Monday, May 27, 2024

INSTILLATION OF EYE DROPS

Table of Contents

REQUIREMENTS #

  1. A tray containing the following:
    • Medication with eye dropper
    • Sterile cotton wool swab in a gallipot
    • Bottle of sterile 0.9% ophthalmic saline
    • Paper towels
  2. Treatment Chart (Manual or Electronic)

STEPS #

  1. Check for the right patient, right medication, right time, right dose against doctor’s order and treatment chart (manual or electronic) as well as the expiry date
  2. Establish rapport (Refer to steps)
  3. Explain procedure (Refer to steps)
  4. Ensure patient’s right to know/consent and to refuse medication
  5. Perform hand hygiene
  6. Set tray and send to the bedside
  7. Check medication against the treatment chart (manual or electronic) for the right dosage
  8. Assist patient to sit in an upright position or lie down with the neck slightly hyper extended
  9. Perform hand hygiene and wear gloves
  10. Clean eye gently with sterile cotton wool swab soaked in saline solution to remove any discharge or previous ointment
  11. Ask patient to look at the ceiling and retract lower eye lid with your dominant hand
  12. Place a wool swab on the lower lid against the lid margin
  13. Draw up eye drops
  14. Supporting eye dropper on bridge of patient’s nose instill medication as ordered onto conjunctival space of lower lid
  15. Wipe off excess medication with cotton wool, moving from inner to outer canthus
  16. Ask patient to keep the eye closed for one (1) to two (2) minutes
  17. Encourage patient to report any irritation or blurriness of vision
  18. Remove the gloves and perform hand hygiene
  19. Document procedure on nurses’ notes and chart on the treatment chart (manual or electronic)
  20. Dispose off used items and decontaminate tray
  21. Perform hand hygiene
  22. Report to appropriate officer