Standard Operating Procedures for Glove Use

1、 Classification of gloves

（1） Use medical gloves

1. Use sterilized rubber surgical gloves: comply with GB 7543.

2. Use medical rubber examination gloves: comply with GB 10213.

（2） Reusable gloves

1. Rubber oil resistant gloves: gloves that comply with AQ 6101 and are worn when in contact with mineral oil, vegetable oil, and various solvents containing fats.

2. Acid (alkali) resistant gloves: comply with AQ 6102 and are gloves worn when in contact with acidic or alkaline solutions.

3. Immersion gloves: comply with GB/T 18843, used for waterproofing, detergents, dirt and minor mechanical injuries, only suitable for gloves used in similar occupations such as cleaners.

2、 Selection of gloves

Different materials and types of gloves should be selected based on the potential adverse reactions of the wearer and different operational requirements.

（1） Basic principles for using gloves

The principles of standard prevention and contact isolation should be followed; Hand hygiene indications should be followed regardless of whether gloves are used or not.

（2） Principles for selecting individuals who may experience adverse reactions

1. Gloves made of synthetic rubber should be worn as much as possible, and gloves made of natural rubber latex should not be worn.

2. It is advisable to use powder free gloves instead of powder gloves.

（3） Principles for using medical gloves and reusable gloves

1. When in direct contact with patients, medical gloves should be used.

2. When cleaning the environment or medical equipment, medical gloves or reusable gloves should be used.

3. Medical gloves should be used.

（4） Indications for the use of surgical gloves

1. Surgical procedure.

2. Vaginal delivery.

3. Radiointerventional surgery.

4. Central venous catheterization.

5. Preparation of total parenteral nutrition and chemotherapy drugs.

（5） Indications for using gloves for inspection

When in contact with the patient's blood, body fluids, secretions, excreta, and items significantly contaminated by body fluids, examination gloves should be used.

1. Direct contact: Contact with blood; Contact with mucosal tissue and damaged skin; Microorganisms with potential high infectivity and high risk; Epidemic or emergency situations; Intravenous injection; draw blood; Removal of venous catheter; Gynecological examination; Non closed suction of phlegm.

2. Indirect contact: dumping vomit; Handling (cleaning) equipment; Disposal of waste; Clean up spilled bodily fluids.

（6） No need to use gloves

Except for contact isolation, do not come into contact with blood, body fluids or contaminate the environment, and do not need to use gloves.

1. Direct contact: measuring blood pressure; Measure body temperature and pulse; Subcutaneous and intramuscular injections; Bathing and dressing patients; Transporting patients; Treat eyes and ears (no discharge); Operation of venous catheter without bleeding.

2. Indirect contact: use of telephone; Writing medical documents; Distribute oral medication; Sending and receiving patient tableware; Change clothing; Place non-invasive ventilator and oxygen cannula; Mobile devices used by patients.

3、 Indications for wearing and removing gloves

（1） Wear gloves

Before performing aseptic operations.

2. Before coming into contact with blood or other bodily fluids, regardless of whether sterile procedures have been performed or if there is contact with damaged skin and mucosal tissue.

Before coming into contact with patients who have implemented contact isolation measures and their surrounding areas.

（2） Remove gloves

When gloves are damaged or suspected to be damaged.

After contact with blood, other bodily fluids, damaged skin, and mucosal tissue, the operation is completed.

3. After coming into contact with each patient and their surrounding environment or contaminated body parts.

When there are indications for hand hygiene.

4、 How to put on and take off gloves

（1） Method of wearing sterile gloves

1. Open the glove bag and lift the opening of the pocket with one hand.

2. Pinch the folded part of the glove (inside the glove) with the other hand, take out the glove, align it with the five fingers, and put it on.

3. Lift up the other bag and insert the fingers with sterile gloves into the inner edge of the other glove, then put on the glove. Then put the flip of the gloves over the work sleeve.

4. Powder gloves should use aseptic methods to remove surface powder.

（2） Method of taking off gloves

1. Pinch the edge of the contaminated surface of the other glove with a gloved hand and remove the glove.

2. Hold the removed glove with the gloved hand, pinch the edge of the cleaning surface (inner surface) of the other glove with the gloved hand, and remove the glove.

3. Pinch the inside of the glove with your hand and throw it into the container.