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Hello everyone.
I have recently started teaching a Public Health Unit to Nursing students and part of this unit is Infection Control.
The students have informed me they were taught by a previous tutor to double glove while inserting a urinary catheter. Apparently the pack comes with 2 pairs of sterile gloves. The second pair are blue and go over the first pair, then removed once cleaning of the contaminated area is complete and before catheter insertion. Hand hygiene after the blue gloves are removed is not performed as the sterile gloves underneath are already donned.
Surely the removal of one pair of contaminated gloves could cause accidental contamination of the sterile gloves underneath! There is also the risk of tiny microbes transmitting to the sterile gloves underneath through pinholes in the blue gloves, during the cleaning process, even if the gloves are surgical grade.
One student said he has recently been on placement and he witnessed this procedure of double gloving with urinary catheter insertion happening in the Health Care Facilities he attended.
Admittedly, I haven’t inserted a urinary catheter for about 15 years but is this common practice nowadays?
I would have thought removing the contaminated gloves, washing hands and then applying a new pair of sterile gloves would be best practice.
Keen to hear your advice on IC&P with this procedure and whether your Health Care Facilities uses this practice.
Many thanks.Debbie
Debbie Procter.
NSW Health – Public Health
Academic Educator – CNE.
RN, BHScNsg, GradDipIntHlth, DipTropNurse, Ns Immuniser.Get Outlook for iOS
________________________________
Oh, and you would have had to post this from your personal email anyway, as that is your ACIPC subscribed address. If you had sent it from your work email it just would have been rejected from a non-subscribed email address.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Thank you so much Michael.
I really appreciate that.
I work for NSW Public Health as well so I was just thinking I could add that and not the university. ??
The reason I posted it from my personal email and not work emails was for the same reason.
DebsGet Outlook for iOS
________________________________
Hi Debbie
I understand your position. I will post your question for you based on that, as it does identify your role in this.
To give my 2cents worth we require de-gloving and hand hygiene after a dirty task (like removing an old dressing, or urethral cleansing), then further clinical hand hygiene and then donning fresh gloves.
Not sure what our unis teach, though, so will be interested to hear other feedback.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Thanks Michael.
I’m not sure what to do as I told my manager at the University I work for that I wouldn’t identify them incase the previous tutor has been teaching the incorrect procedure. That tutor still works there plus it’s the Uni’s reputation if they have taught the wrong information.
Do you know the answers to my questions in the email?
Many thanks.
Debbie ProcterGet Outlook for iOS
________________________________
Hi Debbie
ACIPC requires that all messages to the list identify the full name, professional designation, and place of work / company affiliation of the sender.
If you can include all of these details in your message, and then resend the message to acipclist@acipc.org.au it will be posted.
Thanks for your understanding and support for Infexion Connexion.
Cheers
Michael Wishart
ACIPCList ModeratorMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Hello everyone.
I have recently started teaching a Public Health Unit to Nursing students and part of this unit is Infection Control.
The students have informed me they were taught by a previous tutor to double glove while inserting a urinary catheter. Apparently the pack comes with 2 pairs of sterile gloves. The second pair are blue and go over the first pair, then removed once cleaning of the contaminated area is complete and before catheter insertion. Hand hygiene after the blue gloves are removed is not performed as the sterile gloves underneath are already donned.
Surely the removal of one pair of contaminated gloves could cause accidental contamination of the sterile gloves underneath! There is also the risk of tiny microbes transmitting to the sterile gloves underneath through pinholes in the blue gloves, during the cleaning process, even if the gloves are surgical grade.
One student said he has recently been on placement and he witnessed this procedure of double gloving with urinary catheter insertion happening in the Health Care Facilities he attended.
Admittedly, I haven’t inserted a urinary catheter for about 15 years but is this common practice nowadays?
I would have thought removing the contaminated gloves, washing hands and then applying a new pair of sterile gloves would be best practice.
Keen to hear your advice on IC&P with this procedure and whether your Health Care Facilities uses this practice.
Many thanks.
