Drapes and Sterilization in Medical Settings
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Principals of
Draping
Page 347 ST
Page 211 Fuller
Drapes are applied as
an extension of the
sterile filed.
Drapes must meet
several characteristics
to be effective.
Where do Drapes live?
Drapes can be in your
custom pack. Read
your pack label.
Drapes will also be
individually peel
packed.
Open the correct
drape for your case if
it is not in your pack.
Order of Usage
You will need to stack your drapes in the
order of their use.
For example: from top to bottom
4 folded blue towels – on top to use first
Laparoscopy Sheet – on bottom to use last
Some scrubs will place the surgeons
gloves and gown on top of this stack.
Prep
Field must have
already been prepped
with prep solution
such as Betadine,
Hibiclense, Alcohol or
Duraprep before
drapes may be
applied.
After skin is prepped,
we will provide either 4
blue towels or 4 sticky
drapes.
Look to page(s) 354-
363 in your ST book
(3
rd
edition), table 360
We will fold the blue
towels, making a 2
inch cuff.
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Towels first
The towels will be placed so as to outline
the operative area.
Once the towels/drapes are placed, the
edges are considered non-sterile.
If any of the prep soaks thru- considered
strike-through and removed via the circ.
Placing Towels
The towels and towel clips (if needed) will taken to
the filed as one (not one towel at a time).
Towels are placed with the folded edge down,
placing the first towel closest to the person
draping.
The next two are placed superiorly and inferiorly.
The last towel is placed opposite the fist.
Refer to fig 12-21 A ST
Drapes
After the towels or sticky drapes (passed in
the same manner as the towels) are
applied, we move on to the drape itself.
As mentioned before the drape must open
around the incision site and cover the
patient.
You may need to walk the drape around to
the Dr., do not pass it over the pt.
Extending the drape.
Once the surgeon has the drape, he/she
will place the fenestration over the incision
site.
Unfold the drape, watch your sterile
boundaries. Do not let the drape fall below
your horizontal field.
Surgeon preference as to which way to
unfold first, towards the head or foot.
When unfolding to the head, MAKE A
CUFF, COVER YOUR HAND.
Anesthesia will be grabbing the underside
of the drape to secure to I.V. poles so that
they have access to pt.’s head and for
protection.
Drapes will need to be specific for your
case.
Drape out the following individuals:
Lithotomy position
Case:
Vag hys.
LAVH
Stone removal
Supine Position
Case:
C-section
Lap Chole
Incarcerated Hernia
Open appy
Prone position
Case:
Spine Surgery
Hemorrhoid Surgery
(modified position to
what is shown)
Achilles tendon repair
Beach chair position
Case:
Shoulder sx
Lateral position
Case:
Nephrectomy
Hip (modified from this
position)
Preference Cards
As the name suggests
Covers the major
items and preferences
that the surgeon will
request during the
case
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Drapes play a crucial role in maintaining sterility during medical procedures. This article covers the proper usage and placement of drapes, including tips on selecting and organizing them effectively. Discover key insights on preparing the field, handling drapes, and ensuring a sterile environment in healthcare settings.
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Presentation Transcript
Principals of Draping Page 347 ST Page 211 Fuller
Drapes are applied as an extension of the sterile filed. Drapes must meet several characteristics to be effective.
Where do Drapes live? Drapes can be in your custom pack. Read your pack label. Drapes will also be individually peel packed. Open the correct drape for your case if it is not in your pack.
Order of Usage You will need to stack your drapes in the order of their use. For example: from top to bottom 4 folded blue towels on top to use first Laparoscopy Sheet on bottom to use last Some scrubs will place the surgeons gloves and gown on top of this stack.
Prep Field must have already been prepped with prep solution such as Betadine, Hibiclense, Alcohol or Duraprep before drapes may be applied.
After skin is prepped, we will provide either 4 blue towels or 4 sticky drapes. Look to page(s) 354- 363 in your ST book (3rdedition), table 360
We will fold the blue towels, making a 2 inch cuff. We will NOT hand the drapes/towels over the patient or unsterile area. Walk them around to the Dr.
Towels first The towels will be placed so as to outline the operative area. Once the towels/drapes are placed, the edges are considered non-sterile. If any of the prep soaks thru- considered strike-through and removed via the circ.
Placing Towels The towels and towel clips (if needed) will taken to the filed as one (not one towel at a time). Towels are placed with the folded edge down, placing the first towel closest to the person draping. The next two are placed superiorly and inferiorly. The last towel is placed opposite the fist. Refer to fig 12-21 A ST
Drapes After the towels or sticky drapes (passed in the same manner as the towels) are applied, we move on to the drape itself. As mentioned before the drape must open around the incision site and cover the patient. You may need to walk the drape around to the Dr., do not pass it over the pt.
Extending the drape. Once the surgeon has the drape, he/she will place the fenestration over the incision site. Unfold the drape, watch your sterile boundaries. Do not let the drape fall below your horizontal field.
Surgeon preference as to which way to unfold first, towards the head or foot. When unfolding to the head, MAKE A CUFF, COVER YOUR HAND. Anesthesia will be grabbing the underside of the drape to secure to I.V. poles so that they have access to pt. s head and for protection.
Drapes will need to be specific for your case. Drape out the following individuals:
Lithotomy position Case: Vag hys. LAVH Stone removal
Supine Position Case: C-section Lap Chole Incarcerated Hernia Open appy
Prone position Case: Spine Surgery Hemorrhoid Surgery (modified position to what is shown) Achilles tendon repair
Beach chair position Case: Shoulder sx
Lateral position Case: Nephrectomy Hip (modified from this position)
Preference Cards As the name suggests Covers the major items and preferences that the surgeon will request during the case THIS IS YOUR RESPONSIBILITY TO READ PRIOR TO YOUR CASE!
