After the hand is disinfected, wear wet gloves. Take a pair of wet gloves from the bowl of the gloves. Hold the water in the gloves. After the left hand reaches into the gloves, slightly raise the left hand so that the water flows out of the wrist. OK, then put your right hand into the outer ring of the reflexed part of your left hand and lift your right hand so that the water flows out of your wrist (you can wear the right gloves first), put on the surgical gown, and place the gloves on the cuffs. No wrists should be exposed. Conditional hospitals generally should not use this method.
1.3 Wearing Double Layered Gloves Wearing double layered gloves can reduce the chances of the wearer’s exposure to danger. If a pair of gloves (such as chemotherapy and bone marrow puncture) are required in a specific operation, loose gloves are needed so that one set of gloves can be worn. On top of the other.
1.4 Changing the gloves After touching the suspected contaminated area or object of the same patient, the gloves should be replaced before the mucous membrane is to be touched. Before touching non-contaminants or needing to dispose of other patients, you should remove the gloves, wash your hands immediately or use a disinfectant to avoid the spread of microorganisms to other patients or items.
1.5 Time for Wearing Gloves The longer you wear gloves, the more vulnerable the protective barrier is. Use of gloves under harsh conditions or exposure to various chemicals may cause fatigue of the gloves. Therefore, gloves should be replaced appropriately during operation. Should the gloves break or suspect contamination during the procedure should be replaced immediately.
1.6 During the use of the gloves, the source of infection will contaminate the outer surface of the gloves. It is very important to remove the gloves properly. When the gloves are removed, they cannot be pulled by force. The gloves should be gently flipped off and the hands should not touch the outside of the gloves. Under the gloves should be disinfected and should not be thrown into the trash. Incorrect removal of gloves will probably result in the spread of contaminants outside the gloves. At this time, even the best barrier function will appear meaningless.
2 Disinfection of Medical Latex Gloves．
The used gloves should be taken off immediately and soaked in the disinfecting solution for 30 minutes. When soaking, the front of the gloves should be turned over. Because the gloves are often reversed from the outside, the decontamination and sterilization effect will not be achieved. Since the gloves are lighter, they will generally float. On the liquid surface, the gloves should be completely immersed in the disinfectant when the product is immersed. The supply room of our hospital makes a special device for soaking the gloves. The inner pressure plate with holes has a good disinfection effect.
3 Preservation of medical latex gloves．
After the soaked gloves are cleaned and dried, check for damage. Those who are damaged can no longer use them. Check whether the size of the hands is consistent with talcum powder and put them in a glove bag and sterilize them before storing them in the sterile room. There is a one-time medical sterile latex glove on the medical market. The outer casing is packaged in paper. After the glove is used up, it needs to be disinfected and treated as medical waste. It cannot be discarded.
4 Precautions
4.1 Many medicines often cause damage to gloves made of some materials. If this is a dangerous medicine, the degradation of the gloves will cause the human body to be exposed to infectious substances. Drugs that may degrade and permeate through gloves are: glutaraldehyde, formaldehyde, xylene, hypochlorite solutions, alcohol, chemotherapeutic drugs, oils and fats, petroleum ointment, non-polymeric bone cement, and many other disinfectants, fungicides, and general Chemicals, so it is best to wear double gloves when encountering these drugs.
4.2 When the tape, trademark, electrocardiogram, or other viscous material adheres to the glove and is not easy to remove, it will also destroy the protective barrier of the glove. In this case, strong removal will tear the glove and should be noticed.
4.3 Smooth gloves can also affect the safety of use. Sharps, glass tubes, vacuum flasks, and metal instruments can slip, especially when the gloves are wet, increasing the risk of gloves being broken when treating patients, leading to the spread of infection sources. The use of webbed, non-lubricated gloves can be more secure.
4.4 Long nails and jewellery These will not only be a “safe haven” for the source of infection, but will also puncture the gloves. When wearing gloves, nails should be routinely trimmed and jewelry should be removed. Artificial nails can cause a lot of troubles. Even after effective scrubbing, it is not easy to wash away the fungus and bacteria that remain in the nails. Artificial nails may catch on gloves. Wearing gloves is more difficult.
5 Conclusion
With proper selection and use of gloves, the risk of daily cross-infection between patients and medical staff can be reduced. Many relevant factors should be brought to the attention. Once the gloves with the proper protective function are selected, they should be properly kept and used with care. The increase in hospital infection rate is not only related to the destruction of the protective barrier of the gloves, but also to the presence of dust, chemicals, and crossovers. The contact with the gloves and the wrong handling gloves, the correct choice and use of gloves can reduce hospital dyeing.
