Do you wear gloves - page 4
Sorry I have so many questions but you guys are so helpful. I was woundering do you wear gloves most of the time, like when taking blood, giving injections etc. I remeber being in a hospital and... Read More
Oct 19, '02Joined: Oct '00; Posts: 10,236; Likes: 64Originally posted by Nurse Ratched
My patients fall into two categories - those who have hepatitis, and those I don't know have hepatitis yet...
Oct 19, '02Joined: Oct '00; Posts: 8,729; Likes: 8,412I wash my hands over and over, but don't use gloves as often as the new grads I see coming. they glove up to assist the pt walking down the hall. I also notice less handwashing from those with gloves. Personally I don't glove unless I am dealing with blood, snot, or poop. Or bizarre fluids that don't usually make it outside the body. If I don't have any open wounds on my hands there is no portal of entry for "critters" and if I wash my hands religiously the next patient will be protected.
Oct 19, '02Occupation: Level II Nursery RN Joined: Aug '01; Posts: 265; Likes: 3I also wear gloves to start IVs, draw blood, bathe new babies..ect. Some nurses get the idea that because they are babies they don't have coodies.. guess again.
Oct 20, '02Occupation: RN--currently outpatient pediatrics Specialty: 25 year(s) of experience in Peds Critical Care, NICU, Burn ; Joined: Aug '02; Posts: 74; Likes: 1Wearing gloves isn't an option, folks! Yes, for those of us who have been in nursing since way back when, it was a major learning curve. However, since I have ALWAYS been squeamish about bodily fluids, I was glad when it became an expectation--I could finally find a box of gloves when I came on duty without having to go to CS myself to get them! (Yes, that really did happen. I was told repeatedly I was never going to make it as a nurse if I didn't "get over it".) This is one thing that has changed for the better, and I finally was vindicated (along with our illustrious MICU staff who, like me, always gloved from the get-go):chuckle
Another person who had the "don't wear gloves, it'll hurt someone's feelings" syndrome was, of all people, our ostomy specialist! She retired right around the time gloves became an OSHA & JCAHO requirement. Must have been what pushed her over the brink.
Oct 20, '02Occupation: RN Case Manager Specialty: ER, Med Surg. ICU, Mgmt. Geri. Hme Care ; Joined: Jul '02; Posts: 235; Likes: 34Hi. I was just thinking, after reading the posts, it is correct to wear gloves any time that we are in, real or potential,contact with fluids, but do we always wash hands between patients?. Are all of us really aware that washing hands propperly is, not only the basis,but the cheapest way to prevent crossed infections, and that its evectiveness is great? Of course that it has to be supported by the use of gloves, but not always. in example, when administering medication ( not I/V).
Oct 20, '02Occupation: Nurse Joined: Oct '01; Posts: 12,715; Likes: 2Originally posted by KP RN
I always wear gloves whenever I might be in contact with blood or body fluids.
I remember, back in the early 1980s, getting my a-s reamed at work for wearing gloves when cleaning up a patient's poop. Back then, us nurses were told to NEVER wear gloves when cleaning up someone cause it can hurt their feelings!!
Oct 20, '02Occupation: CCU RN Joined: Sep '02; Posts: 1,039; Likes: 10I have to admit that I have seen plenty of other nurses do things that they should have been wearing gloves for, emptying a foley, changing bed linens, doing mouth care, starting IV;s, suctioning, putting pt on bed pan, doing ABG's, wound care, you name it I have seen it. I am only five months out of nsg school. It is disgusting and totally putting yourself at risk for developing a nasty disease. Why not take the extra 20s and glove up. No pt takes insult to it. I have even heard patients say to their nurse, "do you want to put gloves on first". In this day of modern medicine and technology you think we'd all get the basics..... handwashing and donning of gloves. What is the resistance not to? Come on now.... you are all smarter than that!!!!
Oct 20, '02Joined: Oct '00; Posts: 8,729; Likes: 8,412OK why would you need gloves to change linens assuming they are not wet with some body fluid? Putting pt on bedpan, the pan is clen, you are in contact with only intact skin, not actually touching their genitalia...? Doing mouth care- with swabs, you don't touch their mouth, getting them to rinse and spit you aren't in contact with the spit? I don't get it.
