sterile gloves, drapes, instruments Insertion Technique With Spinal Needle 1. Mark the insertion and rotation points 2. Insert the spinal needle at the insertion point and pass it through the subcutaneous tissues to the rotation point 3. Rotate the needle 180 degrees so that it comes back to the insertion point forming a loop of thread 4. Pull the thread until the desired tension is achieved 5. Cut the excess thread and secure the knot 6. Repeat for the desired number of threads in that area 7. Move to the next area and repeat the process 8. Always ensure proper anchoring of the threads for long lasting results 9. Apply sterile dressing