- Medication Administration Record (MAR)
- Tissue or cotton ball
- Eye Medication (drops)
- Nonsterile gloves
Nursing Procedures:
- Assess the patient and the cart for any allergies
- Check the written orders on MAR
- Obtains the necessary equipments
- Follow the five rights of drug administration
- Determine the identification armband
- Explain the procedure to the patient and ask if he or she wants to instill his or her own eye drops
- Wash hand and don non-sterile gloves
- Gently wash the eye if there is crust or drainage along the margins of inner canthus. (always wipe from the innter canthus to the outer and use warm soaks to soften material if necessary)
- Position patient in a supine position with the head slightly hyperextented
- Remove cap from eye bottle and place cap on its side
- Squeeze the amount of medication as prescribed into the eyedropper
- Put a tissue below the lower lid
- With dominant hand, hold eyedropper ½ to ¾ inch above the eyeball, the rest hand is on patient forehead to stabilize
- Place nondominant hand on cheekbone and expose lower conjunctival sac by pulling on cheek while applying slight pressure to the inner chantus
- Instruct the patient to look up and drop the drops into center of conjunctival sac
- Do not instill medication drops directly into the cornea
- If the patient blinks and the drops land on the outer lid or eyelash, repeat the procedure
- Instruct patient to close and move eyes gently
- Remove gloves and wash hands
- Record the route, site, and time administered on the MAR
Thanks.O
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Use a finger of the administering hand to stabilize the bottle.
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