The male scrub nurse snags his right glove during vascular surgery in a rapid exchange of instruments and suture material. Which should the nurse do next?
1. Reglove as quickly as possible.
2. Leave the sterile field and rescrub.
3. Ask for a replacement scrub nurse.
4. Reglove and regown immediately.
1
1 and 4. Vascular surgery requires the use of many fine sutures to connect vessels or insert bypass grafts; rapid exchanges of suture materials and instruments in surgery increase the risk of glove contamination as the scrub nurse quickly prepares and hands off needles and needle holders, and the surgeons return the instruments to the nurse. Once the integrity of the glove is damaged, the glove is contaminated and must be replaced immediately to prevent client infection. If both gloves become contami-nated, the duty the nurse owes to the client is to regown and reglove by using the closed-glove technique to reduce the risk of postoperative client infections.
2 and 3. Rescrubbing and asking for a replacement are unnecessary when contami-nating a glove in surgery.
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