Healthcare working wearing Prosenso Biodegradable nitrile gloves touching plastic tray in medical environment

In the healthcare industry, proper glove selection is crucial to ensure the safety of both healthcare workers and patients. The right gloves protect against the spread of microorganisms, prevent cross-contamination, and provide a barrier against potentially harmful substances. This comprehensive guide will walk you through the various types of gloves available for different medical procedures and situations, helping you make informed decisions regarding glove selection. 

Understanding the Importance of Glove Selection

Glove selection plays a vital role in preventing the transmission of infections and maintaining a safe healthcare environment. It is essential to consider the following factors when choosing gloves:

Identifying the Purpose of Gloves

Before selecting gloves, it is crucial to identify their specific purpose. Different medical procedures and situations require different types of gloves. The most commonly used gloves in healthcare settings include examination gloves, surgical gloves, chemotherapy examination gloves, and gloves with long and short cuffs.

Assessing the Risks and Hazards

Evaluate the potential risks and hazards associated with the task at hand. Consider the substances that may come into contact with the gloves, such as blood, respiratory secretions, vomit, urine, feces, or hazardous drugs. Additionally, assess the presence of mechanical hazards like sharp objects, high temperatures, or the need for sterile gloves.

Considering Allergies and Sensitivities

Be aware of potential allergies and sensitivities among healthcare workers and patients. Some individuals may be allergic to natural rubber latex, which is commonly used in gloves. In such cases, choose gloves made from other synthetic materials like nitrile, or flexylon.

Types of Gloves for Healthcare Professionals

Now that we understand the importance of glove selection let’s explore the different types of gloves available for healthcare professionals:

Examination Gloves

Examination gloves are commonly used in medical settings for non-surgical procedures. They provide a protective barrier against contamination and are available in various materials, including latex, nitrile, and vinyl. Here are the key types of examination gloves:

Latex Examination Gloves

Latex examination gloves offer superior comfort, fit, and dexterity. They provide excellent barrier protection against microorganisms and are suitable for most medical procedures. However, it is essential to consider latex allergies and sensitivities when choosing these gloves.

Nitrile Examination Gloves

Nitrile examination gloves are an excellent alternative to latex gloves, especially for individuals with latex allergies. They offer similar levels of protection and are highly resistant to punctures, tears, and chemicals. Nitrile gloves are available in various thicknesses to suit different requirements.

Vinyl Examination Gloves

Vinyl examination gloves are cost-effective and widely used in healthcare settings. They are comfortable to wear and provide adequate protection against the most common contaminants. However, vinyl gloves may not offer the same level of strength and durability as latex or nitrile gloves. Another point to note is that vinyl gloves are made from PVC and might contain PFAS and/or phthalates.

Accelerator-Free Examination Gloves

Some individuals may develop allergies or sensitivities to the accelerators used in glove manufacturing. Accelerator-free examination gloves are specifically designed to minimize the risk of allergic reactions. These gloves are an excellent choice for individuals with known sensitivities or a history of allergic reactions to gloves.

Chemotherapy Examination Gloves

Chemotherapy examination gloves are specifically designed to protect healthcare workers while handling chemotherapy drugs. These gloves are made from materials that provide resistance to hazardous chemicals. Choosing gloves that meet the relevant standards for chemotherapy drug handling is essential.

Gloves with Long and Short Cuffs

Depending on the procedure and level of protection required, gloves with long or short cuffs may be necessary. Long-cuffed gloves provide extended coverage, ensuring the protection of the wrists and forearms. Short-cuffed gloves, on the other hand, offer greater dexterity and flexibility.

Surgical Gloves

Surgical gloves are specifically designed for sterile surgical procedures. They provide high barrier protection against microorganisms and are subjected to rigorous quality standards. Surgical gloves are available in both latex and latex-free options:

Latex Surgical Gloves

Latex surgical gloves offer exceptional tactile sensitivity and fit, making them ideal for precise surgical procedures. They provide a reliable barrier against microorganisms and offer excellent grip and control. However, it is crucial to consider latex allergies among healthcare workers and patients.

