Ask the expert: Gloves for injections

By: January 12th, 2012 Email This Post Print This Post

Q: In researching OSHA guidelines, I found that wearing gloves during an injection is not required. Any thoughts on this? I would like to make wearing gloves a requirement in my facility.

A: Wearing gloves may be prudent, but not required by OSHA.

“Gloves are usually not necessary when administering intramuscular or subcutaneous injections as long as bleeding that could result in hand contact with blood or OPIM is not anticipated, according to Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens.

Employers may have exposure control plans that go above the minimum requirements for the Bloodborne Pathogens standard, so if you decide to require gloves for all injections, be sure to specify the policy in the exposure control plan.

Comments

I agree with the author of the question, that gloves should be required and worn for injections. The wording “usually not necessary…if contact with blood or OPIM is not anticipated” contradicts the preparatory nature of PPE. How does anyone really know when they might be exposed? An injection punctures the skin, blood and OPIM leaks out and then the site has to be covered with at least a gauze or cotton ball. Yes, it’s possible to do without actually touching fluid, but why take the chance?

I disagree with the author of the question, that gloves be worn for injections. As a nurse with 30+ years experience and an employee health coordinator that gives Influenza vaccines annually I can speak from experience. Every year I give approximately 200 vaccines, in 2 days, and have never had exposure to blood. My patients hold the gauze and apply it if blood appears. Gloves hinder my injection performance and I use a safety needle that retracts upon use. Thus safe measures to reduce risks are in place. Look at the training and experience of the nurse doing injections, look at occurrence of needle sticks, and let individuals make the decision for PPE.

I agree with Trish, I do not think gloves for IM injections need to be worn. I too have a vast amount of experience and have never been exposed. I have never had a needle stick. Using good technique and the protective equipment should be enough.

I too have to agree that gloves should not be required. Especially when doing mass immunizations, because then I would have more concern about hand hygiene between vaccines. It is difficult to remove gloves, clean hands, and don another pair quickly. When doing employee flu vaccines, we keep alcohol hand sanitizer with us, and we have the employee hold a cotton ball or gauze pad over the injection site until we apply a bandaid. I have never had an exposure to blood this way.

By Bruce Cunha on January 18th, 2012 at 4:33 pm

I give thousands of flu injections a year and have a number of patients that bleed after the injection. If you have the patient apply pressure with gause, the potential for exposure to blood is very low. But if you are applying the gause to the bleeding, you are going to get blood on you. Actually, it is my employees that make it more difficult to not use gloves. If I don;t they are constantly asking “Don’t you need to be wearing gloves” So, I wear gloves.

Each facility must complete a Hazard Assessment Certification for Personal Protective Equipment under the OSHA PPE Standard 1910.132. If the practice decides according to the assessment not to require gloves, they may still have them available if the employee wants them. The practice must complete the certification and make their decision about what must be worn at a minimum.

By Warren Piece on January 16th, 2013 at 8:15 pm

It’s not just the person who is giving the vaccine that needs to be considered. A nurse who doesn’t notice even a tiny amount of blood on his/her finger can easily transmit HepB if thy do not at least wash their hands thoroughly between ‘patients’.

 

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