Surgical draping

Question 1

What are sterile linens or single-use disposable drapes that are available in various shapes and sizes?

Answer 1

surgical drapes

Question 2

What are the 4 main roles of surgical drapes?

Answer 2

1. Provide a fluid and blood resistant barrier –> This minimizes microscopic organisms from the unsterile areas to sterile fields.
2. Reduce the risk of health care–acquired infections
3. Cover the patient
4. Cover equipment and furniture

Question 3

What are the 6 key principles of surgical draping?

Answer 3

• Follow the manufacturer’s instructions for use (IFU); be sure to unfold the drape correctly.
• Place the drape over or by the intended incisional site and unfold it to the periphery.
• Handle the drape as little as possible.
• Cuff your hand in a drape fold to prevent hand contamination.
• The top surface of the drape is considered sterile.
• After it is placed, do not move the drape.

Question 4

What is 1 of the key principles of surgical draping?

Answer 4

cuffing

Question 5

How does cuffing work?

Answer 5

the dominant hand is cuffed within the fold of the mayo stand cover while the opposite hand feeds the drape onto the mayo stand in a controlled manner

Question 6

What are the 3 types of sterile towels?

Answer 6

1. sterile impervious towel drape
2. sterile disposable cloth towels
3. sterile reusable cloth towels

Question 7

Are sterile cloth towels considered drapes?

Answer 7

no

Question 8

Why are sterile cloth towels not considered drapes?

Answer 8

they do not provide an impervious barrier between unsterile and sterile areas

Question 9

What are the only type of towel considered to be a drape?

Answer 9

impervious towels

Question 10

Why are impervious towels considered a drape?

Answer 10

they provide a barrier for microscopic organism passage between sterile and unsterile areas

Question 11

What is an incise drapes

Answer 11

large plastic adhesive drapes that may be applied to the incisional area

Question 12

What is a lap drape?

Answer 12

a drape used for abdominal, chest, and thoracic procedures

Question 13

What is an upper extremity drape?

Answer 13

Used for…

1. hand
2. wrist
3. elbow
4. forearm

Question 14

What is a lower extremity drape?

Answer 14

used for…

1. foot
2. ankle
3. leg

Question 15

What are used in lithotomy?

Answer 15

legging lithotomy drapes to cover the lower extremities

Question 16

What do split sheets look like?

Answer 16

sheets with a linear cut in them to allow the drape to be wrapped around an area

Question 17

What are split drapes used for?

Answer 17

ENT, head and neck, and orthopedic procedures

Question 18

What are 4 considerations for contamination when draping?

Answer 18

1. Requires careful attention to reduce the risk of contamination
2. Is monitored by the entire surgical team
3. Requires the surgical team to don a new pair of outer gloves after draping
4. Requires that team members involved in draping do not reach over unsterile areas

Question 19

When does contamination occur?

Answer 19

when fluid or blood penetrates through the surgical drape or gown.

Question 20

What are 4 things draped in the OR?

Answer 20

1. patient
2. ring stand
3. mayo stand
4. back table

Question 21

What are items not draped in the OR?

Answer 21

1. OR lights
2. anesthesia cart
3. Electrosurgical unit
4. anesthesia machine
5. stool

Question 22

Before draping a CVC, the provider should?

Answer 22

1. wear a mask and goggles
2. perform a preoperative skin prep
3. wear a sterile gown and gloves
4. use a full-body drape over the patient

Question 23

Who removes the surgical drapes?

Answer 23

by the gowned and gloved scrubbed team member

Question 24

What do the gown and gloves of the surgical team members do who are removing drapes?

Answer 24

protect them against blood borne pathogens and other potentially infectious materials.