Debbie Procter.Get Outlook for iOS
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Hi Debbie,
Originally I was taught to double glove. You remove the first pair of
gloves after cleansing then insert the catheter. I believe they now
teach just using a single pair of gloves as you are in contact with the
same patient but I still use 2 pairs out of habit. I guess the issues
are if you are going to cleanse the area and then walk away from the
patient to clean your hands for 3 mins again you are leaving your
sterile field. That then begs the question do you need a sterile field
and sterile gloves for cleaning? I would say probably not however I
refuse to use plastic forceps to clean such a sensitive part of the body
so we are back to sterile gloves as you would be touching the sterile
field the gauze and chlorhexadine is in. Leaving a sterile field I was
always taught is a no no and you have to reset it if you leave it. So
that brings us back to double gloving as the lesser of two evils. I
would prefer to double glove and risk a small amount of of microbes from
the same person than wearing the same pair throughout the procedure. i
don’t know if this is much help. I only finished Uni 2.5 years ago.Regards Angela Carvosso
RN Hanlon Ward
Infection Control Portfolio
Warwick Health Service—— Original Message ——
Hello everyone.
I have recently started teaching a Public Health Unit to Nursing
students and part of this unit is Infection Control.The students have informed me they were taught by a previous tutor to
double glove while inserting a urinary catheter. Apparently the pack
comes with 2 pairs of sterile gloves. The second pair are blue and go
over the first pair, then removed once cleaning of the contaminatedarea is complete and before catheter insertion. Hand hygiene after the
blue gloves are removed is not performed as the sterile gloves
underneath are already donned.Surely the removal of one pair of contaminated gloves could cause
accidental contamination of the sterile gloves underneath! There is also
the risk of tiny microbes transmitting to the sterile gloves underneath
through pinholes in the blue gloves, during the cleaning process, even
if the gloves are surgical grade.One student said he has recently been on placement and he witnessed this
procedure of double gloving with urinary catheter insertion happening in
the Health Care Facilities he attended.Admittedly, I haven’t inserted a urinary catheter for about 15 years but
is this common practice nowadays?I would have thought removing the contaminated gloves, washing hands and
then applying a new pair of sterile gloves would be best practice.Keen to hear your advice on IC&P with this procedure and whether your
Health Care Facilities uses this practice.Many thanks.
Debbie
Debbie Procter.
NSW Health – Public Health
Academic Educator – CNE.
RN, BHScNsg, GradDipIntHlth, DipTropNurse, Ns Immuniser.
Get Outlook for iOS
Sent: Monday, July 22, 2019 9:23 am
To: Debbie Procter
Subject: RE: Double gloving – urinary catheter.Oh, and you would have had to post this from your personal email anyway,
as that is your ACIPC subscribed address. If you had sent it from your
work email it just would have been rejected from a non-subscribed email
address.Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD
4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au2019 conference email signature
Sent: Monday, 22 July 2019 9:19 AM
To: Michael Wishart
Subject: Re: Double gloving – urinary catheter.Thank you so much Michael.
I really appreciate that.
I work for NSW Public Health as well so I was just thinking I could add
that and not the university. ??The reason I posted it from my personal email and not work emails was
for the same reason.Debs
Get Outlook for iOS
>
Sent: Monday, July 22, 2019 9:15 am
To: Debbie Procter
Subject: RE: Double gloving – urinary catheter.Hi Debbie
I understand your position. I will post your question for you based on
that, as it does identify your role in this.To give my 2cents worth we require de-gloving and hand hygiene after a
dirty task (like removing an old dressing, or urethral cleansing),
then further clinical hand hygiene and then donning fresh gloves.Not sure what our unis teach, though, so will be interested to hear
other feedback.Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD
4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au2019 conference email signature
>
Sent: Monday, 22 July 2019 9:10 AM
To: Michael Wishart <Michael.Wishart@svha.org.au
>
Subject: Re: Double gloving – urinary catheter.Thanks Michael.
I’m not sure what to do as I told my manager at the University I work
for that I wouldn’t identify them incase the previous tutor has been
teaching the incorrect procedure. That tutor still works there plus it’s
the Uni’s reputation if they have taught the wrong information.Do you know the answers to my questions in the email?
Many thanks.
