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Latex Hypersensitivity Protocol (2.16)

Latex Hypersensitivity Protocol (2.16) - Policies, Clinical, UWHC Clinical, Department Specific, Surgical Services, Clinical

2.16

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

DECEMBER 1992
ORIGINAL
 REVISION

MARCH 2017
PAGE 1
OF 2
POLICY #

2.16
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER OPERATING ROOM
SURGICAL SERVICES
TITLE
LATEX HYPERSENSITIVITY PROTOCOL



I. PURPOSE

To establish the precautions that must be taken when providing care to a patient who is allergic to latex or is at
high risk (see Hospital Administrative Policy #8.42 Latex Hypersensitivity Procedures).

Systemic exposure to latex can occur through the following routes: mucous membrane, ingestion, inhalation,
intravascular, or cutaneous contact.

II. POLICY

A. A latex allergy information binder will be kept available at the Inpatient OR and OSC (control
desks). The binders will include a list of latex products with viable alternatives and links to latex
resources. AFCH uses green tape to identify latex items.
B. All patients with a known latex allergy will have anesthesia staff (monitored or choice) during a
procedure in case of possible anaphylactic reaction.
C. “Latex Precaution/Allergy” signs will be posted on all OR doors.
D. Every attempt will be made to avoid the use of latex products and minimize the patient's exposure.
E. Review material data labels from the manufacturer when questionable products related to latex
content are purchased or used.
F. Every attempt will be made to schedule latex hypersensitivity patients as the first case of the day to
reduce the possibility of airborne floating particles.
G. The nurse will assess latex hypersensitivity during the preoperative assessment.
III. PROCEDURE

NOTE: Patients with a history of Type I allergic reactions to certain foods (e.g. banana, kiwi, avocado,
chestnut, raw potato, papaya, and tomato) also have shown to have an increased risk to latex sensitization.
Patients with a history of multiple surgeries beginning at an early age, spina bifida, myelodysplasia,
genitourinary problems, any individual with a past history of Type I reaction or positive test results to natural
rubber latex, and health care and dental workers have a high rate of latex allergy.

NOTE: It is unknown how much latex protein may be transferred onto items handled by powder-free latex
gloves. For a patient with a history of latex allergy or sensitivity, any contact with latex proteins must be
avoided. If the surgical team becomes aware that the patient has a known latex allergy or sensitivity (history
of signs and symptoms related to exposure to natural rubber latex as noted in hospital administrative policy
#8.42 II.A.1) after the sterile set-up has begun, the sterile set-up must be torn down and reset-up using
non-latex gloves. Alternatively, personnel can, as a precaution, wear non-latex gloves to set up and keep the
sterile field latex-free until the patient’s latex status is known for certain.

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

DECEMBER 1992
ORIGINAL
 REVISION

MARCH 2017
PAGE 2
OF 2
POLICY #

2.16
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER OPERATING ROOM
SURGICAL SERVICES
TITLE
LATEX HYPERSENSITIVITY PROTOCOL



A. Obtain latex information binder.
1. Contains helpful information including latex product information.
B. Remove or isolate latex products from OR. Review OR case cart contents for questionable latex
items. Substitute non-latex items for latex products.
1. Decrease the possibility of latex exposure to the patient.
C. Avoid use of questionable items or products (such as yellow boots and red rubbers). Review
manufacturer’s labels on products.
1. A majority of latex products appear as colored rubber. Products will be labeled as latex, so read
label carefully for content before use.
D. Obtain vinyl or non-latex powder-free gloves (both exam and sterile).
1. The literature indicates that latex may become airborne through the powder in the gloves. Latex
exposure via mucous membranes, ingestion, inhalation, intravascular or cutaneous contact can
cause an allergic reaction.
E. Medication vials with rubber stoppers should have the stoppers removed before aspirating
medication into the syringe.
F. Continue patient assessment throughout the procedure and be prepared to treat any allergic reaction.
G. Document the patient's latex allergy status in the Patient Care Record.
H. Communicate patient's latex allergy to post-operative unit to facilitate preparation for patient care.

IV. REFERENCES

A. AORN Guidelines for Perioperative Practice 2017, pages 255-257
B. https://intranet.anesthesia.wisc.edu/departmental/clinic/providerinfo/latex.html

V. APPROVED BY

OR Committee

REVIEWED BY

Surgical Services Policy and Procedure Committee 2/2017
James E. Gern, M.D. 2/2017
Ashley J. Rusch, BSN, RN, CNOR, Nursing Education Coordinator 2/2017

SIGNED BY

Anne Mork, MHCDS, MS,RN
Interim Director, Surgical Services Department