PROCEDURE OPERATOR: _
ATTENDING PHYSICIAN: _
In Attendance (Y/N): _
Consent was obtained from _ prior to the procedure. Indications, risks, and benefits were explained at length.
A time-out was performed. My hands were washed immediately prior to the procedure. I wore a surgical cap, mask with protective eyewear, sterile gown and sterile gloves throughout the procedure. The patient was placed in the _ position with help from the nursing staff. The area was cleansed and draped in usual sterile fashion using betadine scrub. Anesthesia was achieved with 1% lidocaine. A 20-gauge 3.5-inch spinal needle was placed in the _ lumbar interspace. On the _ attempt, _ colored cerebral spinal fluid was obtained. The opening pressure was _ cm H20. CSF was collected into 4 tubes. These were sent for the usual tests, including 1 tube to be held for further analysis if needed. A sterile bandaid was placed over the puncture site. The patient had no immediate complications and tolerated the procedure well. Estimated blood loss was _.