Role of the RN in Withdrawing Cerebral Spinal Fluid Samples Via a Lumbar Drain

It was the advisory opinion of the Board that it is not within the scope of RN practice to obtain a cerebral spinal fluid specimen when negative aspiration pressure is applied directly to a lumbar drain; however, the nurse may withdraw a specimen by aspiration from a port positioned below a “buretrol” type collection device that is attached to the drain.  The nurse should be educationally prepared and currently clinical competent in the performance of the procedure.  Nursing practice should be consistent with the Kentucky Nursing Laws, established standards of practice, and be evidenced based.