EVD Manipulation

EVD Manipulation Protocol:

  • All staff in room wear cap and mask
  • 3-way stopcock of access port turned to 45 degrees (OFF to all directions)
  • Access port and surrounding tubing submerged in isopropyl alcohol [panel C]
  • Physician dons cap, mask, sterile gown, and sterile gloves
  • Access port and surrounding tubing cleaned with chlorhexidine [panel D]
  • Port cap removed and discarded
  • Inside of port cleaned with chlorhexidine multiple times [panels E-G]
  • Inside of port rinsed with sterile, preservative-free NS multiple times [panel H]
  • CSF draw or flush performed with strict sterile technique
  • New sterile port cap applied

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