Nursing Procedure 11.1, 11.2
- Applying a Sterile Gown (11.1)
- Applying Sterile Gloves (11.2)
Preserves sterile field during sterile procedure.
Nursing Procedure 11.1, 11.2
Preserves sterile field during sterile procedure.
Assessment should focus on the following:
Outcome Identification and Planning
A sample desired outcome is:
Special Considerations in Planning and Implementation
If a child is restless or too young to understand the importance of maintaining a sterile field, restrain the child's arms and legs with linen or soft restraints during the sterile procedure. Encourage a parent to sit at the child's bedside during the procedure, if possible.
Procedures requiring maintenance of a sterile field generally require licensed personnel and should not be delegated.
However, if agency policy and specialized training permits, sterile procedures may be delegated to an experienced, capable unlicensed person.
| Action | Rationale | |
|---|---|---|
| Applying a Sterile Gown | ||
| 1 | Perform hand hygiene and organize equipment; apply mask, if needed. Enlist assistant to tie gown. | Reduces microorganism transfer; promotes efficiency |
| 2 | Remove sterile gown package from outer cover and open inner covering to expose sterile gown; place on bedside table, touching only outsides of covering. Spread covering over table; open outer glove package and slide inside glove cover onto sterile field. | Maintains sterility of gown; provides sterile field; places gloves in convenient location and on sterile field |
| 3 | Remove gown from field, grasping inside of gown and gently shaking to loosen folds; hold gown with its inside facing you (Fig. 11.1). | Prepares gown for application |
| 4 | Place both arms inside gown at the same time and stretch outward until hands reach edge of sleeves (i.e., keep hands inside the sleeves of the gown); don sterile gloves (see steps below). | Preserves sterility of gown |
| 5 | Have assistant tie the upper gown ties at the neck, then pull tie from back of gown and fasten to inside tie at the waist. Have assistant pull outside tie around with sterile tongs or sterile gloves. Nurse should grasp tie, pull around to front of gown, and secure to front tie. IF GLOVE OR GOWN BECOMES CONTAMINATED, DISCARD AND REPLACE WITH STERILE GARB. | Secures gown without contaminating outer portion |
| Applying Sterile Gloves | ||
| 1 | Perform hand hygiene. Don gown, if needed (see steps above); otherwise, open glove package, place on bedside table, and remove inner glove covering. Open inner package, using sterile technique, and expose gloves. | Maintains sterile field |
| 2 | Pick up one glove by cuff and slip fingers of other hand into glove (keep gown sleeve inside glove, if applicable); pull glove over hand and sleeve. | Applies glove while maintaining sterility |
| 3 | Place gloved hand inside cuff of remaining glove and lift slightly; slide other hand into glove and pull cuff over hand, wrist, and sleeve of gown, if applicable (Fig. 11.2). DO NOT TOUCH SKIN WITH GLOVED HAND. | Facilitates placing glove on hand without contaminating glove or gloved hand; stabilizes gown sleeve and creates continuous sterile hand-to-arm connection |
| 4 | Pull gloves securely over fingers and adjust to fit, using one hand to fix the other. | Places fingers deeply into gloves while maintaining sterility |
| 5 | Proceed to sterile field, maintaining hands above waist; do not touch nonsterile items. IF GLOVE OR GOWN BECOMES CONTAMINATED, DISCARD AND REPLACE WITH STERILE GARB. | Prevents contamination of gloves |
Were desired outcomes achieved? Examples of evaluation include:
