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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