The nature of the procedures performed at our organization does not necessitate the use of sterile technique. Sterile draping, gloving and technique is not used during endoscopic procedures and endoscopic instrument reprocessing. High level disinfection is used for endoscopic instrument reprocessing.
For Level II procedures, two methods of gloving are used -
the closed glove method and the open glove method. The closed
glove method is preferred because there is less chance of
contamination of the outside sterile gloves by the surgically
clean hand. If a glove must be replaced during the
procedure, the open glove method must be used.
1. With fingers of covered right hand, grasp the edge of the
glove wrapper and open. (Sterile cuff touches sterile
2. Pick up the sterile left glove and place it on the left
arm of gown with fingers pointing toward elbow and thumb
downward. The cuff of the glove should be touching the
cuff edge of the gown. (The sterile glove must come in
contact with only sterile objects to maintain sterility.)
3. Grasp the cuff in the right hand and turn it over the end
of the left sleeve cuff and hand.
4. Grasp the top of the left glove and underlying gown
sleeve. Pull the glove on. (Surgically clean hand comes
in contact with inside of sterile glove only.)
5. The sterile gloved hand repeats the procedure for putting
on the right glove.
6. Remove excess powder from gloves with damp towel.
Powder can result in the patient having a foreign body
reaction or adhesion.)
OPEN METHOD (Used when changing gloves during a case)
1. Take a sterile glove from wrapper by placing fingers of
sterile gloved hand under the everted cuff; introduce
surgically clean hand into glove. (Surgically clean hand
touches only the inside of sterile glove.)
2. Draw the glove over the cuff of the gown keeping sterile
fingers under the cuff of the glove.
3. Bring the cuff of the glove over the upper part of the
gown cuff by slightly separating the finger under the
turned-back cuff and by rotating the arm externally and
4. Wipe off excess powder on gloves with a damp towel.
NOTE: See end of gowning procedure for glove removal
Approved By Governing Board