Comparison of nitrile gloves and nitrile over Nomex gloves.
OBJECTIVE
Aeromedical flight crews must perform many tasks in flight requiring manual dexterity and fine precision. A common perception is that safety-enhancing fire-retardant gloves compromise patient care if worn during such tasks by providing added bulk and barrier to the hand. This study is a quantitative and qualitative analysis of this possible compromise to patient care.


METHODS
Sixteen practicing flight nurses and respiratory therapists were asked to perform 10 different standard patient care tasks while wearing either nitrile gloves or a nitrile-Nomex glove pair. Tasks were timed, rated as completed successfully or not, and were subsequently judged subjectively by the participants.


RESULTS
Whereas the time required to insert an intravenous catheter and to insert a central line while wearing only nitrile gloves was significantly faster than when wearing both gloves, the time to perform all other tasks was not significantly different. In subjective ratings, the nitrile glove alone was scored significantly better than the two-glove combination by the study participants.


CONCLUSIONS
Comfort, dexterity, tactile discrimination, and ease of use were all adversely affected by wearing a Nomex glove under a nitrile glove. Although the differences in times for most tasks may not be clinically significant, the difference in the subjective parameters may be great enough to cause helicopter emergency medical services (HEMS) practitioners to not wear Nomex gloves under nitrile gloves while performing procedures.
Vorih
Deirdre Cronin
DC
University of Connecticut School of Medicine, Farmington, CT, USA.
Bolton
Lauri D
LD
Marcelynas
James
J
Nowicki
Thomas A
TA
Jacobs
Lenworth
L
Robinson
Kenneth J
KJ
D017732:Air Ambulances; D003258:Consumer Behavior; D020724:Elastomers; D017575:Gloves, Protective / Q000592:standards*; D019538:Health Care Surveys; D006801:Humans; D005791:Patient Care; D011787:Quality of Health Care; D013647:Task Performance and Analysis
D020724:Elastomers; C086285:nitrile butyl rubber