Guidelines for Non-Sterile Gowning and De-gowning
Non-sterile gowns, often referred to as isolation gowns, are personal protective equipment (PPE) used to protect both the healthcare worker and the patient from the transfer of microorganisms, body fluids, and particulate matter. Understanding the correct procedure for putting on (donning) and taking off (doffing) these gowns is essential for maintaining infection control standards.
Purpose of Non-Sterile Gowns
These gowns are intended for use in contact precautions or whenever there is a risk of splashing or contamination during routine clinical activities. They are not intended for use in sterile surgical fields. Proper use minimizes the risk of self-contamination and the spread of pathogens within a healthcare facility.
Donning Procedure (Putting on the Gown)
- Perform Hand Hygiene: Before touching any PPE, clean your hands thoroughly with soap and water or an alcohol-based hand rub.
- Prepare the Gown: Select the appropriate size. Inspect the gown for any tears or defects.
- Insert Arms: Unfold the gown and hold it in front of you. Slip your arms through the sleeves.
- Secure the Neck: Fasten the ties or closures at the back of the neck. Ensure the gown covers the neck area adequately.
- Secure the Waist: Reach behind and fasten the waist ties securely. Ensure the back of your uniform or scrubs is completely covered by the gown.
- Adjust for Comfort: Ensure the gown allows for full range of motion while maintaining a secure fit.
De-gowning Procedure (Removing the Gown)
Removing PPE is the step where healthcare workers are at the highest risk of self-contamination. It is critical to perform this process slowly and deliberately.
- Unfasten Ties: Begin by unfastening the waist ties first, followed by the neck ties. Avoid touching the front of the gown, as it is considered contaminated.
- Remove the Gown: Pull the gown away from your body by touching only the inside surfaces. Keep your hands on the inside of the gown.
- Roll the Gown: Turn the gown inside out as you remove it. This traps the contaminated outer layer inside the bundle.
- Dispose Properly: Fold or roll the gown into a bundle and place it immediately into the designated waste receptacle.
- Hand Hygiene: Perform hand hygiene immediately after disposing of the gown to remove any transient pathogens that may have transferred during the removal process.
Key Safety Reminders
- Avoid Touching the Outside: The exterior of the gown should always be considered contaminated. Never touch the front of your gown with bare hands.
- Sequence Matters: Always follow the specific sequence for donning and doffing provided by your facilitys infection control department.
- Regular Training: Proficiency in PPE usage decreases over time if not practiced. Participate in regular training sessions and competency assessments.
- When to Change: Replace your gown if it becomes visibly soiled, torn, or saturated during a procedure.
By adhering to these standardized procedures, healthcare providers significantly reduce the risk of cross-contamination, ensuring a safer environment for everyone involved in patient care.
Non-sterile Gowning And De-gowning Procedure and Reference File Download Link
Sterile Compounding Gowning And Garbing Procedures and Reference File Download Link