Buretrol Exchange

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