surgical draping

Question 1

who can removed an incorrectly placed drape?

Answer 1

Only unscrubbed person

Question 2

what if a hole is found in an already placed drape?

Answer 2

remove drape or cover it with new drape

Question 3

what is drape falls below waist?

Answer 3

contaminated so discard it

Question 4

vi drapes

Answer 4

• plastic incise drapes where incision is made
• w/ or w/out adhesive backing/idophors
• good for sealing irregularly shaped contaminated area and equipments (tourniquet, microscopes)

Question 5

aperture drapes

Answer 5

• -plastic sheets (prevent lateral micro migration) w/ adhesive (no need for towel clamp) fenestration that conform to body contours well
• eye or ear sx (but not directly on eyelids)
• watch for looseness due to moisture xs

Question 6

laparotomey/lap sheets

Answer 6

• longitudinal fenestration

- sx on abdomen, back…

Question 7

thyroid sheet

Answer 7

-same size as lap sheet but fenestration is transverse/horizontal

Question 8

breast sheet

Answer 8

• larger fenestration than lap sheet

- breast, chest sx

Question 9

kidney sheet

Answer 9

-transverse fenestration

Question 10

hip sheet

Answer 10

-longer than lap sheet to cover ortho fx table

Question 11

perineal sheet

Answer 11

• lithotomy position

- attached legging if resuable

Question 12

combined sheet

Answer 12

-lap and perineal sheet combined for abdominal-perineal resection

Question 13

split sheet

Answer 13

-same size as lap sheet but fenestration is split into a “U” shape

Question 14

minor sheet

Answer 14

-cover arm boards, furniture, equipments, extremities

Question 15

medium sheet

Answer 15

• drape areas above or below surgical area

- in cases where fenestrated drapes can’t be used

Question 16

leggings

Answer 16

come in pairs, for lithotomy position

Question 17

stockinette

Answer 17

• cover extremity (think of arm cover in breast sx)

- woven (not a microbial layer) so need an extra layer of plastic/vinyl

Question 18

3 of AORN drape recommendations

Answer 18

• procedure duration
• blood loss
• amt. of irrigation fluid expected

Question 19

max. sterilization cycles for reusable drapes

Answer 19

75-100

Question 20

3 non AORN factors in drape selection

Answer 20

• procedure type
• amt. of area to be covered (not incision size)
• furniture/equipment to be covered

Question 21

drape removal guidelines

Answer 21

• clean, dry, apply dressing to incision site

- roll inside out toward foot of bed