Outpatient Surgery Magazine

Queasy Feeling - April 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 51 of 154

thick) of latex-free indicator gloves as well as light-colored outermost gloves. After surgeons and staff chose the gloves they preferred, we asked them to double- glove for a few cases. We then recorded their sizes and their feedback in a prefer- ence log. Proper sizing is critical. A frequent comment we heard: "The inner- most glove was a little tight. Let me try the next size." Nothing's more miserable than wearing 2 tight, constricting gloves. You may think you're a size 7, but instead you're a 6 1 ⁄2 or 7 1 ⁄2. Don't assume everybody will know what size double-gloving system will fit them best. A good rule-of-thumb: Go up a half size on the innermost glove and stick to your true size on the outermost glove. 4. Prove your point. We secured a laminated card (little bigger than a business card) to the top of the computer screens in each of our 36 ORs with a little piece of Velcro. The card asked circulators to page me or a colleague if the outer glove of a person scrubbed during a case was perforated, but the indicator glove remained intact. This happened 27 times over a 2-month period in early 2015. Here was tan- gible, powerful evidence that wearing double sets of gloves prevented exposure to bloodborne pathogens. 5 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A P R I L 2 0 1 7 • REMINDER We Velcroed this reminder to every OR computer workstation to remind staff to alert us when the outer glove was punctured or perforated. Kimberly J. Elgin, MSN, RN, CNOR, CLNC

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