When draping the surgical patient, ________ is the most important factor to consider.
Surgeon Preference
Asepsis
Sequential Order
Efficiency
When squaring off the surgical patient with towels, once the towel is placed, it can never be ______
Moved
Moved toward the incision
Moved away from the incision
Repositioned
A Steri-drape is most commonly placed _________ when used as part of the draping sequence.
On top of the square off towels
Under the square off towels
First
On top of the last drape of the draping sequence
A roller towel used around the tourniquet cuff is folded ______.
In thirds the short way
In thirds the long way
In half the short way
In half the long way
A _______ is used to anchor the roller towel placed around the tourniquet cuff when draping an extremity.
Perforating Towel Clip
Kocher Clamp
Kelley Clamp
Non-Perforating Towel Clip
When placing drapes onto the patient for the lower extremity draping sequence, the _______ is placed after the impervious split sheet has been placed.
Impervious Stockinet
Coban
Roller Towel
The following are names of various types of plain sheets except for ______.
3/4 Sheet
Medium Sheet
Split Sheet
Large Sheet
When placing square-off towels on the patient, the first towel is always placed ______ on the patient.
Closest to you
Furthest away from you
Below the incision site
Above the incision site
The sheet that is placed following the application of leggings is the _______.
Under the buttocks sheet
Lithotomy sheet
Laparotomy Sheet
List the sequential order for a knee arthroscopy draping sequence. (What comes first, second, etc.)
roller towel, impervious split sheet, stockinet, coban, arthroscopy sheet, medium, towel with non perf tc
none
Explain what you do with your hand while draping the periphery of the sterile field (when you extend your hand toward an unsterile area)
cuff hand
fold hand
Check the boxes of two items that can be utilized to correct a contamination that may occur related to draping and give an example of how the item could be utilized during a surgical procedure to correct a contamination.
a 3/4 sheet can be used if a puncture is found in the drape to cover
ringed mayo scissors can be used to cut a section of drape to over a hole
hemostat can be used for hair
When draping the surgical patient with another sterile person, what factors need to be considered
its ok to move drapes towards the incision
never move drapes towards an incision
below table level is unsterile
table level is sterile
what you would do if while placing the square off towels, you placed a towel further away from the incision than you wanted to.
a new towel would need to be placed leaving the other towel
reposition the towel
remove the towel and place a new one
List the sequential order for draping a patient for a laparotomy procedure.
4 square of towels used, laparotomy sheet, medium sheet if needed, legging sheet
laparotomy sheet, 4 square of towels used, medium sheet if needed
4 square of towels used, laparotomy sheet, medium sheet if needed
List the sequential order for draping a patient in a lateral position for a flank incision.
4 square off towels, universal drape set with bottom sheet, top sheet,side sheets on each side
4 square off towels, top sheet, universal drape set with bottom sheet, side sheets on each side
4 square off towels, universal drape set with bottom sheet, side sheets on each side, and top sheet
List the sequential order for draping for a hip procedure (total hip).
4 square off towels, impervious split sheet x2, medium sheet x2, stockinet held in place with ace, bottom hip sheet, top hip sheet, steri drap
4 square off towels, medium sheet x2, impervious split sheet x2, stockinet held in place with ace, bottom hip sheet, top hip sheet, steri drap
Check the boxes for two uses for plain sheets.
to prevent wick through contamination
coverage of a contamination
warmth
extra coverage
List the sequential order for draping for a lithotomy procedure.
lithotomy sheet, under buttox sheet, 2 towels folded triangle, 2 leggings,
2 towels folded triangle, under buttox sheet, 2 leggings, lithotomy sheet
under buttox sheet, 2 towels folded triangle, 2 leggings, lithotomy sheet
What does it mean by the phrase “stickies on” or “stickies off”? How would you find this out?
Stickes on means paper on and stickes off means paper off. The circulator will say what he wants.
Stickes on means paper on and stickes off means paper off. The surgeon will say what he wants.
check the boxes of aseptic principles that apply to draping the patient for a surgical procedure.
never move drape towards the incision
never cuff hands while applying drapes
protect glove hands by cuffing
dont manipulate drapes in a excessive motion creating air currents; no shaking or fanning
List the draping order for an abdominoplasty procedure. (What comes first, second, etc.)
bottom, top, side, side, 6-8 square off towels
6-8 square off towels, bottom, top, side, side
What is this person doing? **Click on the yellow dot and use correct drop down**
What is the sheet the medical personnel using?
**click orange dot for drop down**
What is the sheet being uses here?
What sheet is being applied?
**click the orange dot for drop down**
What is the name of these sheets that are a set?
What is the name of this sheet?
**click on the orange dot for drop down**
You are scrubbing a laparoscopic cholecystectomy. The surgeon is isolating the cystic duct when you look down at your drapes and see a hair. What do you do? How would you correct the problem? After you correct the problem, what would be something aseptically you should do because of possible contamination?
if a forigne body has been discovered, a hemostat or instrument that we are able to get rid of during the procedure can be used to grab the hair, hand it off to the circulator, then have it placed somewhere where it will not be lost and then change gloves. and finally cover area with some type of plain sheet.
Hemostat would be used to remove hair, A new laparotomy sheet would be placed over the patient
You are scrubbing a Total Knee. The Surgeon is using a reciprocating saw to remove the distal portion of the femur. As he finishes his cut, the chunk of bone he removed flies up in the air, hits the OR light and comes back down onto the drapes at the foot of the bed. What do you do? Is there a contamination? If there is, how do you correct the situation?
I would treat the contaminated body material similar as a hair. I would use a instrument that wont be needed for the rest of the procedure, take the bone material off of the drape so strick through contamination would be less likely with blood. I would hand that off to a gloved circulator. finally we need to cover the contamination on the drape so a 3/4 sheet could be used to cover that contaminated spot where the bone landed.
The bone fragment would be removed with a instrument that wont be utulized later in the case. Then a new laparotomy sheet would be draped over the patient.
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