Overview
- The aim of all barrier usage (i.e., gloves and gowns) is to decrease exposure to and spread of microorganisms and disease; all actions are aimed at breaking the chain of infection by eliminating the links.
- Gloves should be worn whenever exposure to body secretions is likely. ALWAYS WEAR GLOVES WHEN EMPTYING DRAINAGE CONTAINERS.
- If the sterility of materials, gloves, or gowns is in doubt, treat them as nonsterile.
- Some major nursing diagnostic labels related to biologic safety are risk for infection, impaired tissue integrity, acute pain, knowledge deficit, and anxiety.
- Unlicensed assistive personnel should be trained in safety protocols that prevent exposure to microorganisms, such as application of gowns and gloves. In general, procedures such as dressing changes are performed by the registered nurse or licensed practical nurse. For less complex dressings, some agencies train special personnel to assist with dressing changes. ALL ASSESSMENTS AND THE MANAGEMENT OF DRESSING CHANGES AND WOUND MANAGEMENT ARE THE RESPONSIBILITY OF THE LICENSED NURSE. See agency policy concerning delegation of specific procedures listed in this chapter to unlicensed assistive personnel.