S St t. . P Pa au ul l C Co ol ll le eg ge e F Fo ou un nd da at ti io on n, , I In nc c. .

2 27 79 9 B Bu ul la ac ca ao o, , C Ce eb bu u C Ci it ty y
T Te el l. . N No o. . 2 27 72 2- -2 29 98 85 5/ /2 27 72 2- -8 84 47 75 5
College of Nursing


Gloving

Name:____________________________________________________Date:__________________Score:______

















Procedure: 5 4 3 2 1
1. Open the glove package aseptically.

2. Nurse prepares to glove herself. Tear open packet of powder and powder hands and
discard.


3. With the left hand, grasps the right glove on the folded back cuff and lift it directly
up and away from wrapper. Nurse steps back from the table.


4. Insert the right hand into the glove and draw it on, leaving the cuff turned well down
over the hands. (Skin-to-skin technique).


5. Picking up the left glove, lift the glove from the wrapper by slipping gloved right
finger under the protective cuff. (glove-to-glove technique) Avoid touching the
gloved fingers to the bare wrist.


6. Pull the cuff of the glove up over the cuff of the sleeves.

7. Gloved fingers of the right hand touch only the outside of the left glove, near the
wrist. Any exposed skin would contaminate the glove.


8. Place gloved hands on wrist level.

9. Remove gown first, if between cases.

10. Right glove is partially removed by left gloved hand leaving fingers covered. Touch
only the outside surface of the gloves.


11. Left hand glove is removed by placing still gloved fingers of the right hand on the
cuff at the left glove without touching hand end of glove and pulling off.


12. Shake both gloves from right hand.



__________________________ ________________________
Students Signature Clinical Instructor Signature
Over Printed Name

Direction : On the right hand column, kindly check extent of the performance of the Health Care Services
student in carrying the different tasks and responsibilities.

5 - Outstanding - The clinical objective has been met with a high level of
competency, beyond expectation.

4 - Very Satisfactory - The clinical objective has been met at a level exceeding
expectation.

3 - Satisfactory - The clinical objective has been met by the student.

2 - Fair - The clinical objective has been minimally met by the student.

1 - Poor - The clinical objective has not been met by the student.