(3) Finally, the scrub will select the surgical drape (lap sheet). This lap
sheet has a fenestration (opening) in the drape for the incision. The scrub places the
opening directly over the skin area outlined by the drape towels and in the direction
indicated for the foot or head of the table. The lap sheet will have an arrow or some
other indication to identify the head or foot portion of the drape. Drop the folds over the
sides of the table, then open it downward over the patient's feet and upward over the
c. Aseptic technique must be observed at all times in the draping process.
(1) Handle the drapes as little as possible.
(2) Never reach across the operating table to drape the opposite side; go
around the table.
(3) Hold the drapes high enough to avoid touching nonsterile area but
avoid touching the overhead light.
(4) Hold the drape high until it is directly over the proper area, then drop
(open fingers and release sheet) it down where it is to remain. NEVER ADJUST ANY
DRAPE. If the drape is incorrectly placed, leave it in place and place another drape
(5) Protect the gloved hands by cuffing the end of the sheet over them.
Do not let the gloved hand touch the skin of the patient.
(6) In unfolding a sheet from the operative site toward the foot or head of
the table, protect the gloved hand by enclosing it in the turned back cuff of the sheet.
(7) If a drape becomes contaminated, discard it immediately.
(8) If the end of a drape falls below waist level, do not handle it further.
Drop it and use another drape.
(9) If in doubt about sterility, discard the drape.
(10) If a hole is found in a drape after it is laid down, cover the hole with
another drape or discard the entire drape.
PREPARATION FOR PROCEDURE
a. After draping is completed, you will bring the Mayo stand into position over
the patient. This indicates that you are prepared to assist with the surgery. Ensure that
the Mayo stand is high enough that it does not rest on the patient. Figure 3-30 shows