Exam Glove Reminders for EMS Professionals

by Greg Friese on February 2, 2010

in EMS Tips, Health and Wellness

Exam gloves are one of the few pieces of equipment that are used on every call. They are essential personal protective equipment to be wearing or have easily accessible.

Although these Everyday EMS Tips may seem simplistic I think they are important reminders for new and experienced EMS professionals:

  • Don’t put gloves on while you are driving and still touching the likely contaminated wheel and controls.
  • Don your gloves as you approach the patient – after you are done driving, touching door knobs, bells and buzzers, etc.
  • Change gloves if you are switching to a different patient.
  • If you are the data recorder remove your gloves while using the clipboard, laptop, or handheld computer. I find it works well in most situations if one person does the patient touching and the other person records data, investigates patient paperwork, and examines medication bottles.
  • Don’t write on your gloves. This is an odd tradition passed through generations of EMS professionals, but you risk compromising the glove, throwing data away, and it just looks semi-pro. Imagine what this looks like from the patient perspective?
  • Remove gloves and wash your hands before touching the steering wheel. If you will need gloves to move the patient from the ambulance cot to the hospital bed don a new pair of gloves. When I wash my hands in the ambulance I usually apply excess handwashing alcohol based hand gel that I lather around the steering wheel, shift lever, and other frequently touched controls. Just doing my part to keep the work environment germ free.

Am I over-reacting about gloves and hand hygiene? Tell me in the comments and share your exam glove reminders.


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  • Donna Luck-martin
    Love the observations, have to pound this into students constantly, because what is the first thing we are taught to say when coming into a testing station? "is the scene safe and I'm wearing my ppe!" So then agencies, ie. usually fire dept rescues over-react and tell providers to put their gloves on enroute to the call....I have been fighting this fight for the 20 years I've been in EMS and with the hand sanitizer it's getting easier, but still bears repetition. Thanks!
  • While all of this is great on paper, only some of it is practical in practice.

    Expecting that your non-sterile gloves are not going to be contaminated during patient contact is impossible. Everything you touch, from patient clothing to the cot, to the drug bag will contaminate them. The steering wheel is no worse(and possibly better since it is easily disinfected) than any of those.

    I agree that you should remove gloves before switching patients or getting behind the wheel, but I am not sure how I feel about hand sanitizer. Excess sanitizer can actually take a minute or two to dry and thus you are leaving your hands slippery and the wheel too. This seems like more of an inconvenience/risk than it is worth. If you are removing your gloves properly your hands should not be contaminated.

    I use a small dab, enough for proper cleaning, and that is it. We don't get the luxury of having one medic do data recording either. We have expected time requirements that mean both medics are treating the patient when on scene.
  • Thanks for your comments. Good point about the potential of hand sanitizer making the wheel slippery.
  • Steve Lercari
    Tough but true. I think it is worth adding that what many providers, especially those new to the field, don't stop to think is that this goes beyond just catching a cold or virus. This type of repeated cross-contamination is a major cause behind the development of drug-resistant infections like MRSA; not only do you not want to take that home yourself, you risk transferring the infection to your immuno-suppressed patient. I decon at the start of every shift and it disgusts me at how dark that white clorox wipe becomes.
    Thanks for posting that reminder to help get the word out there. Now if only I could get everyone to disinfect their stethoscope bell.
  • You're not over-reacting. These are great reminders for Wilderness First Aid/Wilderness First Responders as well. Most will not be utilizing a vehicle, but keeping equipment as well as themselves sanitized is important.

    It does little good to use gloves and then get everything that you are using contaminated.

    Jay Creagh
    Wilderness Program Director, Camp Manito-wish YMCA
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