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  • Administering Ophthalmic Medications

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    Roxi Malaque
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    This document provides instructions for nurses on administering ophthalmic medications, including checking the medication administration record, preparing the client, instilling eye drops or ointment correctly, assessing the client's response, and documenting the administration. Nurses are rated on their knowledge of the procedure and performance, with scores combined for a final grade. The document aims to ensure nurses properly administer eye medications according to best practices.

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    This document provides instructions for nurses on administering ophthalmic medications, including checking the medication administration record, preparing the client, instilling eye drops or ointment correctly, assessing the client's response, and documenting the administration. Nurses are rated on their knowledge of the procedure and performance, with scores combined for a final grade. The document aims to ensure nurses properly administer eye medications according to best practices.

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    9 views2 pages

    Administering Ophthalmic Medications

    Uploaded by

    Roxi Malaque
    This document provides instructions for nurses on administering ophthalmic medications, including checking the medication administration record, preparing the client, instilling eye drops or ointment correctly, assessing the client's response, and documenting the administration. Nurses are rated on their knowledge of the procedure and performance, with scores combined for a final grade. The document aims to ensure nurses properly administer eye medications according to best practices.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    DAVAO MEDICAL SCHOOL FOUNDATION, INC.

    DEPARTMENT OF NURSING
    Administration of Ophthalmic Medications

    Name: Date:
    Year & Section: Rate:

    Rating: (tick for appropriate rating)


    Legend: 5 - Excellent 4 - Very Satisfactory 3 – Satisfactory 2 – Fair 1- Poor
    Action
    5 4 3 2 1
    1. Check the MAR
    a. For the drug name, dose and strength. Confirmed the frequency of the
    prescribed instillation and which eye is to be treated.
    b. If the MAR is unclear, or pertinent information is missing, compare it with
    the most recent primary care provider’s written order.
    c. Report any discrepancies to the charge nurse or primary care provider as
    agency policy dictates.
    2. Know the reason why the client is receiving the medication, the drug
    classification, contraindications usual dose range, side effects and nursing
    considerations for administering and evaluating the intended outcomes of the
    medication.
    3. Compare the label on the medication tube or bottle with the medication record
    and check the expiration date.
    4. Calculate the medication dosage if necessary.
    5. Introduce self and explain to the client what you are going to do, why it is
    necessary and how he or she can participate.
    6. Discuss how the results will be used in planning further care or treatments.
    7. Perform hand hygiene and observe appropriate infection control procedures.
    8. Provide for client privacy.
    9. Prepare the client.
    a. Verify the client’s identity using agency protocol.
    10. Assist the client to a comfortable position usually lying.
    11. Clean the eyelid and the eyelashes.
    a. Apply clean gloves.
    b. Use sterile cotton balls moistened with sterile irrigating solution or sterile
    normal saline and wipe from the inner canthus or outer canthus.
    12. Administer the eye medication.
    a. Check the ophthalmic preparation for the name, strength and number of
    drops if a liquid is used.
    b. Instruct the client to look up to the ceiling. Give the client a dry sterile
    absorbent sponge.
    c. Expose the lower conjunctival sac by placing the thumb or fingers of your
    non dominant hand on the client’s cheek bone just below the eye and
    gently drawing down the skin on the cheek.
    d. Holding the medication in the dominant hand, place hand on client’s
    forehead to stabilize hand.
    e. Approach the eye from the side and instill the correct number of drops onto
    the outer third of the lower conjunctival sac.
    f. Hold the dropper 1 to 2 cm (0.4 to 0.8 in) above the sac.

    For eye ointment


    a. Hold the tube above the lower conjunctival sac, squeeze 2 cm. (0.8 in) of
    ointment from the tube into the lower conjunctival sac from the inner
    canthus outward.
    13. Instruct the client to close the eyelids but not to squeeze them shut.
    14. Press firmly or have the client press firmly on the nasolacrimal duct for at
    least 30 seconds.
    15. Clean and dry the eyelids as needed. Wipe the eyelids gently from the inner
    to the outer canthus to collect excess medication.
    16. Remove and discard gloves.
    17. Perform hand hygiene.
    18. Apply an eye pad if needed and secure it with paper eye tape.
    19. Assess the client’s response immediately after the instillation and again after
    the medication should have acted.
    20. Document all relevant assessments and interventions include the name of the
    drug, the strength, the number of drops if a liquid medication, the time and the
    response of the client.
    Total

    Other Remarks:

    Knowledge of procedure: (30%) - ________________


    Performance: (70%) - ________________
    Final Grade: ________________

    _________________________________________ ______________________________
    Student’s Printed Name and Signature Date

    _________________________________________ ______________________________
    Instructor’s Printed Name and Signature Date

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