If a drape edge becomes lifted during the procedure, what is the recommended action?

• A. Replace the patient.
• B. Leave it until the end.
• C. Inflate the operating room pressure.
• D. Adjust and resecure drapes to re-establish a closed sterile field.

Answer: (D)

When a drape edge lifts, the sterile barrier is compromised and must be restored immediately to keep the operative field uncontaminated. The best action is to adjust and resecure the drapes to re-establish a closed sterile field. This means repositioning or re-draping as needed using sterile technique, ensuring the edges are properly overlapped and firmly secured (often with tape, clips, or adhesive drapes) so no non-sterile surface is exposed. After the drapes are secure, continue with the procedure.

Replacing the patient is not a remedy for a drape breach and would create unnecessary risk. Leaving the drape as is risks contamination and infection. Inflating the operating room pressure does not address the breach and can have other unintended consequences.