What is the correct sequence for removing and discarding soiled surgical drapes after skin closure?

The correct sequence involves ensuring that the surgical site remains protected and sterile as much as possible during the clean-up process. Placing sterile towels over the surgical site before removing the drapes serves to shield the site from exposure to potential contamination that could occur once the drapes are removed. This initial step is critical in maintaining aseptic technique.

After securing the site, removing the drapes can be done without directly exposing the wound or the surrounding area unnecessarily. This minimizes the risk of infection and ensures that any contaminants associated with the drapes do not come into contact with the surgical site.

The next step would be to remove the top gloves. This is significant because the gloves that were used during the procedure may be contaminated. Once the top gloves are removed, placing dressings over the site follows, providing protection to the incision from external contaminants and aiding in the healing process.

By disposing of the drapes properly at this stage, after dressing the site and removing the gloves, it ensures that any remaining contaminants are confined and dealt with in accordance with protocol. This sequence reflects best practices in maintaining surgical sterile fields and post-operative care.