Exam #8: Draping The Surgical Patient Flashcards

0
Q

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

A

Drapes

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1
Q

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?

A

Drapes

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2
Q

What happens before the skin prep?

A

hair removal, catheterization, anesthesia administration

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3
Q

What happens after the skin prep?

A

draping

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4
Q

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?

A

Surgical prep

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5
Q

Are prepped areas and scrubbed hands considered sterile?

A

No they are not considered sterile

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6
Q

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

A

Chemical irritation

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7
Q

* SHORT ANSWER*

What drape is typically used for an oculus sinister enucleation?

A

An aperture or eye drape

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8
Q

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

A

Incise drapes

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9
Q

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

A

The surgeon determines

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10
Q

What should only be used on towel drapes?

A

Perforating towel clips

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11
Q

Towel drapes are prepared with a?

A

1-inch cuff

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12
Q

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

A

Fenestrated Drapes

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13
Q

What are examples of fenestrated drapes:

A
  1. thyroid drape
  2. Abdominal drape
  3. Laparotomy drape
  4. Kidney drape
  5. Laparoscopy drape
  6. Chest drape
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14
Q

What is an example of a non-fenestrated drape?

A

Split Sheet

FALSE

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15
Q

What do you do to cover misplace drape?

A

Use another drape (ex: 3/4 sheet)

16
Q

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

A

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

17
Q

What must not be passed over non sterile area?

A

Sterile

18
Q

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

A

CANNOT

19
Q

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

A

Must be covered by a cuff

20
Q

If perforating towel clips are unfastened after initial placement:

A

They should be removed from the sterile field

21
Q

Who removes any contaminated drape?

A

Circulator

22
Q

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

A
  • Small hole is covered with a sterile drape

- Large hole may require that the drape be replaced

23
Q

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

A

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

24
Q

In which was are towels used for when squaring off?

A

They are place on the PT with the folds facing DOWN

25
Q

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

A

TOWARDS his/hers body

26
Q

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

A

AWAY from his/hers body

27
Q

SHORT ANSWER

What is an example of a surgery where an extremity or hand drape?

A

Would be used in a carpal tunnel release

28
Q

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

A

Alcohol

29
Q

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

A

Iodine

30
Q

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

A

Iodophors

31
Q

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

A

Hexachlorophene

32
Q

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

A

Contaminated

33
Q

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

A

Sterile gloved hands

34
Q

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

A

Skin prepping

35
Q

What is not a non-variable process?

A

Draping

36
Q

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

A

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