AORN Journal
Volume 89, Issue 2 , Pages 322-332 , February 2009

Do Surgical Personnel Really Need to Double-Glove?

  • Janet Thomas-Copeland, RN, BSN, MA

      Affiliations

    • Janet Thomas-Copeland, RN, BSN, MA, is the manager of performance improvement at VHA, Southeast, Tampa, FL. As a previous employee of Ansell Healthcare, Red Bank, NJ, at the time this article was written, Ms Thomas-Copeland acknowledges an affiliation that could be perceived as a potential conflict of interest in publishing this article.

References 

  1. Recommended practices for prevention of transmissible infection in the perioperative practice setting . In: Standards, Recommended Practices, and Guidelines . Denver, CO: AORN, Inc; 2007;p. 619–629
  2. Recommended practices for maintaining a sterile field . In: Standards, Recommended Practices, and Guidelines . Denver, CO: AORN, Inc; 2004;p. 367
  3. Twomey CL . Double gloving: a risk reduction strategy . Jt Comm J Qual Saf . 2003;29(7):369–378
  4. Korniewicz DM . Barrier protection of latex . Immunol Allergy Clin North Am . 1995;15(1):123–136
  5. Universal precautions for prevention of transmission of HIV and other bloodborne pathogens. Centers for Disease Control and Prevention . http://www.cdc.gov/ncidod/dhqp/bp_universal_precautions.html Accessed December 16, 2008.
  6. Bloodborne pathogens – 1910.1030. US Department of Labor; Occupational Safety and Health Administration . Fed Regist . 1991;56(235):64004; Codified at 29 CFR §1910.1030 http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051 Accessed December 12, 2008.
  7. ASTM International  . ASTM D3577-06e1 standard specification for rubber surgical gloves . http://www.astm.org/Standards/D3577.htm Accessed December 19, 2008.
  8. US Food and Drug Administration  . Premarket notification 510(k) . http://www.fda.gov/CDRH/DEVADVICE/314.html Accessed December 19, 2008.
  9. Berguer R , Heller PJ . Preventing sharps injuries in the operating room . J Am Coll Surg . 2004;199(3):462–467
  10. Laine T , Aarnio P . How often does glove perforation occur in surgery? Comparison between single gloves and double-gloving system . Am J Surg . 2001;181(6):564–566
  11. Yinusa W , Li YH , Chow W , Ho WY , Leong JC . Glove punctures in orthopaedic surgery . Int Orthop . 2004;28(1):36–39
  12. Hollaus PH , Lax F , Janakiev D , Wurnig PN , Pridun NS . Glove perforation rate in open lung surgery . Eur J Cardiothorac Surg . 1999;5(4):461–464
  13. Thanni OA , Yinusa W . Incidence of glove failure during orthopedic operations and the protective effect of double gloves . J Natl Med Assoc . 2003;95(12):1184–1188
  14. Chapman S , Duff P . Frequency of glove perforations and subsequent blood contact in association with selected obstetric surgical procedures . Am J Obstet Gynecol . 1993;168(5):1354–1357
  15. St Germaine RL , Hanson J , de Gara CJ . Double gloving and practice attitudes among surgeons . Am J Surg . 2003;185(2):141–145
  16. Quebbeman EJ , Telford GL , Wadsworth K , Hubbard S , Goodman H , Gottlieb MS . Double gloving: protecting surgeons from blood contamination in the operating room . Arch Surg . 1992;127(2):213–217
  17. Tanner J , Parkinson H . Double gloving to reduce surgical cross-infection (Review) . Cochrane Database Syst Rev . 2003;(3): CD003087 http://www.cochrane.org/reviews/en/ab003087.html Accessed December 19, 2008.
  18. Albin MS , Bunegin L , Duke ES , Ritter RR , Page CP . Anatomy of a defective barrier: sequential glove leak detection in a surgical and dental environment . Crit Care Med . 1991;20(2):170–184
  19. Greco RJ , Garza JR . Use of double gloves to protect the surgeon from blood contact during aesthetic procedures . Aesthetic Plast Surg . 1995;19(3):265–267
  20. Bierman S . Stamping out risky business . Manag Infect Cont . 2004;4(6):14–20
  21. Webb JM , Pentlow BD . Double gloving and surgical technique . Ann R Coll Surg Engl . 1993;75(4):291–292
  22. Edlich RF , Wind TC , Hill LG , Thacker JG . Resistance of double-glove hole puncture indication systems to surgical needle puncture . J Long Term Eff Med Implants . 2003;13(2):85–90
  23. Florman S , Burgdof M , Finigan K , Slakey D , Hewitt R , Nichols RL . Efficacy of double gloving with an intrinsic indicator system . Surg Infect (Larchmt) . 2005;6(4):385–395
  24. Nicoali P , Aldam CH , Allen PW . Increased awareness of glove perforation in major joint replacement. A prospective, randomized study of Regent Biogel reveal gloves . J Bone Joint Surg Br . 1997;79(3):371–373
  25. Avery CM , Taylor J , Johnson PA . Double gloving and a system for identifying glove perforations in maxillofacial trauma surgery . Br J Oral Maxillofac Surg . 1999;37(4):316–319

  indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article and taking the examination on pages 329–330 and then completing the answer sheet and learner evaluation on pages 331–332. The continuing education credits for this article expire February 29, 2012.You also may access this article online at http://www.aornjournal.org.The behavioral objectives and examination for this program were prepared by Rebecca Holm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN, MS, BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewell have no declared affiliations that could be perceived as potential conflicts of interest in publishing this article.This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.AORN recognizes these activities as continuing education for registered nurses. This recognition does not imply that AORN or the American Nurses Credentialing Center approves or endorses products mentioned in the activity.AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.

PII: S0001-2092(08)00711-4

doi: 10.1016/j.aorn.2008.11.001

AORN Journal
Volume 89, Issue 2 , Pages 322-332 , February 2009

Article Tools