The nurse observes an unlicensed assistive personnel (UAP) begin to remove exam gloves after emptying a bedpan containing feces. The UAP slides two fingers inside one of the gloves and begins to roll the glove off. Which action should the nurse implement?
Explanation & Rationale
A. Advise the UAP that the technique being used will result in hand contamination: Sliding ungloved fingers inside a contaminated glove exposes the skin to pathogens. The nurse should intervene immediately to prevent cross-contamination and reinforce proper glove removal technique—grasping the outside of one glove and peeling it off inside out. B. Suggest that the UAP roll both of the gloves off and inside out at the same time: Removing both gloves together increases the risk of contamination since one glove may contact bare skin or contaminated surfaces during removal. Gloves should be removed one at a time, using proper aseptic technique. C. Instruct the UAP to use two pairs of gloves when fecal contamination is likely: Double gloving is not standard practice for routine bedpan care and may lead to waste of supplies. Correct glove removal technique is more important for infection control than layering gloves. D. Remind the UAP to discard the gloves in the biohazard container after removal: Used gloves contaminated with feces should be discarded in a standard waste receptacle lined with a plastic bag, not a biohazard container, unless the waste is saturated with blood or body fluids. The immediate priority is preventing hand contamination.