[djcwap djcwap]

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.

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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
Michael

Michael 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

2019 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

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>
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
Michael

Michael 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

2019 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

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>
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 Moderator

Michael 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

2019 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.

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[djcwap djcwap]

Hi Lyn,

Not sure about requirement but we mostly only have lidded skips and
don’t buy open ones at all. The lids can and do break, however the
bigger problem is that staff think it’s a great place to sit things like
clean linen. It has taken me a long time to get staff on the ward I work
to stop collecting a linen skip, putting a pile of clean sheets on top
and taking it to the patients room to go make 6 beds. That said I feel
it is prudent to have a lid specifically for soiled linen at least. I
like them for all linen really. Just make it clear form the start that a
dirty linen skip in contaminated and clean linen is not to be placed on
it.

Regards Angela Carvosso
Warwick Health Service
Infection Control Portfolio

—— Original Message ——

Hi All
I am buying new linen skips for our small hospital
I intend to purchase lidded skips for use with contaminated linen, with
foot pedal operation.
My question is, do skips require a lid for use with soiled lined?

Kind Regards
Lyn

Lyn Ruggeri
Infection Control Manager
Mater Misericordiae Hospital Mackay
76 Willetts Road, North Mackay QLD 4740
PA:PO Box 214 | T: 07 4965 5814 | http://www.mercycq.com

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[djcwap djcwap]

Hi Holly,

To my knowledge there isn’t. I have seen 20 attempts on non time
critical access (not at the hospital I work in). I guess you have to be
dictated by your conscience and the guide to first do no harm. Where I
work you are allowed 2 attempts then you have to get someone with
greater experience unless you are a med student and then you only get 1.
If it is time critical you generally have a minute or 2 to get access
and then must go IO. I know this isn’t a lot of help. I think the
practitioner has to be realistic when assessing and realise when they
cannot feel what they need to feel. Use the vein finder or ultrasound
but don’t stick 20 holes in someone.

Angela Carvosso
Registered Nurse
Infection Control Portfolio
Warwick Hospital

—— Original Message ——
considered

Morning Brains Trust.

Can you advise on any published document/standard/ policy that supports
appropriate number of PIVCs before alternative route of access is
considered.

Thank you so much in advance.

Holly

Holly Dodd
Infection Prevention and control Clinical Nurse Consultant
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
Monday- Thursday

p: +61 2 9847 9433 | f: +61 2 9473 8053 | m: +61 408468470 | e:
Holly.Dodd@sah.org.au
http://www.sah.org.au

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