Exam #8: Draping The Surgical Patient

Question 0

What should be made of fluid resistant or fluid proof materials?

Answer 0

Drapes

Question 1

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?

Answer 1

Drapes

Question 2

What happens before the skin prep?

Answer 2

hair removal, catheterization, anesthesia administration

Question 3

What happens after the skin prep?

Answer 3

draping

Question 4

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?

Answer 4

Surgical prep

Question 5

Are prepped areas and scrubbed hands considered sterile?

Answer 5

No they are not considered sterile

Question 6

What is caused by prep solutions pooling under the drape of the PT’s skin?

Answer 6

Chemical irritation

Question 7

* SHORT ANSWER*

What drape is typically used for an oculus sinister enucleation?

Answer 7

An aperture or eye drape

Question 8

What has an adhesive backing that may be impregnated with an antimicrobial iodine solution?

Answer 8

Incise drapes

Question 9

Who determines the placement of the tourniquet cuff prior to draping an extremity?

Answer 9

The surgeon determines

Question 10

What should only be used on towel drapes?

Answer 10

Perforating towel clips

Question 11

Towel drapes are prepared with a?

Answer 11

1-inch cuff

Question 12

What has opening for exposure of the area to be incised?

Answer 12

Fenestrated Drapes

Question 13

What are examples of fenestrated drapes:

Answer 13

1. thyroid drape
2. Abdominal drape
3. Laparotomy drape
4. Kidney drape
5. Laparoscopy drape
6. Chest drape

Question 14

What is an example of a non-fenestrated drape?

Answer 14

Split Sheet

FALSE

Question 15

What do you do to cover misplace drape?

Answer 15

Use another drape (ex: 3/4 sheet)

Question 16

While setting up you back table, drapes should be stacked in the anticipated order:

Answer 16

Use with the last drape being placed at the bottom of the stack

Question 17

What must not be passed over non sterile area?

Answer 17

Sterile

Question 18

Once placed, The drapes ___ be relocated by the STSR?

Answer 18

CANNOT

Question 19

When extending the drape to the periphery of the sterile field, the sterile gloved hands:

Answer 19

Must be covered by a cuff

Question 20

If perforating towel clips are unfastened after initial placement:

Answer 20

They should be removed from the sterile field

Question 21

Who removes any contaminated drape?

Answer 21

Circulator

Question 22

IF a hole is discovered in a drape, what can be done?

Answer 22

• Small hole is covered with a sterile drape

- Large hole may require that the drape be replaced

Question 23

When squaring off the sterile field, hand the towels to who?

Answer 23

The surgeon on the same side of the O.R table

Question 24

In which was are towels used for when squaring off?

Answer 24

They are place on the PT with the folds facing DOWN

Question 25

When draping the abdomen, the FIRST folded towel is placed?

Answer 25

TOWARDS his/hers body

Question 26

When draping the abdomen, the LAST folded towel is placed?

Answer 26

AWAY from his/hers body

Question 27

***SHORT ANSWER*** | What is an example of a surgery where an extremity or hand drape?

Answer 27

Would be used in a carpal tunnel release

Question 28

What provide a significant and rapid reduction in skin microbial counts?

Answer 28

Alcohol

Question 29

What provides a rapid reduction in skin microbial counts and should be removed in 2-3 minutes?

Answer 29

Iodine

Question 30

What are less likely to cause skin irritation and does not need to be removed?

Answer 30

Iodophors

Question 31

What must be used for several days prior to surgery to build up a cumulative antimicrobial effect?

Answer 31

Hexachlorophene

Question 32

Any part of a drape that falls below waist level is?

Answer 32

Contaminated

Question 33

What are not allowed to fall below waist it table level?

Answer 33

Sterile gloved hands

Question 34

Before what, does gross soilage and skin oils must be removed from the planed operative site?

Answer 34

Skin prepping

Question 35

What is not a non-variable process?

Answer 35

Draping

Question 36

Can the circulator help move the ring stand and the back table by touching low on the furniture legs BELOW the sterile drape?

Answer 36

The circulator CAN help move the ring stand and the back table by touching low