Clinical knowledge and misconceptions of medical surgical gloves

Clinical knowledge and misconceptions of medical surgical gloves

Standard Operating Procedures for Glove Use

1、 Classification of gloves

（1） Disposable medical gloves

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

2. Disposable 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 the use of disposable medical gloves and reusable gloves

1. For direct contact with patients, disposable medical gloves should be used.

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

3. Disposable medical gloves should be used once.

（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

Common knowledge and misconceptions about wearing gloves

1、 Classification of medical gloves

Disposable medical sterilized rubber surgical gloves and disposable medical rubber examination gloves

1. Indications for the use of surgical gloves: surgical procedures, vaginal delivery, interventional radiology, central venous catheterization, indwelling catheterization, total parenteral nutrition, and preparation of chemotherapy drugs.

2. Indications for glove use: When in contact with the patient's blood, body fluids, secretions, and items contaminated by body fluids, such as intravenous injection, catheter extubation, gynecological examination, instrument handling, waste disposal, etc.

2、 Clinical situations where gloves are not needed:

1. Direct contact: measuring blood pressure, measuring body temperature and pulse, subcutaneous and intramuscular injections, transporting patients, etc

2. Indirect contact: use of telephone, writing medical documents, operating computers, dispensing oral medication, changing bedding, moving patient devices, etc.

3、 Indications for wearing gloves:

1. Before performing aseptic operations

2. Before coming into contact with blood, body fluids, damaged skin or mucous membranes.

3. Before coming into contact with isolated patients and their surrounding areas.

4、 Indication for glove removal:

When gloves are damaged or suspected to be damaged.

2. After contact with blood, body fluids, damaged skin and mucous membranes, or after the operation is completed.

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

6、 Common misconceptions in the use of medical gloves:

1. Do not wash hands before and after wearing gloves.

2. Wear the same pair of gloves when in contact with more than one patient.

3. Wear gloves from the contaminated area to the clean area on the same patient without changing them.

4. Do not change gloves after coming into contact with contaminated areas and before coming into contact with the surrounding environment.

5. Do not remove gloves for other operations after nursing the patient.

6. Workers and individual medical staff wear gloves and frequently come into contact with public facilities such as elevator buttons.

be careful:

1. Gloves should only be worn when in contact with the patient's blood, bodily fluids, and other contaminants

2. Although gloves provide a barrier effect, their potential penetrability should be considered.

3. Wearing gloves for too long can make the hands inside warm and moist, which is more conducive to the growth of bacteria, and pathogenic bacteria may contaminate the hands through the gaps in the gloves or when taking off the gloves.

4. Medical staff and workers are strictly prohibited from wearing gloves when entering and exiting elevators and other public places.

The above is from the "Technical Specifications for Hospital Isolation" and the "Hand Hygiene Standards for Medical Personnel".

The "Technical Specifications for Hospital Isolation" stipulate that:

6.4 The following is a summary of the usage methods for medical surgical gloves

6.4.  1. Suitable types and specifications of gloves should be selected according to the needs of different operations

6.4.  When in contact with the patient's blood, body fluids, secretions, excrement, vomit, and contaminated items, clean gloves should be worn.

6.4.  When performing sterile operations such as surgery and coming into contact with damaged skin or mucous membranes of patients, sterile gloves should be worn.

6.4.3 Disposable gloves should be used once.

C. 3 Precautions

C. 3.1 Gloves should be changed between patients with different diagnosis, treatment, and nursing needs.

C. After completing the operation, remove gloves and wash hands according to the prescribed procedures and methods. Wearing gloves cannot replace washing hands, and hand disinfection should be carried out if necessary.

C. When gloves are found to be damaged during operation, they should be replaced in a timely manner.

C. 3.4 When wearing sterile gloves, precautions should be taken to prevent glove contamination.

The "Hand Hygiene Standards for Medical Personnel" stipulate that:

6.2 After removing gloves, wash hands or use quick drying hand sanitizer for hand disinfection!