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How To Choose The Right Glove for Proper Protection?

 

Gloves protect from direct contact of a microorganism and indirectly from a contaminated surface. Healthcare workers (HCWs) should wear disposable gloves during all patient care activities where there is a potential to be exposed to different hazards—such as contact with saliva, blood and mucous membranes. They should also be wearing gloves when handling items or surfaces contaminated as well as infectious materials and/or sharps. Healthcare workers should be provided with appropriate gloves to meet the needs for their protection.

The type of glove selected is based on a risk assessment of the anticipated task and exposures. Glove material, durability, quality, thickness and fit varies. The risk assessment and criteria for selection should be based on the setting, likelihood of exposure to blood/bodily fluids, anticipated length of use, stress that will be placed on glove, penetration time of substances and need for optimal tactility. HCW’s also need to be aware of potential allergens and irritant contact dermatitis. The gloves need to be tested against the drug that is being administered. For example, chemotherapy tested gloves have been approved to prevent against cytotoxic agent penetration. (PHO, 2019).

While there are several types of gloves and materials, we will focus on the most popular—nitrile, latex, vinyl, neoprene and utility (puncture resistant). Latex gloves are made from a natural rubber, derived from trees. They provide great comfort, dexterity, work well with biological and water-based materials and are cost-effective. However, latex can be allergen for some people, and it can also be difficult to detect puncture holes on these gloves.

Nitrile gloves are made from a synthetic rubber and are the most popular among HCWs. As being latex-free, nitrile is superior for wearing for extended periods of time, most puncture resistant, easy to detect holes and are great for solvents, oils, greases and provide great resistance to many chemicals.

Neoprene gloves are very similar to nitrile, as derived from a synthetic rubber. They offer protection against acids, bases, alcohol and other peroxides and hydrocarbons.

Vinyl gloves are made from synthetic materials (PVC) and provide minimal protection and must be used for short durations only. Utility/puncture resistant gloves are usually nitrile material and are recommended for reprocessing and sterilization procedures but, these come with many guidelines for correct use. When choosing gloves for reprocessing, ensure gloves are long enough to cover wrists and forearms; are of sufficient weight and thickness to be highly tear-resistant; and allow adequate dexterity of the fingers. For this type of procedure, disposable gloves are recommended. If reusable gloves are used, they must be decontaminated daily, inspected for tears and holes and be dedicated to a specific individual.1,2 (CSA Standard Z314-2018)

Here are some other facts that are important to be reminded of: disposable gloves are single use only and must be changed in between each patient. Gloves must fit correctly (not too big with loose material or too tight) and selection must be based on procedure and task to be performed. While non-sterile gloves can be used for most procedures, sterile surgical gloves should be worn during invasive surgical procedures. Remember to check if the gloves are compatible with specific chemicals and refer to the manufacturer for details on quality levels.

http://www.supermaxcanada.com/gloves/chemical-resistance-chart/

 

To know more about Aurelia Gloves Canada, follow us on social media, visit our website and subscribe to our newsletter to stay up to date with company news and blog articles.

 

Resources:

Ontario Agency for Health Protection and Promotion (Public Health Ontario). (2020). Glove Selection Guide. Toronto, ON: Queen’s Printer for Ontario; 2020.

Ontario Agency for Health Protection and Promotion (Public Health Ontario). (2020). Recommendations for the Prevention, Detection and Management of Occupational Contact Dermatitis in Health Care Settings. Toronto, ON: Queen’s Printer for Ontario; 2019.

Ontario Agency for Health Protection and Promotion (Public Health Ontario). Provincial Infectious Diseases Advisory Committee. Best practices for cleaning, disinfection and sterilization of medical equipment/devices. 3rd ed. Toronto, ON: Queen’s Printer for Ontario; May 2013.

https://ehs.berkeley.edu/workplace-safety/glove-selection-guide

https://www.scc.ca/en/standardsdb/standards/29301

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Surgical / Medical Grade Gloves vs Industrial Grade Gloves. What is the difference?

 

For keeping your hands safe & healthy – not all gloves are created equally. Your choice of protection products depends on the type of jobs you have to do with them. Health care workers need to choose gloves that are approved for use in their field and labelled as medical (examination) grade. Industrial workers have requirements for choices of gloves that offer them protection and keep themselves safe as well, but these are not typically labelled.

Being a global leader, Aurelia Gloves Canada exceeds all ASTM (American Society for Testing and materials) and AQL (Acceptable Quality Limit) industry standards. We never compromise on quality and continuously strive to produce the best products on the market.

What are the Industry Standards?

During the manufacturing process of gloves, an AQL level is determined. The AQL standard is defined as the “quality level that is the worst tolerable” in terms of pinholes and defects risk. The lower the AQL level, the more protection you have as the wearer. The AQL standard below will help explain what limit is necessary for the application or intention for use.

