FW: Routine use of gloves in IV antibiotic preparation/administration

[Teresa Lewis]

Hi all in regards to Terry’s comment below

I am just reading the NSW Health Infection Prevention and Control Policy PD2017_013, page10 published June 10th 2017.
It states:
Gloves must be changed and discarded………. Before handling or opening sterile consumables.

Perhaps this is why you are seeing circulating nurses wearing gloves to open sterile packs.
I agree not necessary if hand hygiene has been performed and there is not risk of having to directly handle key parts, in my humble opinion, but it has made it into the policy.

I think we all see inappropriate glove use in the work environment on a daily basis and on many occasions gloves not being used in accordance with Standard Precautions (only one glove on, or no gloves at all even for cannulation), as you state Rosie much discussion takes place the staff member changes the practice at the time, but if you go back in on another day -the practice reverts.

Not sure what the answer is.

Regards

Teresa Lewis
Infection Control and Prevention CNC
Newcastle Endoscopy Centre

“Infection Prevention is everybodys business, and it only takes 5 Moments”

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Dear all
I agree with Terry in this context. It appears a high proportion of HCWs are very out of touch with the use of gloves in accordance with Standard Precautions and I am constantly being challenged that due to OSH requirements, we have to accept a HCW if they wish to use gloves to protect themselves!
I constantly stop patient support services staff , ambulance drivers and to a lesser degree nurses from wearing gloves unnecessary. I was dismayed last week when asked to consult on the filming of a procedure to be used for training, I had to stop the anaesthetist wearing gloves before he had contact with a patient and equipment. He informed me that this is standard practice to wear gloves before having any contact with equipment and any patient as he guarantees his hands have tiny minute cuts at any given time! It took a 20 minute conversation before I could get anywhere and he changed his practice for the filming but I wonder if he will revert to it when I am not present!

So I too welcome the collective thoughts of colleagues to better inform HCW’s on board with appropriate glove use.

Regards

Rosie Lee CICP-E | Coordinator
Infection Prevention & Management
Royal Perth Bentley Group
Level 6, A Block, Wellington Street, Perth, WA, 6008
T: (08) 9224 2805 F: +61 08 9224 1989
E: rosie.lee@health.wa.gov.au
W: http://www.rph.health.wa.gov.au
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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.

I’m 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.

I’d 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
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802

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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

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

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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
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!

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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