Term
| Principles Of Draping (list) |
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Definition
Apply after anesthesia, foley cath, positioning, skin prep, ground pad
Expose intended surgical site
Be fluid-resistant or proof
High tensile strength, lint free, static and flame resistant
Flexible to contour as needed
Organize drapes in advance
Stack in order of intended use
2-inch cuffed edge
Do not pass over nonsterile areas |
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Term
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Definition
Towels
Used to outline or square off the surgical site after prep
Folded edge of towel placed toward line of incision
Secured by non-perforating towel clips
Packaged in packs of 4
Radiopaque may be available (counted) commercially available if placed in the abdomen notify the nurse
Disposable may have adhesive strips to hold them in place |
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Term
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Definition
Fenestrated Sheets
Drape sheet that has an opening that is placed to expose the anatomic area where the incision will be made
Sheet is long enough to cover the anesthesia screen and extend down over the foot of the OR bed
Usually marked to show direction in which to be unfolded |
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Term
| list the types of drapes (6) |
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Definition
Types of Fenestrated drapes
Laparotomy sheet
Thyroid sheet
Chest sheet
Hip sheet
Perineal sheet
Laparoscopy sheet |
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Term
| laparotomy sheet (fenstrated) |
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Definition
Laparotomy sheet
Refered to as lap sheet
Longitudinal fenestration is placed over the surgical site on the abdomen, back, or comparable area
Sheet is 108 x 72 inches |
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Term
| thyroid sheet (fenstrated) |
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Definition
Thyroid sheet
Same size as laparotomy sheet
Fenestration is transverse or diamond shaped and positioned closer to the top of the sheet over the neck area |
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Term
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Definition
Chest sheet
Similar to laparotomy sheet except frenestration provides for larger exposure
Used for chest and breast procedures |
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Term
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Definition
Hip sheet
Similar to laparotomy sheet but somewhat longer to completely cover the orthopedic table |
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Term
| perineal sheet (fenstrated) |
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Definition
Perineal sheet
Adequate size to create sterile field with patient in lithotomy
Some have large leggings incorporated into it to cover legs in stirrups
May have one or two openings to accommodate the perineum and/or rectum |
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Term
| laprascopy drape (fenstrated) |
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Definition
Laparoscopy sheet
Combination laparotomy and and perineal sheet
Used for gynecologic laparoscopy in lithotomy or combined with abdominalperineal resection with the patient in the lithotomy position |
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Term
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Definition
Split sheet
Minor sheet
Medium sheet
Single sheet
leggings |
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Term
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Definition
Split sheet
Same size as laparotomy sheet, not fenestrated, one end is cut longitudinally up the middle at least one third the length of the sheet to form two ends,(tails)
Upper end of the split may be in the shape of a U
Adhesive strips on each tail approximately 8 inches from the end of the split adhere together to snug drape around head or an extremity (paper drape) |
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Term
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Definition
Minor sheet
36 x 45 inches
Has many uses
Wrapped around an extremity it permits the extremity to remain on the sterile field for manipulation during the surgical procedure
Used under an arm to cover the armboard fro shoulder, axillary, arm or hand procedures |
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Term
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Definition
Separate drapes
Medium sheet
36 x 72 inches
Used to drape under legs, as added protection above or below the surgical area
Or for draping in areas a fenestrated drape can not be used |
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Term
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Definition
Separate Drapes
Single sheet
108 x 72 inches,
Folded lengthwise
Placed above the sterile field to shield off the anesthesia provider and anesthesia machine or other equipment near the patients head or OR bed
Also used to cover the patient and OR bed below the surgical area around the face |
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Term
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Definition
Separate drapes
Leggings
Supplied in pairs to cover legs of patient in lithotomy position
Rectangle approx 36 x 72 inches closed on two sides to form a tent like pocket
One open edge is folded into a cuff to protect the gloves during application |
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Term
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Definition
Stockinett
Used to cover an extremity
Seamless tubing of stretchable woven material
Contours snugly to the skin
Material is porous and absorbent, may be covered with a layer of plastic
Two ply tubular disposable drape is available
Opening is cut through the material over the line of incision
Edges may be secured with a plastic incise drape before incision or may be clipped to wound edges after the incision |
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Term
| list how to drape abdomen with lap sheet |
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Definition
Laparotomy – incision in abdominal wall in order to access abdominal contents
Place laparotomy sheet with opening directly over the prepped area outlined by the towels
For neck use thyroid sheet
For the chest with the patient in either supine or lateral position use a breast sheet
For the flank with the patient in the kidney position use a kidney sheet for transverse incision
For the back use the laparotomy sheet the same as for the abdomen
May need single sheets to cover armboards depending on the laparotomy sheet |
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Term
| double gloving is recommended on which draping procedure? |
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Definition
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Term
| what should be checked during:Lithotomy and Extremity Draping |
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Definition
| Lithotomy and Extremity Draping: check pt position, grounding pad, skin prep |
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Term
| how do you drape and extremity?? ** |
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Definition
1Cylindrical part (stockinette) has to be received from nonsterile team member
2 place split sheet under extermity
3Place cylindrical covering (stockinette) |
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Term
| how to drape for craniotomy |
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Definition
Pt and OR table may be in different positions
Small access area on a rounded surface
One end of drap may be on or over Mayo or Mayfield table |
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