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Integrated Maternal and Newborn Care Basic Skills Course ...

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Reference Manual<br />

Use of Gloves<br />

Gloves protect the client from contact with micro-organisms on the health worker’s h<strong>and</strong>s <strong>and</strong><br />

the health worker from contact with blood <strong>and</strong> other body fluids.<br />

Three types of gloves are commonly used:<br />

• Examination gloves (for contact with skin <strong>and</strong> intact mucous membranes <strong>and</strong><br />

wherever there is risk of exposure for the health worker)<br />

• Sterile/disposable surgical gloves (for contact with tissues under the skin or with the<br />

bloodstream, <strong>and</strong> preferably for conducting deliveries)<br />

• Utility or heavy-duty household gloves, reusable after cleaning (for h<strong>and</strong>ling dirty linen,<br />

instruments, <strong>and</strong> waste, for housekeeping <strong>and</strong> cleaning contaminated surfaces)<br />

Wear gloves when:<br />

• performing a procedure.<br />

• there will be contact with intact mucous membranes.<br />

• there will be contact with the tissues under the skin or with the bloodstream.<br />

• h<strong>and</strong>ling soiled items (e.g., instruments <strong>and</strong> gloves).<br />

• disposing of contaminated waste.<br />

When gloves are required, a separate pair of gloves must be used with each woman or baby to<br />

avoid cross-contamination. Disposable gloves are preferred, but when resources are limited,<br />

surgical gloves can be reused if they are:<br />

• decontaminated by soaking in 0.5% chlorine for 10 minutes.<br />

• washed <strong>and</strong> rinsed.<br />

• sterilized by autoclaving or high-level disinfected by boiling or steaming.<br />

Single-use or disposable surgical gloves should not be reused more than three times, even after<br />

the above steps, because invisible tears may occur.<br />

Note: Do not use gloves that are cracked, peeling, visibly torn, or<br />

that contain holes.<br />

<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />

<strong>Basic</strong> skills course<br />

9

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