This document provides guidelines for donning and removing sterile gloves using the open method outside of an operating room. It describes how to properly open sterile glove packages and insert hands into the gloves, touching only the sterile inner surfaces, in order to maintain sterility. It emphasizes holding the gloved hands above the waist and folded when not in use. The document also outlines the steps for removing gloves by grasping and inverting them to contain any contaminants.

1. Donning and removing sterile gloves (open method)

2.  Guidelines:
 Purpose: maintain sterility of equipment and protect a client’s open wound.
 Sterile gloves may be donned by open or the closed method.
 Open method – used outside the operating room.
 Closed method – performed when a sterile is used.
 Made of latex and vinyl.
 Latex: more flexible, molds to the wearer’s hand, allows freedom of movement reseals
tiny punctures automatically.
 Tasks demanding flexibility.
 Tasks that paces stress on the materials.
 Involve high risks exposure to pathogens.

3.  Donning and removing sterile gloves (open method)
 Purpose:
 Enables the nurse to handle sterile objects freely./
 Prevent client at risk (open wounds) from becoming infected by microorganisms on the
nurse’s hands.

4.  Materials:
 Package of sterile gloves.

5.  Procedure in Putting on Sterile Gloves
 Remove rings and wash hands.
 Rationale: Limits spread of
microorganisms.
 Open the outer glove package, on a clean,
dry, flat surface at waist level or higher.
 Rationale: Properly opening the sterile
package of gloves protects them from
becoming contaminated.
 If there is an inner package, open it in the
same way, keeping the sterile gloves on
the inside surface with cuffs toward you.
 Rationale: Ensure that the gloves remain
sterile and ready to apply.

6.  Use one hand to grasp the inside upper
surface of the glove’s cuff for the opposite
hand. Lift the glove up and clear it of the
wrapper.
 Rationale: Touching the inner surface of the
glove with your clean hand allows the outer
surface to remain sterile.
 Insert the opposite hand into glove, placing
the thumb and fingers in the proper
openings. Pull the glove into place, touching
only the inside of the glove at the cuff.
 Rationale: Attempts to unfold the glove cuff
may result in contamination.

7.  Slip the fingers of the sterile gloved
hand under (inside) the cuff of the
remaining glove while keeping the
thumb pointed outward.
 Rationale: The sterile fingers touched
only the outside of the second sterile
gloves. This maintains sterility. Lift the
glove up and clear it of the wrapper.
 The cuff protects the sterile gloved
fingers as the ungloved hand is inserted
into the other glove. Holding the thumb
outward keeps it out of way and
prevents it from touching the sterile
area.

8.  Insert the ungloved hand into the glove. Pull the
second glove on, touching only the outside of the
sterile glove with the other sterile gloved hand and
keeping the fingers inside the cuff. Adjust gloves
and snap cuffs into place. Avoid touching the
inside glove and wrist areas.
 Rationale: Gloves remain sterile when touching
other sterile areas.
 Keep the sterile gloved hands above waist level.
Make sure not to touch the clothes. Keep hands
folded when not performed a procedure.
 Rationale: Holding the hands above waist level
keep them within sight. Keeping the sterile gloved
hands folded when not performing a procedure
helps to maintain control. Both actions help to
prevent accidental contamination.

9.  Procedure in Removal of Gloves
 Remove first glove by grasping it on its palmar
surface just below the cuff, taking care not to
touch only glove to glove.
 Pull the first glove completely off by inverting
or rolling the glove inside out.
 Continue to hold the inverted glove by the
fingers of the gloved hand. Place the two
fingers of the bare hand inside the cuff of the
gloved hand
 Pull the glove off to its fingers by turning it
inside out.
 Using the bare hand, continue to remove the
gloves, which are inside out and dispose them
in the container

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