Gloves or not for IV meds?

  1. 0 So in my 3rd year of nursing we have a class simulation on how to be supportive and informative "buddy nurses" as nursing has the inevitable duty of educating student nurses. In this simulation I was to pretend to be a buddy nurse to a 2nd year student and guide my student in administering IV antibiotics.

    As we were about to administer it we both put on gloves, which the educator then walked in and questioned why we were wearing gloves. On my clinical placements I was always instructed to wear gloves giving medication through the IV, blood present or not.. The educator argued that unless it was not a one way valve cannula, or if there was no blood/bodily fluids present there is no need to wear gloves in this situation. I would partially agree with this, however I would rather my student always wear gloves in this situation than not wear them when it is necessary. I was a little bit annoyed at this, is it really that necessary to savour the resources of gloves to put a student at risk?

    So who wears/doesn't wear gloves in this situation and why?
  2. Visit  Shibby3 profile page

    About Shibby3

    Joined May '11; Posts: 8; Likes: 9.

    33 Comments so far...

  3. Visit  akulahawkRN profile page
    0
    I normally wouldn't. You're not dealing with blood/body fluids. You're dealing with a port that's upstream of the cath. You're not uncapping the port are ya? No? Then clean the port per instructions... and go from there. Now if the clinical site requires that gloves be worn, then wear them.

    As long as you're able to maintain a good aseptic technique, the port will remain clean regardless of you wearing gloves. Here's another issue: Depending upon the drug, I'd consider gloves to minimize my exposure to the agent, not the patient. Make sense?
  4. Visit  IVRUS profile page
    1
    Quote from Shibby3
    So in my 3rd year of nursing we have a class simulation on how to be supportive and informative "buddy nurses" as nursing has the inevitable duty of educating student nurses. In this simulation I was to pretend to be a buddy nurse to a 2nd year student and guide my student in administering IV antibiotics.

    As we were about to administer it we both put on gloves, which the educator then walked in and questioned why we were wearing gloves. On my clinical placements I was always instructed to wear gloves giving medication through the IV, blood present or not.. The educator argued that unless it was not a one way valve cannula, or if there was no blood/bodily fluids present there is no need to wear gloves in this situation. I would partially agree with this, however I would rather my student always wear gloves in this situation than not wear them when it is necessary. I was a little bit annoyed at this, is it really that necessary to savour the resources of gloves to put a student at risk?

    So who wears/doesn't wear gloves in this situation and why?
    When exposure to blood or body secretion is possible, wear gloves.
    When giving an IV medication, or hanging an IV bag, I don't wear gloves either. If I touch or accidently contaminate a portion of the tubing, like the spike, it's just as contaminated with my glove as it would be with my hand. And gloves can increase the possibility of contamination IF the gloves aren't form fitting.
    Hope this helps.
    BluegrassRN likes this.
  5. Visit  meltnpointofwax profile page
    3
    I wear gloves no matter what I'm doing in a patient's room. The main reason is because I also work as a tech in a hospital and every day I see people go from changing a messy diaper to touching handrails, IV poles, remotes, the patient, etc.
    melmarie23, cogath, and CrunchyMama like this.
  6. Visit  ~Mi Vida Loca~RN profile page
    1
    I don't wear gloves when giving IVP meds or hanging bags. It's a needless system, (at least where I am at) and I clean all the ports with alcohol really good.
    loriangel14 likes this.
  7. Visit  CrunchyMama profile page
    1
    I wear gloves doing anything! We're taught to do so, so therefore I do. I can never imagine not wearing clothes....it has become such a habit. I feel safer wearing them.
    dandk1997RN likes this.
  8. Visit  blackandyellow profile page
    0
    The hospital I work in I never see people wear gloves but when I do anything I always wear them. I don't know what my hands are touching and who's hands have been there with what on them before.
  9. Visit  Seas profile page
    0
    I don't wear them when doing y-port IVP, IVPB, or regular IV fluids. I wear them when I am working on a saline-locked IV line.
  10. Visit  ImThatGuy profile page
    0
    I see no reason to. Walk in. Ask name and DOB. Find line. Swab port with alcohol. Insert needleless device. Squirt. Judge for effect. Exit.

    Now, I don't touch bodies or products from them without gloves. I won't even touch their hands without gloves. Mostly because it makes me feel too personal with them. I know that's weird, but whatever. There is the whole body funk element though.

    I see no need to do it on an IV line.
  11. Visit  That Guy profile page
    1
    IV and central lines no. If I am drawing bld from a central line yes. Art line yes, but just hanging a bag or pushing a med, no way.
    loriangel14 likes this.
  12. Visit  CrunchyMama profile page
    5
    Oops....meant to say GLOVES not clothes, lol! Actually can't imagine walking around the hospital naked either!
    bloodorange, yaneau, Shibby3, and 2 others like this.
  13. Visit  msjellybean profile page
    2
    Only time I wear gloves with IVs are when I'm hanging blood, drawing labs, or hanging/pushing chemo. It's really useless to do so otherwise.
    loriangel14 and BluegrassRN like this.
  14. Visit  sandyfeet profile page
    1
    Quote from Shibby3
    So in my 3rd year of nursing we have a class simulation on how to be supportive and informative "buddy nurses" as nursing has the inevitable duty of educating student nurses. In this simulation I was to pretend to be a buddy nurse to a 2nd year student and guide my student in administering IV antibiotics.

    As we were about to administer it we both put on gloves, which the educator then walked in and questioned why we were wearing gloves. On my clinical placements I was always instructed to wear gloves giving medication through the IV, blood present or not.. The educator argued that unless it was not a one way valve cannula, or if there was no blood/bodily fluids present there is no need to wear gloves in this situation. I would partially agree with this, however I would rather my student always wear gloves in this situation than not wear them when it is necessary. I was a little bit annoyed at this, is it really that necessary to savour the resources of gloves to put a student at risk?

    So who wears/doesn't wear gloves in this situation and why?

    My instructor this semester was really big on "knowing WHY you are doing things". In your situation, for example, my instructor would perceive it as "this person thinks they are going to be exposed to blood or body fluids by giving IV drugs" and question if you really understood what you were doing. This may be why the educator questioned you as well.

    I don't wear gloves giving IVPs or IVPBs because I'm not putting myself at risk. I always have gloves in my pocket in case something happens while I'm at the bedside, and I wash my hands with soap and water when I'm done.

    To everyone feeling safe by wearing gloves: they are not 100% sealed. There is an acceptable amount of pores or holes allowed in manufacturing. To quote my instructor again, "Ask anyone who ever got pregnant while using a condom!"
    Shibby3 likes this.

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