Debbie Procter
Get Outlook for iOS
>
Sent: Sunday, July 21, 2019 9:37 pm
To: ‘Debbie Procter’
Subject: RE: Double gloving – urinary catheter.Hi Debbie
ACIPC requires that all messages to the list identify the full name,
professional designation, and place of work / company affiliation of the
sender.If you can include all of these details in your message, and then resend
the message to acipclist@acipc.org.au
it will be posted.Thanks for your understanding and support for Infexion Connexion.
Cheers
Michael Wishart
ACIPCList ModeratorMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD
4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au2019 conference email signature
]
Sent: Sunday, 21 July 2019 8:56 AM
To: acipclist@acipc.org.au
Subject: Double gloving – urinary catheter.Hello everyone.
I have recently started teaching a Public Health Unit to Nursing
students and part of this unit is Infection Control.The students have informed me they were taught by a previous tutor to
double glove while inserting a urinary catheter. Apparently the pack
comes with 2 pairs of sterile gloves. The second pair are blue and goover the first pair, then removed once cleaning of the contaminated area
is complete and before catheter insertion. Hand hygiene after the blue
gloves are removed is not performed as the sterile gloves underneathare already donned.Surely the removal of one pair of contaminated gloves could cause
accidental contamination of the sterile gloves underneath! There is also
the risk of tiny microbes transmitting to the sterile gloves underneath
through pinholes in the blue gloves, during the cleaning process, even
if the gloves are surgical grade.One student said he has recently been on placement and he witnessed this
procedure of double gloving with urinary catheter insertion happening in
the Health Care Facilities he attended.Admittedly, I haven’t inserted a urinary catheter for about 15 years but
is this common practice nowadays?I would have thought removing the contaminated gloves, washing hands and
then applying a new pair of sterile gloves would be best practice.Keen to hear your advice on IC&P with this procedure and whether your
Health Care Facilities uses this practice.Many thanks.
Debbie Procter.
Get Outlook for iOS
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.
Archive of all messages are available at
http://aicalist.org.au/archives– registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to acipclist@acipc.org.auTo send a message to the list administrator send an email to
admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff
acipclist’ (without the quotes) to listserv@aicalist.org.au______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and
is for the use only of the intended recipient, and may not be duplicated
or used by any other party without the express consent of the sender. If
you are not the intended recipient of the Email, please notify the
sender immediately by return email, delete the Email, and do not copy,
print, retransmit, store or act in reliance on the Email. St Vincent’s
Health Australia (“SVHA”) does not guarantee that the Email is free from
errors, viruses or interference. Emails to and from SVHA or its related
entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and
is for the use only of the intended recipient, and may not be duplicated
or used by any other party without the express consent of the sender. If
you are not the intended recipient of the Email, please notify the
sender immediately by return email, delete the Email, and do not copy,
print, retransmit, store or act in reliance on the Email. St Vincent’s
Health Australia (“SVHA”) does not guarantee that the Email is free from
errors, viruses or interference. Emails to and from SVHA or its related
entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and
is for the use only of the intended recipient, and may not be duplicated
or used by any other party without the express consent of the sender. If
you are not the intended recipient of the Email, please notify the
sender immediately by return email, delete the Email, and do not copy,
print, retransmit, store or act in reliance on the Email. St Vincent’s
Health Australia (“SVHA”) does not guarantee that the Email is free from
errors, viruses or interference. Emails to and from SVHA or its related
entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and
is for the use only of the intended recipient, and may not be duplicated
or used by any other party without the express consent of the sender. If
you are not the intended recipient of the Email, please notify the
sender immediately by return email, delete the Email, and do not copy,
print, retransmit, store or act in reliance on the Email. St Vincent’s
Health Australia (“SVHA”) does not guarantee that the Email is free from
errors, viruses or interference. Emails to and from SVHA or its related
entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and
is for the use only of the intended recipient, and may not be duplicated
or used by any other party without the express consent of the sender. If
you are not the intended recipient of the Email, please notify the
sender immediately by return email, delete the Email, and do not copy,
print, retransmit, store or act in reliance on the Email. St Vincent’s
Health Australia (“SVHA”) does not guarantee that the Email is free from
errors, viruses or interference. Emails to and from SVHA or its related
entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR,AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.
Archive of all messages are available at
http://aicalist.org.au/archives –
registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to acipclist@acipc.org.auTo send a message to the list administrator send an email to
admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff
acipclist’ (without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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