  • Surgical Grade – 1.5 AQL
  • Medical Grade – 2.5 AQL
  • Industrial Grade – 4.0 AQL

All Aurelia gloves are manufactured have an AQL of 1.5. They are also leached: after the drying of the gloves, they are put through a leaching line to remove residual chemicals and proteins from the surface of the gloves. Aurelia gloves are leached 2x more than industry standard. This process of chemical cleaning removes bioburden and any chemical residual, which results in a cleaner and higher quality glove.

What are fillers and what do they do when added during the manufacturing process?

Fillers like clays, calcium, carbonate and silicates are added into glove materials during the manufacturing process to bring material cost down. However, this process affects glove strength and durability. The industry standard for fillers added is 18-25% or more. Aurelia gloves have 0% fillers added for all gloves under 4.0 mil (thin and medium thickness gloves). Gloves over 4.0 mil (thicker gloves) have less than 5% fillers added.

http://info.eagleprotect.com/inflation-test-video

As a manufacturer, Aurelia Gloves Canada has a commitment to make the highest quality gloves while keeping at a price point that is competitive on the market. When you purchase products from the Aurelia brand, you purchase a higher quality brand for an affordable price.

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Handwashing Vs. Hand Sanitizer

 

Hands are one of the most important body parts containing microorganisms and spreading diseases. There are two types of microbial flora on the hands.

Resident skin flora—consisting of microorganisms that colonize the skin and become permanent residents. They can never really be removed completely, even with a surgical scrub—but can be reduced.

They can actually exist several layers beneath the surface in the stratum corneum. Although they are capable of causing infection when spread to others, transient skin flora are the real culprits. Transient skin flora are a major source of contamination and disease spread, but do not stay on the hands for long periods (they come and go). Fortunately, the microorganisms here can be removed during handwashing and/or hand sanitizing.

So, how should one clean their hands?

The mechanical action of handwashing with antimicrobial soap and water is important to remove dirt, debris or any visible soil. When hands are not visibly soiled, hand sanitizing has been proven to be effective in hand antisepsis, but only when performed correctly, by rubbing hands until the gel/foam dries).

Happy Hand Antisepsis!

 

Sources:

Miller, C. & Palenik, C (2005). Infection Control & Management of Hazardous Materials for the Dental Team. St. Louis. Elsevier Mosby.

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Using protection equipment rationally and helping to save lives

With the most recent developments surrounding the world regarding the Pandemic of COVID-19 the correct use of Personal Protective Equipment (PPE) rationally and helping to save lives is an important topic right now.

With the COVID-19 infected number rising everyday the demands for proper and sufficient PPE especially for all frontline workers and other essential workers are impacted right now! The necessity to use PPE everyday while helping to save lives and keep themselves safe and healthy while doing their very important jobs is definitely on our minds.

With the most recent reports that the global supply chain of PPE seems insufficient this can be concerning especially if the widespread inappropriate use of PPE continues and we need to be sure that all PPE is used appropriately at all times.

Frontline Healthcare workers involved in the direct patient care must use the following PPE: isolation gown, gloves, medical mask and eye protection. Other essential workers that are in close contact in the public and have the potential or risk of exposure do require the use of gloves and possibly a mask depending on their role. With the general public that is asymptomatic, wearing a mask of any type is not necessary.

Precautions to be implemented by healthcare workers caring for patients with COVID-19 disease include using PPE appropriately; this involves selecting the proper PPE and being trained in how to put on, remove and dispose of it.

• The type of PPE used when caring for COVID-19 patients will vary according to the setting and type of personnel and activity.

• Healthcare workers involved in the direct care of patients should use the following PPE: gowns, gloves, medical mask and eye protection (goggles or face shield).

• Among the general public, persons with respiratory symptoms or those caring for COVID-19 patients at home should receive medical masks.

• For asymptomatic individuals, wearing a mask of any type is not recommended.

• Importantly, the use of gloves does not replace the need for appropriate hand hygiene, which should be performed frequently as prescribe.

To date, there is no epidemiological information to suggest that contact with goods or products shipped from countries affected by the COVID-19 outbreak have been the source of COVID-19 disease in humans. WHO will continue to closely monitor the evolution of the COVID-19 outbreak and will update recommendations as needed.

In closing from our team at Supermax Healthcare Canada we want to thank all the Frontline Healthcare Workers and all essential workers across Canada right now for all you are doing to save lives and take care of the most important things necessary right now and we appreciate everything you are doing to!

We thank you all for following and respecting the requested confinement in order to limit the spread of COVID-19.

To know more about Aurelia Gloves Canada, follow us on social media, visit our website and subscribe to our newsletter to stay up to date with company news and blog articles.

Aurelia/Supermax Healthcare Canada Team

Shirley McIntyre

Regional Accounts Manager – Ontario at Supermax Healthcare Canada Inc.
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Product Information & Education

Can Gloves Protect You From COVID-19?

