25 Scrub, Gown, Closed Glove Technique

Open gloving= May or may not be wearing cap and mask depending on procedure.  After “scrubbing” (sudzing) and drying hands, if your hands go through your cuffs or you do not have cuffs you are open gloving, or using an open system. Generally used for quick procedures not requiring donning a sterile gown

Closed gloving= Cap and mask on during scrubbing .  After “scrubbing” (sudzing) and drying hands, your hands are within the cuffs of a sterile gown, or within a closed system, you are closed gloving.   This technique looks like you are using “Puppet hands” to put on gloves over gown.  Used for procedures that require donning a sterile gown.

The choice between Open and Closed has many facets including but not limited to:

• is the procedure  sterile/non sterile? (cat neuter vs. cat spay)
• what is the site of procedure and associated infection risks? (skin biopsy/bone marrow collection/small benign mass excision, vs. spinal cord decompression/open chest procedure/gastric or intestinal foreign body)
• what is the context of the procedure? (in the field or emergent situation with limited instrumentation and PPE or fully equipped hospitalized patient)
• species and purpose of animal ? (feedlot steer,  genetically important breeding bull)
• FOOD FOR THOUGHT…can you think of other circumstances and conditions that could apply to the choice between Closed and Open gloving? and how do we keep best practices in all these situations-its important to know and abide by best practices as you will be held accountable.

IN A NUTSHELL:

CLOSED GLOVING: hands within sterile cuffs of sterile gown-puppet hands put on gloves

WANDA’S VIDEO HERE

Orthopedics study-beard cover or not?