The document discusses surgical draping, including its definition, aims, importance, types of drapes, draping procedures, positions, rules, and precautions. Specifically, surgical draping involves using sterile fabric to isolate the surgical site and maintain a sterile field. It aims to prevent contamination and maintain sterility. Various draping materials, techniques, and standards are covered to outline best practices for ensuring a sterile environment.

1. 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

5. Surgical draping

6. 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.

7. 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.

8. 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

9. 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 .

10. 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.

11. DRAPING IMAGE

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

13. IMPORTANCE OF SURGICAL DRAPING

16. 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.

17. 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.

18. SURGICAL DRAPING

22. DISPOSAL DRAPES

23. STANDARD DRAPES

24. 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

25. 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

27. Area to know sterile

36. KNEE DRAPES

38. 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.

39. 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.

40. WARNING DURING DRAPES

41. Continued

42. POSITION OF DRAPING PATIENTS

43. TYPE OF DRAPES SHEET

44. DIFFERENT SURGICAL PACK

45. SURGICAL DRAPING AND
POSITIONING

47. TYPES OF DRAPING

48. ABDOMINAL DRAPING

49. FACE DRAPING

50. STERILE DRESSING

51. 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.

52. 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

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

54. THANK YOU