Oct 20, '02Joined: May '02; Posts: 726; Likes: 17don't know about everywhere else but the facilities i've been in do not have 'clean' bedpans. they may get the clumps rinsed off with water but by no means are they clean.
mouth care i do with gloves simply because of the potential for there to be contact with 'body fluid'. that and i simply find it gross to touch someone elses sputum whether it's 'clean' or not. not all patients are able to rinse and spit on command.
linens.....well, i'm usually bathing at the time so i already have gloves on and keep them on to take the dirty linen off. then remove gloves and apply clean linen.
i can't imagine why someone wouldn't take the precaution to quickly slip on a pair of gloves to do anything that may make that person feel safer. i carry a pocket full of 'em and use them for almost everything.
Oct 20, '02Occupation: RN, MSN student Joined: Mar '02; Posts: 1,223; Likes: 1Also when it comes to changing linens (depending on population), you may or may not come upon a "surprise" and wish you had gloves on.
Oct 21, '02Occupation: Nurse Joined: Aug '02; Posts: 86; Likes: 2Originally posted by canoehead
OK why would you need gloves to change linens assuming they are not wet with some body fluid? Putting pt on bedpan, the pan is clen, you are in contact with only intact skin, not actually touching their genitalia...? Doing mouth care- with swabs, you don't touch their mouth, getting them to rinse and spit you aren't in contact with the spit? I don't get it.
When we work with our patients we can not see the microorganisms. We can only see the effects of the microorganisms. Bedpans once used even one time are considered soiled. You can not see microorganisms. This also applies to the urinals. The only time you don't need gloves for a bedpan is when you get it directly from central supply.
Someone else posted a comment about having to get gloves from central supply in previous years. Does everyone know that your facility is required to keep gloves and mask in each room?
The comment about gloves in the pocket. This is not an acceptable practice in our facility. Our are exposed to many surfaces and there is no way you can keep them as clean as in the box. Does your facility keep them in each room?
With oral care I would wear gloves. I need to take the water that was rinsed with to the sink and that is an exposure to body fluids. I might not need them to to the rest but that part I do.
I am also very careful about not only changing gloves but washing my hands between body systems.
I think a lot of people think if they change gloves that is enough. Everytime you take your gloves off the very next thing you need to do is wash your hands.
Oct 21, '02Occupation: RN Joined: Nov '99; Posts: 2,950; Likes: 619Our facility demands judicious glove use and hand washing after. Yes to the question we do wash our hands. Those who don't hear about it including Docs, who are most likely to be careless. We teach visitors to wash thier hands. We require all vilsitors to glove in isolation and teach them to wash after. We provide waterless cleaner at the exit of every room. including kitchen, med room pharmacy, therapy room etc. We teach that soap and water washing needs to follow use of the hand cleaner if there was anykind of direct contact with fluids, wounds, contaminated surfaces (i. e. any direct contact with anything in isolation, contact with linens that may have fluids wet or dry on them or any simular contact) We teach the soap and H2o washing must follow every 4-5 waterless cleanings reguardless of obvious contact or not.
We wash comming on duty, going to and from break and going off duty. Before handling food etc. You know the stuff we are NOW taught in school. Sounds like a lot but if you are using appropriate products and decent towels or no towels it is not so harsh. There have been studies that say air drying is not going to promote contamination or infection.
Also it takes less time than to deal with cross infection. Or worse infecting our families. I'm no clean freak (you should see my hourse) but I do not wear my shoes outside the hospital and my go directly into the washing machine. I am not alone.
Nov 4, '02Occupation: RN in a LTCF and loving it! Specialty: 15 year(s) of experience in Geri, psych, TCU, neuro--AKA LTC ; From: MN, US ; Joined: Jun '02; Posts: 1,080; Likes: 47Originally posted by globalRN
In fact, I usually carry a pair of gloves in my pocket (BoyScout ready);
Several other CNAs have started that practice also. Even better, I got a good clinical eval (I'm third Sem PN) for good planning because I always have gloves and don't have to leave the bedside to get them.
Use them! Don't take any crap (sometimes literally) with you!