Course Access
On a tangent – but a related outcome of inappropriate glove use….
I recently finished my PhD in which patients were invited to watch back
video footage of their own clinical care and to discuss their
understandings of infection risks.
Quite a few of them said they only felt safe when staff wore gloves. They
were so used to seeing staff wearing them – that absence of them signalled
unsafe care for them.
During our discussions it became clear that some patients thought the
gloves were sterile. When they realised they were just the gloves in boxes
on the wall they decided clean hands would be better.
Still – I will admit that I wear gloves when drawing up IV ab/s (and I’m an
older hospital trained nurse :)). I do remove them and do appropriate hand
hygiene before going to the patient. Some shifts it seems that hours are
spent in a tiny room with 6 other nurses all drawing up a/bs. They often do
spray when you withdraw the drawing up device. I can smell them on my hands
and arms before I wash them. I welcome any evidence that suggests this is
not harmful to me (and I am interested in hearing more from Ruth about her
findings) – but my gut instinct tells me it is. I think that if any changes
are made about glove use at a local level it is really important to have
discussions with the staff that do the work about the kinds of worries they
have before introducing a new rule that gloves are not to be worn or are
discouraged.
Thanks for this thread…really interesting
Mary
*Mary Wyer*
Research Scientist | Centre for Infectious Diseases and Microbiology, The
Westmead Institute for Medical Research
Research Affiliate | Sydney Health Ethics, The University of Sydney
176 Hawkesbury Rd, Westmead | NSW | 2145
*T* +61 2 86273405 | *M* +61 477975144 | *E* mary.wyer@sydney.edu.au
*ORCID ID*: orcid.org/0000-0002-1215-8089
*Alumni Foundation Brocher:* http://www.brocher.ch/en
*Twitter: *@mary_wyer
On Mon, Jul 10, 2017 at 8:56 AM, Terry McAuley wrote:
> Hi Everyone,
>
>
>
> I agree. We should be discouraging the routine use of gloves for processes
> / practices where the use of gloves is unnecessary and promoting aseptic
> non-touch technique.
>
>
>
> I have come across the circulating nurses wearing gloves to open sterile
> packs in the Operating Suite. Completely unnecessary in my humble opinion.
>
>
>
> Im also surprised that there has been discussion promoting the wearing
> of gloves in the CSSD packing areas. The premise is that it is protecting
> the instruments from contamination with skin flora and parallels are being
> drawn to the wearing of gloves in clean rooms operations.
>
>
>
> Id be interested to hear the thoughts of my colleagues or to be pointed
> in the direction of some studies that support these practices.
>
>
>
> *Kind Regards*
>
> *Terry McAuley*
>
> *Sterilisation & Infection Prevention and Control Consultant*
>
> *STEAM Consulting Pty Ltd *ACN 604 439 698
>
> *Mob: +61 (0)438 109 692 *
>
> *E: terry@steamconsulting.com.au *
>
> *W: http://www.steamconsulting.com.au *
>
> *A: PO BOX 779*
>
> * Endeavour Hills *
>
> * VIC Australia 3802*
>
>
>
>
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> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Glenys Harrington
> *Sent:* Sunday, July 9, 2017 11:02 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Re: Routine use of gloves in IV antibiotic
> preparation/administration
>
>
>
> Hi All,
>
>
>
> I agree with Ruth. If there is no evidence the practice should be
> discouraged.
>
>
>
> In addition many healthcare workers who wear gloves do so to protect
> themselves and ignore the principles of aseptic no-touch technique when
> wearing gloves increasing the risk of potential contamination.
>
>
>
> Regards
>
>
>
> Glenys
>
>
>
> Glenys Harrington
>
> Infection Control Consultancy (ICC)
>
> P.O. Box 6385
>
> Melbourne
>
> Australia, 3004
>
> M: +61 404816434
>
> E: infexion@ozemail.com.au
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
> ] *On Behalf Of *Ruth Barratt
> *Sent:* Friday, 7 July 2017 7:12 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] Routine use of gloves in IV
> antibiotic preparation/administration
>
>
>
> Hi there
>
> We looked at the occupational hazards of drawing up antibiotics without
> gloves a number of years ago when The 5 Moments were first introduced. The
> use of gloves for drawing up ABs is indeed a normal occurrence now and it
> leads to continuous glove use re. The 5 Moments so non-compliance with
> Moment 2. With the exception of a few nasty ABs there was no evidence we
> could find for occupational risks associated with drawing up ABs e.g. no
> increase in sensitization forwards ABs etc. One exception was if you
> already had a severe sensitivity towards a particular AB. We try and
> discourage this practice for the above reason.
>
>
>
> Cheers
>
> Ruth
>
>
>
> [image: IPC logo for email signature]
>
> *Ruth Barratt RN, BSc, MAdvPrac (Hons)*
>
> *Clinical NurseSpecialist Infection Prevention and Control*
>
> *Community Liaison Infection Prevention*
>
> :: ruth.barratt@cdhb.health.nz
>
> (: + 64 3 3640 083 or ext.80083
>
> [image: 1098272744j4O36h]: 0275 263175
>
> Level 5, Riverside Building
>
> Christchurch Hospital | Private Bag 4710, Christchurch
>
> *Clean Hands Save Lives!*
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
> ] *On Behalf Of *Michael Wishart
> *Sent:* Thursday, 6 July 2017 12:43 p.m.
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Routine use of gloves in IV
> antibiotic preparation/administration
>
>
>
> Hi all
>
>
>
> I have been asked if we should have a policy regarding routine use of
> gloves when preparing and administrating IV antibiotics. My initial
> reaction is no, we should not be handling IV antibiotic solutions in such a
> way as to cause skin exposure. But having looked at some of the product
> information regarding the vesicant nature of some antibiotics (eg
> vancomycin), and the risk of adverse effects via absorption through the
> skin (eg gentamicin), I am wondering whether a standard approach to wearing
> gloves when handling antibiotic solutions should be recommended. And should
> we also recommend protective eyewear for this?
>
>
>
> What do other facilities advise staff in regard to this? And how much of a
> risk would you consider this may be to staff?
>
>
>
> Thanks for any opinions and comments.
>
>
>
> Cheers
>
> Michael
>
>
>
> *Michael Wishart*
>
> Infection Control Coordinator
>
>
> *A *627 Rode Road, Chermside QLD 4032
> *P *(07) 3326 3068 | *F *(07) 3607 2226 | *E *
> michael.wishart@svha.org.au | *W * http://www.hsnph.org.au
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