Raybould L M
Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Dudley, West Midlands.
Br J Nurs. 2001;10(17):1135-41. doi: 10.12968/bjon.2001.10.17.9953.
Since the implementation of universal precautions, the use of disposable gloves has become part of everyday clinical practice. Guidance has been published to advise healthcare workers of the risks of latex allergies associated with the wearing of powdered latex gloves. The literature supports the use of gloves when contact with blood or body fluids is likely. However, an audit of glove usage indicated that practitioners were wearing gloves inappropriately, i.e. to wash patients (20%). The results of this study also demonstrated that a small percentage of staff (20%) were wearing vinyl gloves to deal with blood spillages and for venepuncture (13%) and cannulation (10%). A glove policy and a flow chart to assist staff in the selection of gloves were introduced. An educational programme for all hospital staff was commenced. These measures can assist healthcare workers in making an informed choice regarding glove usage.
自从实施普遍预防措施以来，使用一次性手套已成为日常临床实践的一部分。已发布指南，告知医护人员佩戴含粉乳胶手套存在乳胶过敏风险。文献支持在可能接触血液或体液时使用手套。然而，一项手套使用情况审计表明，从业者存在不恰当佩戴手套的情况，即用于给患者洗澡（20%）。这项研究的结果还表明，一小部分工作人员（20%）佩戴乙烯基手套处理血液溢出情况、进行静脉穿刺（13%）和插管操作（10%）。已出台手套使用政策和帮助工作人员选择手套的流程图。已为所有医院工作人员启动了一项教育计划。这些措施有助于医护人员在手套使用方面做出明智选择。
