Closed medication system

[Julie Basilio]

Hi! we have at present problem in the our unit with regards to closed medication system. Just want ot know if what you using in your facilities with regards to medication administration.....clean or sterile gloves? Our protocol in ou unit, if central lines, we all use sterile gloves....how about if it is only peripheral line.....do we have to use clean or sterile gloves in medication administration using closed system? Thanks a lot!

[neonatal_nurse]

For peripheral lines, we use clean gloves. Ideally, even just touching the baby the handler should use gloves. The thing is, is it just here or does this scenario happen to your unit as well- all nurses wear gloves when handling the patient, but when doctors come, (sometimes straight from their other rounds without even washing their hands!!! ) they go straight to the baby, touching everything, and I'm looking at her long manicured red nails handling the baby's tummy!!!

[Julie Basilio]

we do the same...just a liitle problem with regards of handling close medication system. We are confuse which to use....sterile or clean gloves? specifically if the line is just a peripheral line. Thanks alot!

[dawngloves, BSN, RN]

Do you mean for priming and attaching the line? A peripheral line, just clean.

[ittybabyRN, RN]

We use clean gloves for all lines, obviously scrubbing the ports and around the ports whenever disconnecting/reconnecting. When hanging a med it's technically a closed port so we just give it a good scrub but even when hanging new lines we use clean gloves

[littleneoRN]

We use clean gloves for all patient contact. Long nails and any chipped or opaque polish is not allowed. That means everyone, even the rounding docs. They are pretty compliant.

Anyway, we do not use sterile gloves for any line related activities except assisting with placement and doing dressing changes. We do 30 second scrub with chlorhexidine, 30 seconds to dry. Try not to be handling the hub at all. We have a low infection rate.