Draping The Client For Delivery

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DRAPING THE CLIENT FOR DELIVERY

I. DEFINITION

Draping – a specific manner in covering the woman for delivery applying the sterile technique.

II. RATIONALE

1. To provide a sterile area during delivery.

2. To prevent post-partum and neonatal infection.

III. EQUIPMENT

Delivery table with stirrups


Draping sheet (Gyne Sheet)

IV. PLANNING AND IMPLEMENTATION

ACTION RATIONALE

1. Explain the procedure to client. To gain participation and cooperation.

2. Assist patient to the delivery


table, place in lithotomy position.
To adjust the stirrups properly, thus prevent
injury and discomfort.
3. Adjust the stirrups according to
the size of the client. To facilitate insertion of instrument.

4. Instruct and assist client to place


her buttocks at the edge of the To relax abdominal muscles.
delivery table and hands on her
sides.
To reduce microorganisms and prevent
5. Separate the legs and flex the contamination.
thighs. Elevate the legs and
support them with stirrups.
6. Perform perineal care.
To facilitate draping of the client.

Draping A Client With Sterile Gown

1. Grasp the folded gyne sheet at the


center placed on the sterile mayo
tray. To maintain sterility of the gloved hand and of
the outside surface of the sheet.

2. Transfer hand at the edge of the


folded gyne sheet and let the
other end hang freely at your
waist level.
To ensure a wider sterile area during delivery.
3. Spread the gyne drape and look
for the hole where right and left
legs are to be inserted.

4. Transfer your both hands at the


outside part of the gyne drape
which is considered to be sterile.

5. Insert the other hole of the leg


into the right leg, then the other
hole into the left leg. Instruct the
client to elevate the leg while
inserting and not to touch the
To cleanse the perineum with blood and other
sheet.
discharges during delivery.

6. Overlap the half part of the sheet


over the abdomen and allow the
other half hanging below the
posterior perineum.

7. Fix the gyne sheet without


touching the edges.
NOTE: If draping the client with a clean
hands, the same steps are followed except To keep the client dry and comfortable.
your ungloved hands should remain
holding the inside part. (This is the part
that would be contaminated because this
would be the area of the sheet that
directly touches the patient.)

On Removing the Drape

1. Perform perineal washing.

2. Still with the gloved hands, pull


out slowly the half portion of the
sheet overlapping the abdomen in
the direction toward the
perineum.

3. Remove the sheet covering the


right leg, then on the left leg.
Instruct the client to elevate each
leg while the drape is removed.
When the client is weak or
unconscious, ask somebody to
elevate the patient’s leg while you
are removing the drape/sheet.

4. Fold the sheet once at the center


(keeping the soiled part inside)
and place under the buttocks.
Instruct the client to elevate her
buttocks while placing the dry part
of the sheet.

5. Keep the client dry and


comfortable. Apply an adult
diaper.

V. EVALUATION AND DOCUMENTATION


1. Correct technique of draping is applied without contaminating other sterile area.

2. The client is kept dry and comfortable after delivery.

3. Post-partum and neonatal infection are prevented.

DRAPING (GYNE SHEET) FOR DELIVERY


1. Grasped the folded sterile drape with one hand from the
2
mayo tray applying sterile technique.
2. Held the sterile drape at table level away from the body &
2
gradually unfolded the sheet while maintaining sterility.
3. Applied the sterile drape over the client’s legs and abdomen
2
keeping its sterility.
4. Exposed only the necessary parts for delivery. 1
5. Instructed the client to keep hands under the sheet or away
1
from the sterile part.
Subtotal 8

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