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knowledge, hand hygiene, appropriate PPE, immunization etc., are all part of a system that provides for the safety of our patient/clients, our Members and other members of the interprofessional team Page 19 www.crto.on.ca Infection Prevention and Control CBPG Gloves must be worn when it is anticipated that the hands will be in contact with: • mucous membranes • non-intact skin • tissue • blood • body fluids • secretions • excretion • equipment and environmental surfaces contaminated with the above Gloves DO DON’T Perform hand hygiene before and after each glove use/change. Do not use gloves for routine care activities e.g., taking a blood pressure in which contact is limited to intact skin, unless additional precautions are in place. Remove gloves and clean hands between patients and before leaving the patient care area. Do not use glovesif they are ripped or torn. Always use the appropriate technique for removing the gloves and disposing of them. Do not allow the outersurface of the glove to touch yourskin. Gloves should be worn for specific tasks and discarded immediately following. Change gloves if they become heavily soiled during the task. Change or remove gloves when moving from a contaminated body site to a clean body site during the same task. R E M E M B E R The use of gloves does not replace the need for proper hand hygiene. Page 20 Selection of Glove Infection Prevention and Control CBPG www.crto.on.ca GLOVE TYPE SITUATION AND RATIONALE Vinyl/ Clean Provides protection for minimal exposure to blood/body fluids/infectious agents and short duration tasks. Sterile Used for activities that involve invasive procedures, or where contact with non-intact skin, blood, body fluids or body substances is sustained or continuous (e.g. arterial line insertion, central line insertion). Please note: there is increasing evidence of latex sensitivity and allergies amongst healthcare workers. To reduce this risk, latex gloves should only be used when needed and should be powder free and have low or reduced protein content. Nitrile Protection for heavy exposure to blood/body fluids/infectious agents and tasks of longer duration. Used when handling chemicals and chemotherapeutic agents and isthe preferred replacement for vinyl gloves when a documented allergy orsensitivity is present. Neoprene Used as a replacement sterile latex glove when a documented allergy or sensitivity occurs. Recommended for contact with acids, bases, alcohols, etc. R E M E M B E R Gloves protect the healthcare professional, but once contaminated they can transmit pathogens to the skin, clothes or to other patients. Selection of Gowns Page 21 www.crto.on.ca Infection Prevention and Control CBPG Gowns RE S O U RCE Appropriate Gown Use PIDAC 2012b, p. 13 (Box 3) New Criteria for Surgical Gowns AAMI, 2015. Gowns are worn in order to protect the health care professional’s arms, exposed body areas, and clothing from contact with blood, body fluids, and other potentially infectious material. DO DON’T Discard immediately after each patient encounter. Do not reuse gowns. Gowns should fully cover the torso to mid-thigh, fit close to the body, tie in the back and have long sleeves that fit snugly at the wrists. Do not go from patient to patient wearing the same gown. GOwN TYPE SITUATION AND RATIONALE Cotton/linen, reusable or disposable, long-sleeved isolation gowns. Use if contamination is anticipated and in contact/droplet precautions. Fluid resistant isolation gown or plastic apron over isolation gown. Use if contamination of uniform or clothing from significant volumes of blood or body fluids is likely or anticipated. Fluid impervious gowns (e.g., Gortex®) Use if extended contact or large volume exposure (e.g. large volume blood loss during resuscitationof anMVAvictimorsurgical assist).Mask should securely cover the nose and mouth. Do not touch mask while wearing it. Change mask if it becomes wet. Do not allow mask to hang or dangle around the neck. Remove mask correctly immediately after completion of task and discard into an appropriate waste receptacle. Do not re-use