surgical draping Flashcards
who can removed an incorrectly placed drape?
Only unscrubbed person
what if a hole is found in an already placed drape?
remove drape or cover it with new drape
what is drape falls below waist?
contaminated so discard it
vi drapes
- 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)
aperture drapes
- -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
laparotomey/lap sheets
- longitudinal fenestration
- sx on abdomen, back…
thyroid sheet
-same size as lap sheet but fenestration is transverse/horizontal
breast sheet
- larger fenestration than lap sheet
- breast, chest sx
kidney sheet
-transverse fenestration
hip sheet
-longer than lap sheet to cover ortho fx table
perineal sheet
- lithotomy position
- attached legging if resuable
combined sheet
-lap and perineal sheet combined for abdominal-perineal resection
split sheet
-same size as lap sheet but fenestration is split into a “U” shape
minor sheet
-cover arm boards, furniture, equipments, extremities
medium sheet
- drape areas above or below surgical area
- in cases where fenestrated drapes can’t be used
leggings
come in pairs, for lithotomy position
stockinette
- cover extremity (think of arm cover in breast sx)
- woven (not a microbial layer) so need an extra layer of plastic/vinyl
3 of AORN drape recommendations
- procedure duration
- blood loss
- amt. of irrigation fluid expected
max. sterilization cycles for reusable drapes
75-100
3 non AORN factors in drape selection
- procedure type
- amt. of area to be covered (not incision size)
- furniture/equipment to be covered
drape removal guidelines
- clean, dry, apply dressing to incision site
- roll inside out toward foot of bed
