PANGASINAN STATE UNIVERSITY
Bayambang, Pangasinan
Institute of Nursing
NCM 102 Fundamentals of Nursing Practice
NAME: DATE:
COURSE & SEC: RLE GROUP:
Highly Fairly Poorly Performed with Not
Performed Performed Performed Assistance Performed
(5) (4) (3) (2) (1)
5 – The student performs the procedure in a very consistent and independent manner.
4 – Perform with minimal assistance
3 – Perform with frequent guidance and supervision
2 – With errors even with frequent guidance and supervision
1 – Cannot perform even with close supervision and assistance
GOWNING and GLOVING
Purpose: Sterile gowns and gloves are worn to prevent the migration of microbes from the skin and scrub
attire of the sterile team member to the sterile field. Additionally, sterile attire prevents blood and
body fluids from contaminating the team member.
Equipment:
Clean, flat, dry surface
Package of proper- size sterile gloves (latex free if nurse or patient has sensitivity or allergy)
Sterile pack containing a sterile gown
Surgical mask, surgical cap or hood, surgical shoe cover
Protective eyewear/face shield (optional)
ASSESSMENT
Review the client’s record and orders to
determine what exactly procedure will be
performed that requires sterile gowns and gloves
PLANNING
Determine what supplies are needed to perform
the procedure for the client. Always have an extra
pair of sterile gloves available
Assemble all the equipment
PROCEDURE
CLOSED GOWNING AND GLOVING
1. Before entering operating room or treatment Prevents hair and air droplet nuclei from
area, wear surgical cap, surgical face mask, contaminating sterile work areas.
eyewear, and shoe covers. Eyewear protects mucous membranes of
eyes.
Foot covers reduce contamination from
shoes.
2. Perform thorough surgical handwash Removes transient and resident bacteria
from fingers, hands, and forearms.
3. Maintain sterility of gown and gloves during the Outer surface of gown remains sterile.
entire procedure. Keeps glove sterile and allows nurse who has
scrubbed to handle sterile items.
4. Grasp the sterile gown package; lift folded gown Provides wide margin of safety, avoiding
directly upward and step back away from table. contamination of gown.
5. Holding folded gown, allow the bottom part of the Clean hands can touch inside of gown
gown to fall and locate neckband. With both without contaminating outer surface
hands grasp inside front of gown just below
neckband.
6. Dry handle and arm using the bottom part of the To easily wear the gown and gloves on the
gown. latter part.
7. Allow gown to unfold, keeping inside of the gown Outside of gown is sterile surface.
toward body. Do not touch outside of the gown
with bare hands.
8. With hands at shoulder level, slip both arms into Careful application prevents contamination.
armholes simultaneously. Ask circulating nurse to Gown covers hands to prepared for closed
bring gown over your shoulders by reaching inside gloving.
to arm seams and pulling gown on, leaving sleeves
covering hands. Keep your hands inside the
sleeves of the gown.
*** Have circulating nurse securely tie back of Gown must completely enclose underlying
gown at neck and waist. (if gown is wraparound garments.
style, do not touch sterile flap to cover it until you
are gloved.)
9.
a. With hands still inside the sleeves, open the Hands remain clean. Sterile gown cuff
wrapper of the sterile gloves already placed in the touches sterile glove surface.
sterile field.
b. With your dominant sleeved hand, place the palm Sterile gown touches sterile glove.
of the non-dominant hand glove against the sleeve
palm of the non-dominant hand.
c. Grasp the cuff of the glove with your non- Position glove for application over cuffed
dominant hand. With your dominant hand, turn hand, keeping glove sterile
the cuff over the end of the non-dominant hand
and gown’s cuff.
d. Slowly extend the fingers into the glove while Seal created by glove cuff over gown
holding the glove and the cuffs. prevents exit of microorganism over
operative sterile field.
e. With the gloved non-dominant hand, repeat steps Sterile touches sterile
b-d.
f. Interlock your gloved fingers to securely fit the Ensures that nurse has fully dexterity while
gloves. using gloved hand.
OPEN GLOVING The skill of open gloving van be delegated
when personnel are trained to perform a
sterile procedure.
1. Perform hand hygiene Removes bacteria from skin surfaces and
reduces transmission of infection.
2. Remove outer glove package wrapper carefully Prevents inner glove package from
separating and peeling apart sides. accidentally opening and touching
contaminated objects.
3. Grasp inner package and lay it on clean, flat Sterile object held below waist is
surface just above the waist level. Open package, contaminated. Inner surface of glove package
keeping gloves on wrappers inside surface. is sterile.
4. Identify right and left glove. Each glove has cuff Proper identification of gloves prevents
approximately 5cm (2 inches) wide. Glove contamination by improper fit. Gloving of
dominant hand first. dominant hand first improves dexterity.