The way healthcare and other primary necessity workers use personal protective equipment (PPE) during a patient or customer interaction is crucial. In healthcare and other primary necessity industries such as public safety, sanitary products and food manufacturing, pharmacies, grocery stores, transports and logistics, workers should wear PPE, including the proper use of gloves. Gloves are to be used as a single use item and are not meant or designed to be used for multiple use, prolonged use or daily use. And in order to provide effective protection, gloves have to be worn following a specific safety protocol. The wearing of gloves when going out for day to day activities is not recommended for the general public because it is not effective to protect against COVID-19 for this type of usage.

Here is why gloves won’t protect you: our hands are not a portal of entry for the Coronavirus (and many other viruses). Intact skin actually serves as a barrier to several infectious diseases. The route of entry is through our mucous membranes—eyes, nose and mouth. It is inevitable not to keep our hands away from touching our faces, as the average number is 20 times per hour! Wearing gloves can give us a false sense of security as the virus can stick even better to the surface of a glove versus our hands (Dr S.Gupta).

So if you are not involved in primary necessity activities and want to mitigate all contamination risk from the things you touch with your hands, (1) wash your hands regularly, (2) sanitize all surfaces that are being touched, (3) avoid touching your face at all times, and (4) avoid using disposable gloves. Just like face masks, the supplies for this type of PPE come in increasingly limited quantities, and it is crucial that all workers in healthcare and other primary necessity industries have access to them at all times to help contain the virus and solve the epidemic.

For more information on the topic, check out this video of Dr Samir Gupta talking about PPE for general public.

To know more about Aurelia Gloves Canada, visit our website and subscribe to our newsletter to stay up to date with company news and blog articles.

Monica Morgan

Regional Account Manager at Supermax Healthcare Canada Inc.

 

Sources:
Miller, C. & Palenik, C (2005). Infection Control & Management of Hazardous Materials for the Dental Team. St. Louis. Elsevier Mosby.

Gupta, S (2020). CBC News National. Why gloves won’t do much to protect you from COVID-19? Retrieved from: https://www.youtube.com/watch?v=Bx1lidaX1qk&feature=youtu.be
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Product Information & Education

A short history of nitrile

It’s everywhere in your professional life, you could not work without it and yet most of you know very little about it. No, I’m not talking about your morning coffee, I’m talking about nitrile.

Nitrile itself is not a material, it is rather any organic compound where the carbon and nitrogen atoms are connected by triple bonds. There are therefore several kinds of nitriles. The one used for your gloves is butadiene-acrylonitrile but you understand why we prefer to simply refer to it as nitrile on our boxes!

To understand where the nitrile comes from, we have to go back to 1782, in the laboratory of the German-Swedish chemist Carl Wilhelm Scheele. A prominent figure in the history of chemistry, Scheele is known to have notably discovered several chemical elements and compounds, such as citric acid and glycerin, but it is his synthesis of hydrogen cyanide, nearly 80 years after his discovery, which interests us here because it is the first member of the family of nitriles.

Several compounds were subsequently synthesized such as benzonitrile in 1832 (used as a solvent) and acrylonitrile in 1834 (used in the manufacture of nylon) but it was not until the interwar period that the first nitrile rubber appeared. It was in 1934 in the United States that chemists Erich Konrad and Eduard Tschunkur developed our popular elastomer. At the time, it was its resistance to oil and grease combined with a shortage of natural rubber that made it grow in popularity with industries and the military.

Just a few years later, these polymers had completely decommissioned rubber, and by the end of the Second World War, the United States produced more than 800,000 tons of synthetic rubber a year. That’s a lot of gaskets!

It was not until 1991 before the first disposable gloves made of butadiene-acrylonitrile appeared. The growing demand of the industry for an alternative to latex gloves was at the origin of this invention but it is its durability and its great resistance which explains why today, the great majority of the gloves used in the world are nitriles.

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ASTM and BFE, more than acronyms

Whether you are from the dental, aesthetic or food industry, infection protection is the basis of your daily work. Before putting on your mask, are you able to properly identify the protection you need? Maybe this little description will help.

All our masks follow the standards prescribed by ASTM, the American Society for Testing and Equipment. Like ISO, ASTM is a standards body that has been writing technical standards for materials since 1898. Born of a need for standardization in the railway industry, ASTM now has more than twelve thousand standards in its catalogue.

For procedural masks, the standard consists of three levels; ASTM 1, 2 and 3. Each level classifies materials according to their resistance to liquid (calculated in mmHG) and the rate of filtered bacteria, the famous BFE ( Filtration Efficiency Bacteria ). You must, therefore, adapt your choice of protection to your use, for example, ASTM 1 is perfect for a dental cleaning but does not offer sufficient protection when it comes to surgery where a ASTM 3 is needed.

In closing, do not forget to change your mask after each patient or after more than one hour of use to ensure maximum protection.