Four Corner Draping

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Four Corner Draping

Year Group: BVSc3 +


Document number: CSL_SP04
Equipment list:
Four corner draping
Equipment for this station:
• Dog model
• Patient cradle (dog in dorsal recumbency)
• Four drapes
• Four towel clips

Considerations for this station:


• Be careful of your fingers when applying the towel
clips

Anyone working in the Clinical Skills Lab must read the ‘CSL_I01 Induction’ and
agree to abide by the ‘CSL_I00 House Rules’ & ‘CSL_I02 Lab Area Rules’
Please inform a member of staff if equipment is damaged or about to run out.
Clinical Skills:
Four Corner Draping

Grasp two corners of the Fold the top of the drape over With your thumbs on the
drape letting it fall in front of onto the side away from your side of the drape closest to
you. Do not let it touch your body. This creates a neat edge. your body, wrap the drape
body (unless you are wearing around each hand. This
a sterile gown when this is ok) protects your hands from
or anything else. accidentally touching a non-
sterile part of the patient.

Always drape the side of the The drape should be moved (‘floated’) over the patient’s body and
patient closest to your body the folded edge placed a suitable distance from the intended line
first as this will protect the of incision. Don’t drag the drape over the non-sterile areas of the
gown from the non-sterile patient’s body. Only minimally adjust the drape once it has been
table. placed onto the patient. If the drape needs to be adjusted it
should only be moved in a direction AWAY from the sterile surgical
area and NEVER towards the sterile area.
Clinical Skills:
Four Corner Draping

Repeat the process (Steps Secure the drapes to the patient Tuck the towel clip under
1–6) with the second drape using a towel clip, this should be the upper drape. This will
– place it at right angles (90 placed at the intersection of the keep it out of the way (and
degrees) to the first drape. two drapes. In a live patient prevent suture material
remember that this is the first being caught around a clip).
painful stimulus so it is wise to
inform the anaesthetist that you
are about to do attach the clip.

Repeat the process with the Secure the drapes to the patient
third drape – place it at using a towel clip (this prevents
right angles to the first the drapes moving or becoming
drape, at the opposite end dislodged).
of the sterile area to the
second drape.
Clinical Skills:
Four Corner Draping

When placing the final drape On completion of draping,


either walk round to the other there will be an
side of the table and place the appropriately sized surgical
drape or sweep the drape over site surrounded by sterile
to the far side (as shown above). drapes secured by towel
Be careful not to contaminate clips (which have all been
the drape by touching a fitting, neatly tucked away).
member of the team etc.
Resetting the Four Corner
Draping Station
1. Unclip all the drapes
2. Fold each drape:
a) Concertina the drape

b) Then fold the ends in so the drape is in thirds

3. Clip all 4 towel clips together


4. Place towels in a pile with towel clips on top

Station ready for the next person:

Please inform a member of staff if equipment is damaged or


about to run out.
I wish I’d known:
Four Corner Draping

• Remember the sequence for placing the drapes: start at


the near side (closest to your body), then place the drapes
at either end and then at the far side.

• If a drape needs adjustment, only move away from sterile


area, not towards or over it.

• When placing the clip grasp sufficient, but not an excessive


amount, of skin – be mindful of the patient.

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