IMPORTANCE OF

STERILE GLOVES
PICOT
In hospitalized patients with open wounds how does the use of sterile
gloves compared with clean gloves affect the number of hospital acquired
infections over three months?
P- hospitalized patients
I- sterile gloves
C- clean gloves
O- number of healthcare acquired infections
T- three months
HAI (HEALTHCARE
ASSOCIATED INFECTIONS)
722,000 with an HAI in 2011
Pneumonia 157,500
Gastrointestinal Illness 123,100
Urinary Tract Infection 93,300
Primary Bloodstream Infections 71,900
Surgical Site Infections from inpatient surgery 157,500
Estimated 75,000 deaths from HAIs
One in 25 hospital patients have at least one HAI
THOSE AT RISK FOR HAIS
Open wounds
Hospitalizations
Those needing frequent dressing changes
Catheterizations
Surgical incisions
Poor hand hygiene
Improper aseptic technique
WAYS TO PREVENT
CATHETER ASSOCIATED UTI
Insert catheter only under appropriate indications
Leave catheters in place only as long as needed
Ensure only properly trained persons insert and maintain catheters
Insert catheters using aseptic technique and sterile equipment and gloves
Follow aseptic insertion
Maintain unobstructed urine flow
Comply with CDC hand hygiene and standard precautions
PREVENTION OF SURGICAL
SITE INFECTIONS
Before surgery
Administer antimicrobial prophylaxis in accordance with EBP standards
Treat remove infections when possible before elective operations
Avoid hair removal at the operative site if possible
Use appropriate antiseptic agent and technique for skin preparation

During Surgery
Keep OR doors close except as needed for passage of equipment, personnel,
and he patient
After surgery
Protect primary closure incisions with sterile dressing
Control blood glucose level during the post op period
Discontinue antibiotics according to EBP and guidelines
PREVENTION OF CENTRAL
LINE ASSOCIATED
BLOODSTREAM INFECTIONS
Remove unnecessary central lines
Follow proper insertion practices
Facilitate proper insertion guidelines
Appropriate agent for skin antisepsis
Proper central line insertion sites
Adequate hub or access port disinfection
Education on central line maintenance and insertion
COMMON BREAKS IN
STERILE TECHNIQUE
Difficulties with sterilizations
Setting up and opening the sterile field
Scrubbing and drying hands
Gowning and gloving
Positioning
Prepping and draping
OR environment
Surgical technique
EVALUATION OF PATIENT
IMPROVEMENT
Collaborative effort to review practice and statistics
Proper documentation is crucial
Documentation of breaks in a sterile field
Must keep up to date with current protocol
Evaluation of patient outcomes
REFERENCES
CDC. (2015). Healthcare-associated infections (HAIs). Retrieved from
http://www.cdc.gov/HAI/surveillance/
Caple, C & Schub, E. (2015). Hand hygiene: Antisepsis using an alcohol-based rub
performing. CINAHL Nursing guide.
Flores, A. (2008). Sterile versus non-sterile glove use and aseptic technique. Nursing
Standard, 23(6), 35-39 5p.
Hopper, W. R., & Moss, R. (2010). Common breaks in sterile technique: clinical
perspectives and perioperative implications. AORN Journal, 91(3), 350-364.
doi:10.1016/j.aorn.2009.09.027
Kennedy, L. (2013). Implementing AORN Recommended Practices for Sterile
Technique. AORN Journal, 98(1), 14-26 13p. doi:10.1016/j.aorn.2013.05.009