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Anne Marie Frey

With all the "bundle" information out there, we are constantly reviewing our protocols for line care.  The question came up as to whether one should wear gloves [non-sterile] to access CVCs.  Our current practice is to wear non-sterile gloves if drawing labs from a line, or it the patient is on isolation in general and glove are part of that protocol, but that is more to protect the health-care provider.  Are people wearing non-sterile gloves to hook up fluids, flush a line, etc?  Is there any evidence [I can't find any] to dictate practice?

Thanks, again, for all your expertise,

anne marie

Glenda Dennis
We do exactly what you do in
We do exactly what you do in our line care practice.  Good handwashing is required. 
Karen Rankin
We are currently reviewing
We are currently reviewing that same issue and there are many points of view as you can imagine!  However the non-sterile gloves used in our organisation are routinely kept in boxes on the wall and have been seen to be dropped and put back - therefore I am strongly advocating for the use of sterile gloves to be used.  We are legally bound to wear gloves when at risk of body fluid contamination so we must wear the gloves, however the issue of disagreement remains with whether we should wear non-sterile or sterile gloves.  There is very little literature which addresses that specific issue - there is plenty about the use of sterile gloves for insertion of the CVL but not for the after care.  We have an increasing CVL line infection rate and are looking at ways in which clinical practice can be improved.....any more ideas would be appreciated.

Karen Rankin

Clinical Nurse Consultant

the Children's Hospital at Westmead - Australia

Leigh Ann Bowegeddes
Our VAS Team is directed by

Our VAS Team is directed by the Director of Infection Control. It is our standard to wear gloves for accessing catheters. Hand hygiene, then glove donning.

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