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Infection prevention and control - Royal Marsden Manual of Clinical ...

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104<br />

<strong>Infection</strong> <strong>prevention</strong> <strong>and</strong> <strong>control</strong><br />

Procedure guideline 3.7 (Continued)<br />

Postprocedure<br />

7 Remove the gloves when the procedure is completed,<br />

taking care not to contaminate the h<strong>and</strong>s or the<br />

environment from the outside <strong>of</strong> the gloves.<br />

8 First, remove the fi rst glove by fi rmly holding the outside<br />

<strong>of</strong> the glove wrist <strong>and</strong> pulling <strong>of</strong>f the glove in such a way<br />

as to turn it inside out.<br />

9 Then remove the second glove by slipping the fi ngers <strong>of</strong><br />

the ungloved h<strong>and</strong> inside the wrist <strong>of</strong> the glove <strong>and</strong> pulling<br />

it <strong>of</strong>f whilst at the same time turning it inside out.<br />

10 Dispose <strong>of</strong> used gloves as ‘hazardous infectious waste’,<br />

that is, into an orange waste bag, unless instructed<br />

otherwise by the infection <strong>prevention</strong> <strong>and</strong> <strong>control</strong><br />

team.<br />

The outside <strong>of</strong> the glove is likely to be contaminated. E<br />

Whilst removing the fi rst glove, the second gloved h<strong>and</strong> continues<br />

to be protected. By turning the glove inside out during<br />

removal, any contamination is contained inside the glove. E<br />

By putting the fi ngers inside the glove, the fi ngers will not be<br />

in contact with the potentially contaminated outer surface <strong>of</strong><br />

the glove. E<br />

All waste contaminated with blood, body fl uids, excretions,<br />

secretions <strong>and</strong> infectious agents thought to pose a particular<br />

risk should be disposed <strong>of</strong> as hazardous infectious<br />

waste. Orange is the recognized colour for hazardous infectious<br />

waste that does not require incineration <strong>and</strong> may be<br />

made safe by alternative treatment ( DH 2006a , C ).<br />

11 After removing the gloves, decontaminate your h<strong>and</strong>s. H<strong>and</strong>s may have become contaminated ( Pratt et al. 2007 , C ).<br />

Action Figure 3 Open the packet containing the gloves onto<br />

a clean surface <strong>and</strong> open out the inside packaging so that the<br />

fi ngers <strong>of</strong> the gloves point away from you.<br />

Action Figure 4b Keep hold <strong>of</strong> the folded edge <strong>and</strong> pull the<br />

glove onto your h<strong>and</strong>.<br />

Action Figure 4a Hold the cuff <strong>of</strong> the fi rst glove with the<br />

opposite h<strong>and</strong> <strong>and</strong> slide the fi ngertips <strong>of</strong> the other h<strong>and</strong> (that<br />

the glove is to go on) into the opening.<br />

Action Figure 4c Spread your fi ngers slightly to help them enter<br />

the fi ngers <strong>of</strong> the glove.

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