Surgical draping

surgical draping and its content

1. SURGICAL DRAPING DR.ANJALATCHI M.SC(N) MD(AM) VICE PRINCIPAL ECON NURSING SUPERINTENDENT, ERAS LUCKNOW MEDICAL COLLEGE AND HOSPITAL, AFFIALATED FROM ERAS UNIVERSITY.

2. LEARNING OBJECTIVES: Introduction Definition Aim Objective Purpose Basic principle Principle of draping Standards of surgical draping Importance Types of drapes sheet Procedure for surgical draping Position used for draping Draping rules Warning during drapes.

3. INTRODUCTION

4. Surgical draping

5. IMPORTANCES Sterile surgical drapes are used during surgery to prevent contact with unprepared surfaces and to maintain the sterility of environmental surfaces, equipment and the patient’s surroundings. Similarly, sterile surgical gowns are worn over the scrub suit of the operating team during surgical procedures to maintain a sterile surgical field and reduce the risk of transmission of pathogens to both patients and staff.

6. CONTINUED Surgical gowns and drapes are fabricated from either multiple- or single-use materials. There is considerable variation in design and performance characteristics within each of these two broad categories, which reflects the necessary trade-offs in economy, comfort and degree of protection required for particular surgical procedures.

7. CONTINUED During surgical procedures, the risk of pathogen transmission increases if the barrier materials become wet. Consequently, the multiple- or single-use materials of the drapes and gowns used in a surgical procedure should prevent the penetration of liquids. Reusable materials are typically composed of different tightly-woven textiles and/or knitted cotton, or other fabrics possibly blended with polyester and/or chemically treated. These products have to be durable and provide protection after many cycles of processing and treatment. Disposable surgical drapes and gowns are typically composed of non-woven materials of synthetic and/or natural origin, possibly combined with chemical treatment

8. CONTINUED Adhesive plastic incise drapes, plain or impregnated with an antimicrobial agent (mostly an iodophor ), are used on the patient’s skin after the completion of surgical site preparation. The film adheres to the skin and the surgeon cuts through the skin and the drape itself . Such a drape is theoretically believed to represent a mechanical and/or microbial barrier to prevent the migration of microorganisms from the skin to the operative site . However, some reports showed an increased recolonization of the skin following antiseptic preparation underneath adhesive drapes compared to the use of no drapes .

9. Definition Sterile fabric or fabric-like material used to isolate the  surgical  site from the rest of the body and other possible sources of contamination. Other names Surgical Drape ;  Drapes ,  Surgical ;  Drape ,  Surgical .

10. DRAPING IMAGE

11. AIM OF SURGICAL DRAPING To prevent contamination of the wound To maintain sterility in surgical field

12. IMPORTANCE OF SURGICAL DRAPING

13. Basic principles of surgical draping Provide wide cuff for the hand (this is prevent contamination of the hand by the non sterile surface being draped) Drapes are nearly always unfolded at the field to avoid moving them around. Once placed drapes should not be moved Moving drapes after it is placed cause bacteria from unprepared surface to contaminate the draped incision site. The placement of drapes over the incision area and shows the cuff that protects the hand . When linen drapes are used, provided adequate barrier against moisture and contamination.

14. PURPOSE To create a sterile field by means of the appropriate and careful placement of linen before surgery begins. To maintain the sterility of surface on which sterile instruments and gloved hands may be placed during the operation.

15. SURGICAL DRAPING

16. DISPOSAL DRAPES

17. STANDARD DRAPES

18. STANDARD OF SURGICAL PRACTICE STANDARD-I Only sterile drapes should be used within the sterile field. STANDARD-II A compromise in the integrity of the microbial barrier results in contamination. STANDARD-III Drapes should be resistant to fluid penetration STANDARD-IV Drapes should be lint free STANDARD-V Drapes should be flame resistant STANDARD-VI The surgical team members should evaluate drapes based upon the following factors and characteristics

19. Continued STANDARD-VII Drapes made of reusable woven fabric should have the same barrier characteristic as single use nonwoven disposable fabrics STANDARD –VIII The surgical team should take the proper precausions in the application of drapes when the surgical procedure calls for the use of a laser STANDARD-IX Surgical team members should be involved in the selection process of drapes to be used in the OT

20. Area to know sterile

21. KNEE DRAPES

22. DRAPING RULES Handle the drapes as little as possible Never flourish drapes(dust and lint are released into the air creating a vehicle for airborne bacteria. If a drape become contaminated or has a hole in it discard it. Never allow gloved hand to come into contact with patients prepared skin during the draping process. The gloved hands are sterile but the skin is not. Whenever draping always provide a cuff for the gloves hand . Never allow a drape to extend out side the sterile area unless it is to remain there. The drape must not be adjusted once it is placed If its place incorrectly it must be discarded and another drape must be used.

23. continue Do not allow the drape to touch the floor or become tangled in floor equipment If the drape is so large that it touches the floor the bottom may be taped to form a make shift items Plan a head have the drapes ready before the procedure begins.

24. WARNING DURING DRAPES

25. Continued

26. POSITION OF DRAPING PATIENTS

27. TYPE OF DRAPES SHEET

28. DIFFERENT SURGICAL PACK

29. SURGICAL DRAPING AND POSITIONING

30. TYPES OF DRAPING

31. ABDOMINAL DRAPING

32. FACE DRAPING

33. STERILE DRESSING

34. Summary Till now we discussed about surgical draping like introduction, definition, aim , objective, purpose, importances , draping rules, type of drapes, procedure, warning/ precausions while draping the procedure, standard of draping rules etc.

35. conclusion I hope you all understood about surgical draping like materials, procedure, warning etc. if you got chance to work in operation theatre complex will you able to apply and work the above mention knowledge confidently without fail. To prevent the surgical site infection and promote wound healing as early as possible

36. Question related to topic Define drapes? Define surgical drapes? Aim of draping? Purpose of draping?

37. THANK YOU