D/c Bolt

Materials: 
• sterile gloves
• 3 tubs of 4 x 4 (1 for betadine, 1 for sterile saline, 1 dry)
• betadine prep
• Nylon 3-0s (have 2 ready, open 1)
• Straight kelly
• Suture removal kit
• Blue towels

Do a mini time-out with yourself. Confirm the patient, room #, and location of drain you're removing!  
1) prep with betadine around bolt
2) Blue Towel around the bolt
3) Remove monitors (Codman, Licox) - important (3) is before (4) or else you will swirl the brain
4) spin the bolt out (lefty loossy)
5) reprep with betadine then dry off the area
6) close incision