The nature of the procedures performed at our organization does not necessitate the use of sterile technique. Sterile draping, gloving and technique is not used during endoscopic procedures and endoscopic instrument reprocessing. High level disinfection is used for endoscopic instrument reprocessing.
For level II procedures, the operative site shall be draped
according to accepted practices; for level I procedures,
draping will be accomplished according to the specific
instructions of the staff member performing the procedure.
Draping establishes a sterile field around the operative
site. Isolating the operative field with drapes prevents
cross-contamination from other unprepared body areas. Fanning
of the drapes should be minimized to avoid air turbulence and
the potential for contamination.
1. Draping shall be performed after the sterile prep is
2. Confirm operative site by checking patient chart.
3. The procedure site is isolated from surrounding area.
4. Handle drapes as little as possible. Drape from
operative site to periphery. A sterile person first
covers the near side of any unsterile surface with
sterile drapes and will then cover the far side. The
drapes then are applied from operative site to
periphery. This helps to protect the sterility of gowned
The physician is responsible for delineating the area to be
draped. The site should be the only exposed area. If sharp
towel clips are used to secure the drapes, they should be
considered contaminated at the point of entry and should not
be repositioned. Drapes should be handled as little as
possible. Drapes should never be passed over an unsterile
area or held below the waist, and during transfer from the
sterile field to the patient, they should be held in a
compact position, avoiding fanning or haphazard unfolding.
To avoid contamination, scrubbed personnel do not touch the
patient's skin and the gloved hands should always be
protected by cuffing the draping materials back over the
hands. The skin around the incision must be dry when drapes
are applied. Sufficient time should be allowed to observe
proper techniques and application of the drapes.
If a drape is incorrectly placed, it should be discarded,
never re-positioned. The nurse will remove the drape without
contaminating the other drapes or the operative site.
Whenever a drape falls below waist level, it should be
discarded because the area below the waist is considered
unsterile. When sterility is in doubt, consider the drape to
Approved By Governing Board