I am looking for procedure(s) used by a single nurse when placing a PICC. How do you don the sterile gown by yourself? I am looking for all the possible methods for doing this. Thanks, Lynn
I drop all my equipment on the sterile field first. I unfold the sterile gown and put the two tabs together (velcro) behind my neck. Then I hold the velcro tabs with my right hand and put my left hand through the left sleeve until the cuff, keeping my hand covered. Then I take my left hand and place it on the front of the gown near my chest to hold the gown in place, sterile touching sterile. Then I put my right hand in the right sleeve until the cuff, keeping my hand covered. Then I proceed to put on my sterile gloves and move into the procedure.
I hold the tabs together with my non-sleeved hand so they don't pull apart while putting on the left sleeve. I hold the front of the gown while putting on my right sleeve, again so the tabs do not pull apart.
The sterile gowns we use are packaged so that the inside of the gown is what is touched when it comes out of the package. I too asfix the neck straps together, then pull the gown over my head and then place my arms in each arm hole, then, without allowing my hands to come out of the cuffed gown, I tie my apron strings then wiggle my hands through the arm holes.
I do pretty much as Carole described below, then proceed with closed gloving. Perusing youtube videos I found pretty much the same thing, but most had a second person to tie the gown, which is a luxury for many of us.
I'm curious why you ask? Are you looking for ways to tie? Many times I've thought the tab on the tie could have a peel and stick or a magnet to hold it to something, then I could spin, remove the tie from the card and tie myself. The problem with that would be sterile hands most likely going below the waistline. For now my gown is a sail but it does stay sterile in front. It's suboptimal. I'm open to suggestions!
Lynn,
I drop all my equipment on the sterile field first. I unfold the sterile gown and put the two tabs together (velcro) behind my neck. Then I hold the velcro tabs with my right hand and put my left hand through the left sleeve until the cuff, keeping my hand covered. Then I take my left hand and place it on the front of the gown near my chest to hold the gown in place, sterile touching sterile. Then I put my right hand in the right sleeve until the cuff, keeping my hand covered. Then I proceed to put on my sterile gloves and move into the procedure.
I hold the tabs together with my non-sleeved hand so they don't pull apart while putting on the left sleeve. I hold the front of the gown while putting on my right sleeve, again so the tabs do not pull apart.
Carole
Lynn,
The sterile gowns we use are packaged so that the inside of the gown is what is touched when it comes out of the package. I too asfix the neck straps together, then pull the gown over my head and then place my arms in each arm hole, then, without allowing my hands to come out of the cuffed gown, I tie my apron strings then wiggle my hands through the arm holes.
Hope this helps...
Thanks for your replies!! Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
I do pretty much as Carole described below, then proceed with closed gloving. Perusing youtube videos I found pretty much the same thing, but most had a second person to tie the gown, which is a luxury for many of us.
I'm curious why you ask? Are you looking for ways to tie? Many times I've thought the tab on the tie could have a peel and stick or a magnet to hold it to something, then I could spin, remove the tie from the card and tie myself. The problem with that would be sterile hands most likely going below the waistline. For now my gown is a sail but it does stay sterile in front. It's suboptimal. I'm open to suggestions!
I received the question from an infection prevention nurse so I told her I would post the question. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
I was hoping someone was going to develop a new improved gown and method. thanks