Latex-Free Surgical Gloves

For individuals with latex allergies, latex-free surgical gloves are the preferred choice. These gloves are made from synthetic materials like nitrile, polyisoprene, or flexylon. They provide close to similar dexterity, comfort, and barrier protection levels as latex gloves.

Factors to Consider for Glove Selection

When selecting gloves for healthcare professionals, several factors should be taken into consideration:

Comfort and Fit

Proper fit and comfort are essential for healthcare workers who wear gloves for extended periods. Ill-fitting gloves can cause discomfort, fatigue, and compromise dexterity. Choose gloves that fit well, allowing for ease of movement and tactile sensitivity.

Strength and Durability

Consider the strength and durability of the gloves, especially for tasks that involve potential punctures or tears. The material and thickness of the gloves play a crucial role in their strength. Thicker gloves offer increased resistance to punctures but may reduce dexterity.

Ease of Donning and Doffing

Gloves that are easy to don and doff can save valuable time, reduce the risk of contamination, and prevent unnecessary waste. Consider gloves with smooth inner surfaces or unique treatments that facilitate easy donning.

Biocompatibility and Allergenicity

Ensure the gloves are biocompatible and do not cause allergic reactions or sensitivities. Look for gloves that comply with relevant testing standards and consider the allergy history of healthcare workers and patients.

Compliance with Regulations and Standards

Choose gloves that meet the necessary regulations and standards for the specific task or procedure. Compliance ensures that the gloves provide the required level of protection against microorganisms, chemicals, and other hazards.

Best Practices for Glove Usage

To maximize the effectiveness of gloves and maintain a safe healthcare environment, follow these best practices:

Proper Hand Hygiene

Before putting on gloves, always practice proper hand hygiene. Wash your hands thoroughly with soap and water or use an alcohol-based hand sanitizer.

Correct Glove Sizing

Ensure that the gloves fit properly to provide optimal comfort and protection. Too tight gloves can cause fatigue, while loose-fitting gloves may compromise dexterity. Use sizing charts provided by manufacturers to find the right fit.

Regular Glove Changes

Change gloves whenever they become torn, punctured, or contaminated. Regularly inspect gloves for signs of damage or wear and replace them as needed.

Hand Washing After Glove Removal

After removing gloves, wash your hands thoroughly with soap and water or use an alcohol-based hand rub. Proper hand hygiene after glove removal is essential to prevent cross-contamination.

No Glove Reuse or Washing

Never reuse gloves, as this can increase the risk of cross-contamination. Additionally, do not wash or disinfect gloves, as this can compromise their integrity and effectiveness.

Ban on Powdered Gloves

It is important to note that powdered gloves, including powdered surgeon’s gloves, powdered patient examination gloves, and absorbable powder for lubricating surgeon’s gloves, have been banned by the FDA. The use of powdered gloves poses significant risks, such as severe airway inflammation, hypersensitivity reactions, and surgical complications. Ensure that the gloves you choose are powder-free.

Conclusion

Choosing the right gloves for healthcare professionals is crucial to maintain a safe and hygienic healthcare environment. By considering factors like the purpose of gloves, risks and hazards, allergies and sensitivities, and compliance with regulations, you can make informed decisions when selecting gloves. Remember to prioritize comfort, fit, strength, and ease of use. Following best practices for glove usage, such as proper hand hygiene, correct sizing, regular glove changes, and hand washing after glove removal, further enhances safety. By understanding the importance of glove selection and adopting best practices, healthcare professionals can ensure the well-being of both themselves and their patients.

 

Additional Information: It is important to note that healthcare professionals should always refer to their organization’s policies and guidelines regarding glove selection and usage. This article serves as a general guide and should not replace specific recommendations provided by healthcare institutions.