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Discussion

Universal Precautions

Hi all!

I just accepted my very first RN job at a large private practice. Everything seems nice about it. The fact that I will work 9am-5pm M-F, have weekends and holidays off just seems great. I did take a $3-$5 cut in pay though and I will be the ONLY RN working there. All the other nurses there are LPNs. Anyways, I had something that was brought up to me the other day that I find totally shocking. One of the nurses who has worked there for 20+ years has been helping me out with getting all the information I need about this job. She had mentioned to me that one of the other LPNs thought it was strange and "unnecessary" that I wore gloves every time I gave a flu shot or allergy shot the day I shadowed, and I was told that the nurses won't always have enough time to put them on and I'll soon learn their ways.......WHAT?! When she told me this I was so dumbfounded! I couldn't believe she said that..But, I'm going to do what's right and safe for the patient and whats safe for me, which is to wear gloves!!

I just wanted to know what anyone else thought of this situation and if they have ever been told the same thing, or something similar before and what you did in that situation.

Featured Replies

Just to clarify, was the experienced nurse just repeating what the other nurse said or affirming it herself? Either way, just keep on going on and they can follow your example or not. Are the docs okay with them not wearing gloves?

  • Experts

I don't wear gloves when I give shots.

From what I understand, gloves weren't routinely used back in the "old days"...even for the really "yucky" stuff. I'm not sure how long ago that was, though.

In any case, I would just carry on wearing gloves as I had been taught. What other people think tends not to offend me.

As a side-note: I don't think this is an RN/LPN issue...

  • Author
Just to clarify, was the experienced nurse just repeating what the other nurse said or affirming it herself? Either way, just keep on going on and they can follow your example or not. Are the docs okay with them not wearing gloves?

She was doing both because she told me that I wouldn't always have time to put on gloves. But, as a brand new graduate nurse I have learned that it only takes a few seconds to put gloves on to protect yourself and the patient. I haven't asked the doctors personally about it, but I'm assuming they must know.

  • Author
I don't wear gloves when I give shots.

Do you work in a hospital or private practice?

So, if she says there's not enough time to switch gloves, is she taking time to wash her hands/use sanitizing gel?

So, if she says there's not enough time to switch gloves, is she taking time to wash her hands/use sanitizing gel?

Yucko!

I worked ems as an emt then medic starting in the late 90's. Now am an rn in an er. I wear gloves all the time for just about everything and nobody has ever said I was too slow.

Do your thang!

BSN GCU 2014.

Sent from my iPhone using allnurses

  • Author
So, if she says there's not enough time to switch gloves, is she taking time to wash her hands/use sanitizing gel?

Good question! I haven't noticed a lot of that either...I start my first day today and will keep an eye out.

Actually, the CDC states that gloves are not necessary when administering vaccines. Not sure if this is their most recent bulletin, but right here:

General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)

Gloves are not required when administering vaccinations, unless persons administering vaccinations are likely to come into contact with potentially infectious body fluids or have open lesions on their hands.

When you go to an employee flu clinic at a hospital where they're administering hundreds of vaccines over the space of hours, you will notice that they do not wear gloves.

OSHA does not require gloves when administering an injection either:

Ask the expert: Gloves for injections | OSHA Healthcare Advisor

And here's another:

http://www.paho.org/immunization/toolkit/resources/paho-publication/job-aids/vaccine-safety/vaccination-questions-commonly-asked-by-healthcare-professionals.pdf?ua=1

Personally, I don't give so many injections that it's a bother to don gloves, and I would say that about 30% of the time, the patient does bleed a little after the injection. Plus, I work with a high-risk population, and am much more likely to encounter Hepatitis. So I always wear gloves (and gel before and after putting them on). But if I was doing a large scale vaccine clinic, I probably wouldn't.

I gave a lot of injections at a clinic I recently left. I only used one glove. Gloves won't protect you against a needle stick and washing your hands should be enough. I always had a couple of pieces of gauze available in case of a bleed and used my gloved hand for that.

I think gloves are necessary and I protect myself accordingly, however, they are not necessary for everything.

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