Exam #8: Draping The Surgical Patient Flashcards
What should be made of fluid resistant or fluid proof materials?
Drapes
What is used to isolate and protect the operative site from contaminants. They expose the surgical site, create a sterile barrier, & extend a sterile field?
Drapes
What happens before the skin prep?
hair removal, catheterization, anesthesia administration
What happens after the skin prep?
draping
What is done prior to draping to remove transient organisms from the patient’s skin and reduce the number of resident organisms on the PT’s skin?
Surgical prep
Are prepped areas and scrubbed hands considered sterile?
No they are not considered sterile
What is caused by prep solutions pooling under the drape of the PT’s skin?
Chemical irritation
* SHORT ANSWER*
What drape is typically used for an oculus sinister enucleation?
An aperture or eye drape
What has an adhesive backing that may be impregnated with an antimicrobial iodine solution?
Incise drapes
Who determines the placement of the tourniquet cuff prior to draping an extremity?
The surgeon determines
What should only be used on towel drapes?
Perforating towel clips
Towel drapes are prepared with a?
1-inch cuff
What has opening for exposure of the area to be incised?
Fenestrated Drapes
What are examples of fenestrated drapes:
- thyroid drape
- Abdominal drape
- Laparotomy drape
- Kidney drape
- Laparoscopy drape
- Chest drape
What is an example of a non-fenestrated drape?
Split Sheet
FALSE
What do you do to cover misplace drape?
Use another drape (ex: 3/4 sheet)
While setting up you back table, drapes should be stacked in the anticipated order:
Use with the last drape being placed at the bottom of the stack
What must not be passed over non sterile area?
Sterile
Once placed, The drapes ___ be relocated by the STSR?
CANNOT
When extending the drape to the periphery of the sterile field, the sterile gloved hands:
Must be covered by a cuff
If perforating towel clips are unfastened after initial placement:
They should be removed from the sterile field
Who removes any contaminated drape?
Circulator
IF a hole is discovered in a drape, what can be done?
- Small hole is covered with a sterile drape
- Large hole may require that the drape be replaced
When squaring off the sterile field, hand the towels to who?
The surgeon on the same side of the O.R table
In which was are towels used for when squaring off?
They are place on the PT with the folds facing DOWN
When draping the abdomen, the FIRST folded towel is placed?
TOWARDS his/hers body
When draping the abdomen, the LAST folded towel is placed?
AWAY from his/hers body
SHORT ANSWER
What is an example of a surgery where an extremity or hand drape?
Would be used in a carpal tunnel release
What provide a significant and rapid reduction in skin microbial counts?
Alcohol
What provides a rapid reduction in skin microbial counts and should be removed in 2-3 minutes?
Iodine
What are less likely to cause skin irritation and does not need to be removed?
Iodophors
What must be used for several days prior to surgery to build up a cumulative antimicrobial effect?
Hexachlorophene
Any part of a drape that falls below waist level is?
Contaminated
What are not allowed to fall below waist it table level?
Sterile gloved hands
Before what, does gross soilage and skin oils must be removed from the planed operative site?
Skin prepping
What is not a non-variable process?
Draping
Can the circulator help move the ring stand and the back table by touching low on the furniture legs BELOW the sterile drape?
The circulator CAN help move the ring stand and the back table by touching low