5. With thumb and first two fingers of nondominant Inner edge of cuff lies against skin and thus is
hand, grasp edge of cuff of glove for dominant not sterile.
hand. Touch only inside surface of glove.
6. Carefully pull glove over dominant hand, leaving If outer surface of glove touches hand or
cuff and being sure that thumb and fingers are in wrist, it is contaminated.
proper spaces.
7. With gloved dominant hand, slip fingers Cuff protects gloved fingers. Sterile touching
underneath cuff of second glove. Carefully pull sterile prevents glove contamination.
over nondominant hand. Contact of gloved hand with exposed hand
results in contamination.
8. After second glove is on, interlock fingers of Prevents accidental contamination from hand
gloved hands and hold away from body above movement.
waist level until beginning procedure.
Rating:
_______________
REMARKS
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Student’s Signature Clinical Instructor
PANGASINAN STATE UNIVERSITY
Bayambang, Pangasinan
Institute of Nursing
NCM 102 Fundamentals of Nursing Practice RLE
GOWNING and GLOVING
NAME: DATE:
COURSE & SEC: RLE GROUP:
Highly Fairly Poorly Performed with Not
Performed Performed Performed Assistance Performed
(5) (4) (3) (2) (1)
5 – The students perform the procedure in a very consistent and independent manner.
4 – Perform with minimal assistance
3 – Perform with frequent guidance and supervision
2 – With errors even with frequent guidance and supervision
1 – Cannot perform even with close supervision and assistance
GOWNING and GLOVING
Purpose: Sterile gowns and gloves are worn to prevent the migration of microbes from the skin and scrub
attire of the sterile team member to the sterile field. Additionally, sterile attire prevents blood and
body fluids from contaminating the team member.
Equipment:
Clean, flat, dry surface
Package of proper- size sterile gloves (latex free if nurse or patient has sensitivity or allergy)
Sterile pack containing a sterile gown
Surgical mask, surgical cap or hood, surgical shoe cover
Protective eyewear/face shield (optional)
HP FP PF PA NP Remarks
Procedure 5 4 3 2 1
ASSESSMENT
Review the client’s record and orders to
determine what exactly procedure will be
performed that requires sterile gowns and
gloves
PLANNING
Determine what supplies are needed to
perform the procedure for the client.
Always have an extra pair of sterile gloves
available
Assemble all the equipment
PROCEDURE
CLOSED GOWNING and GLOVING
1. Before entering operating room or
treatment area, wear surgical cap, surgical
face mask, eyewear, and shoe covers.
2. Perform thorough surgical handwash
3. Maintain sterility of gown and gloves during
the entire procedure.
4. Grasp the sterile gown package; lift folded
gown directly upward and step back away
from table.
5. Holding folded gown, allow the bottom part
of the gown to fall and locate neckband.
With both hands grasp inside front of gown
just below neckband.
6. Dry handle and arm using the bottom part
of the gown.
7. Allow gown to unfold, keeping inside of the
gown toward body. Do not touch outside of
the gown with bare hands.
8. With hands at shoulder level, slip both arms
into armholes simultaneously. Ask
circulating nurse to bring gown over your
shoulders by reaching inside to arm seams
and pulling gown on, leaving sleeves
covering hands. Keep your hands inside the
sleeves of the gown.
** Have circulating nurse securely tie back of gown
at neck and waist. (if gown is wraparound style, do
not touch sterile flap to cover it until you are
gloved.)
9.
a. With hands still inside the sleeves, open the
wrapper of the sterile gloves already placed in
the sterile field.
b. With your dominant sleeved hand, place the
palm of the non-dominant hand glove against
the sleeve palm of the non-dominant hand.
c. Grasp the cuff of the glove with your non-
dominant hand. With your dominant hand, turn
the cuff over the end of the non-dominant hand
and gown’s cuff.
d. Slowly extend the fingers into the glove while
holding the glove and the cuffs.
e. With the gloved non-dominant hand, repeat
steps b-d.
f. Interlock your gloved fingers to securely fit
the gloves.
OPEN GLOVING
1. Perform hand hygiene
2. Remove outer glove package wrapper
carefully separating and peeling apart sides.
3. Grasp inner package and lay it on clean, flat
surface just above the waist level. Open
package, keeping gloves on wrappers inside
surface.
4. Identify right and left glove. Each glove has
cuff approximately 5cm (2 inches) wide.
Glove dominant hand first.
5. With thumb and first two fingers of
nondominant hand, grasp edge of cuff of
glove for dominant hand. Touch only inside
surface of glove.
6. Carefully pull glove over dominant hand,
leaving cuff and being sure that thumb and
fingers are in proper spaces.
7. With gloved dominant hand, slip fingers
underneath cuff of second glove. Carefully
pull over nondominant hand.
8. After second glove is on, interlock fingers of
gloved hands and hold away from body
above waist level until beginning
procedure.
Rating: _______________
REMARKS
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Student’s Signature Clinical Instructor
