Closed gloving is performed after the surgeon has donned his/her gown, but BEFORE the surgeon pulls his/her hands through the cuffs of the gown.
Step 1: An assistant opens the sterile pack of gloves and drops them into the sterile field.
Step 2: Left hand (within the gown) lifts the right glove by its cuff.
Step 3: Right glove is laid on the palm of the right hand (cuff to cuff with the gown sleeve) with fingers of the glove pointing toward the elbow and the thumb of the glove positioned on top of the surgeon's covered right thumb.
Step 4: The inside of the cuff of the glove is grasped by the right hand (still within the gown) and the left hand folds the cuff of the glove over the back of the right hand.
Step 5: The left had then pulls the cuff of the right glove and sleeve of the right gown towards the elbow as the right hand slides into the glove. Wait to adjust the glove until both gloves are on and sterility is ensured (left fingers may slip out of the gown while trying to adjust the right glove prematurely).
Step 6: With the gloved right hand lift left glove by its cuff and place on palm of left hand (aligned with the cuff of the gown), with glove fingers pointing toward the elbow and the left thumb of the glove over the covered left thumb of surgeon.
Step 7: Left fingers (still within the gown) grasp the inside of the glove and the right hand pulls left glove cuff over the back of the hand.
Step 8: Pull the glove cuff and gown sleeve toward elbow as left hand slides into the glove
Step 9: Now that both gloves are on, pull glove cuffs over gown sleeves and adjust gloves for comfort.