Interventional procedures for neonates : - Lumbar Puncture Policy | EHC

Department: Neonatology

Definition:
A lumbar puncture is an invasive procedure performed to obtain a cerebrospinal fluid (CSF) sample.

Ensure all steps are performed under strict aseptic conditions.
Perform routine handwashing and prepare the necessary equipment.
Connect the newborn to a vital signs monitor (monitoring device) throughout the procedure.
Perform surgical handwashing.
Wear sterile gloves.
Position the newborn on the incubator edge or warming bed in a straight posture without upward bending.
Hold the newborn in a lateral or sitting position, ensuring the knees touch the chest.
Avoid bending the newborn's head to prevent respiratory distress.
Disinfect the puncture site on the newborn’s back with Betadine, followed by alcohol, alternating three times.
Collect 1 mL of cerebrospinal fluid in each sample tube.
Continuously monitor the newborn’s vital signs throughout the procedure.

Here is the English translation of your text:

The newborn is returned to the incubator.
The newborn is placed in a supine position and should not be moved for at least one hour.
Samples are sent immediately to the laboratory for analysis, with a label containing the newborn’s name on each tube.
Used equipment is safely disposed of in designated areas.
Instruments are cleaned and prepared for sterilization.
Hands are routinely washed.
The newborn’s vital signs and general condition are monitored.
Vital signs are recorded in the newborn’s file.
The physician is informed of any deviation from normal parameters.

Responsible Personnel:

Interventional procedures for neonates