Blue towels x 2 (2-3 more if you are priming the buretrol

Sterile gloves

Silk tie

Hemostat 

Suture removal kit 

Small chloroprep sticks x 2

Buretrol (Exacta drainage system)

0. Prime the buretrol (if in ICU, nurses will do this for you) and place it on sterile blue towel side table 

Pre-sterile

1. Drop materials onto sterile blue towel field 

2. Place blue under connection between EVD (red tubing) and buretrol (clear tubing) where there is a silk tie. 

Sterile

3. Contaminate your left (or non-dominant hand) to lift up dirty connection off of blue towel 

4. Use sterile hand to wipe down the orange-white connection

5. Clamp EVD (orange tubing) with hemostat

6. Use scissors to cut silk tie

7. Unscrew EVD nipple from buretrol (clear) tubing

8. Use new chloro-prep stick to wipe the open (but clamped) EVD nipple connection

9. Bring new buretrol onto patient while keeping the cap on clear tubing until you remove with your sterile hand

10. Connect sterillay the EVD nipple to new tubing 

11. You are done being sterile

12. Reinforce with a silk tie