Lessons · Medicine foundations · putting on sterile gloves
Putting on sterile gloves without touching the outside
The rule underneath every step is one sentence: a bare hand only ever touches the inside of a glove, and a gloved hand only ever touches the outside.
Hone is a place to practise a career, one idea a day. This is one of its lessons, written out in full and free to read without an account.
What it is for
The first time you are watched doing this, your hands will be slower than you expect and the wrapper will try to fold itself shut. Knowing the order by heart is what leaves you any attention at all for the part that actually matters, which is what your fingers are touching.
How to think about it
Set the scene before you start: right size, intact dry package, in date, a clean dry surface at waist height. Then the two-glove rule. First glove: bare hand picks it up by the folded cuff, which is the inside surface. Second glove: the gloved fingers slide under its cuff, touching only the outside.
Worked example
Check the size, the seal and the date on the packageA wet or opened package is not sterile, whatever the label says.
Perform hand hygiene and let the hands dryGloves are put on dry hands.
Open the outer wrapper and lay the inner wrapper on a clean dry surface at waist heightBelow waist height counts as out of sight, and out of sight counts as not sterile.
Open the inner wrapper by its folded corners without touching the glovesThe wrapper is designed so the corners are the only things you handle.
Bare hand picks up the first glove by its folded cuff and pulls it onThe folded cuff is the inside of the glove, so a bare hand may touch it.
Gloved fingers slide under the cuff of the second glove and pull it onOutside to outside. The bare hand never goes near the second glove's surface.
Adjust both cuffs and keep the hands above waist levelTouching only outer surfaces from here on.
Your turn
Write the part of the first glove a bare hand is allowed to pick up.
Pick up the first glove by its folded .
Solve one, graded on the server
The trap
Letting the second glove's outside brush a bare wrist on the way on. It is the one moment where the two surfaces come close, and the cure is to keep the gloved fingers under the cuff and the bare hand well out of the way.