You are putting on sterile gloves using the closed cuff method. The sterile glove is resting on your gown sleeve. Where should the palm of your hand inside the gown sleeve be facing?

The palm of your hand inside the gown sleeve must be facing upward toward the palm of the glove.

Explanation:

The closed cuff method eliminates potential hazards in the glove procedure as follows:

1) Take a tuck in each gown cuff if the cuffs are loose. Make the tuck by manipulating the fingers inside the gown sleeve; do not expose the bare hands while tucking the gown cuffs.

2) The circulator opens the outer wrapper of the glove package and flips them onto the sterile field.

3) Open the inner package containing the gloves and pick up one glove by the folded cuff edge with the sleeve-covered hand.

4) Place the glove on the opposite gown sleeve, palm down, with the glove fingers pointing toward your shoulder. The palm of your hand inside the gown sleeve must be facing upward toward the palm of the glove.

5) Place the glove's rolled cuff edge at the seam that connects the sleeve to the gown cuff. Grasp the bottom rolled cuff edge of the glove with your thumb and index finger.

6) While holding the glove's cuff edge with one hand, grasp the uppermost edge of the glove's cuff with the opposite hand. Take care not to expose the bare fingers while doing this.

7) Continuing to grasp the glove (see Figure 1-24); stretch the cuff of the glove over the hand.

8) Using the opposite sleeve- covered hand, grasp both the glove cuff and sleeve cuff seam and pull the glove onto the hand. Pull any excessive amount of gown sleeve from underneath the cuff of the glove.

9) Using the hand that is now gloved, put on the second glove in the same manner. When gloving is completed, no part of the skin has touched the outside surface of the gloves. Check to make sure that each gown cuff is secured and covered completely by the cuff of the glove. Adjust the fingers of the glove as necessary so that they fit snugly.

The palm of your hand inside the gown sleeve must be facing upward toward the palm of the glove.

Explanation:

(1) Take a tuck in each gown cuff if the cuffs are loose. Make the tuck by manipulating the fingers inside the gown sleeve; do not expose the bare hands while tucking the gown cuffs.

(2) The circulator opens the outer wrapper of the glove package and flips them onto the sterile field.

(3) Open the inner package containing the gloves and pick up one glove by the folded cuff edge with the sleeve-covered hand.

(4) Place the glove on the opposite gown sleeve, palm down, with the glove fingers pointing toward your shoulder. The palm of your hand inside the gown sleeve must be facing upward toward the palm of the glove.

(5) Place the glove's rolled cuff edge at the seam that connects the sleeve to the gown cuff. Grasp the bottom rolled cuff edge of the glove with your thumb and index finger.

(6) While holding the glove's cuff edge with one hand, grasp the uppermost edge of the glove's cuff with the opposite hand. Take care not to expose the bare fingers while doing this.

(7) Continuing to grasp the glove

(8) Using the opposite sleeve- covered hand, grasp both the glove cuff and sleeve cuff seam and pull the glove onto the hand. Pull any excessive amount of gown sleeve from underneath the cuff of the glove.

(9) Using the hand that is now gloved, put on the second glove in the same manner. When gloving is completed, no part of the skin has touched the outside surface of the gloves. Check to make sure that each gown cuff is secured and covered completely by the cuff of the glove. Adjust the fingers of the glove as necessary so that they fit snugly.

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