Administering eye(optic) and ear (otic) medications

Assessment

1. 14 rights of med

2. eye and ear condition

3. Medication order for what part

Planning/Expected Outcomes

1. right dose, med, dosage, route & time

2. minimal discomfort

3. maximum benefit

Materials

1. Eye and ear medication

2. Clean gloves

3. Tussue

4. Med tray

5. MAR

Implementation

1. Verify order

2. Assemble materials

3. Identify client

4. Supine or sitting position

5. Wash hands, wear gloves

Instilling eye drops and ointment

1. Remove cap, place it on side of med tray

 2. Instruct client to look up

3. Non dominant hand: upper and lower eyelid

4. Doninant hand: eye medication 1/2 or 3/4 inch above eyeball, while resting hand
on forehead

5. Hold eye med, squiz prescribed drops on lower conjunctival sac. If ointment,
apply in inner to outer canthus

6. Instruct client to close eyes gently and blink several times

7. Gentle pressure on opening of nasolacrimal duct

8. Provide clean tissue, place below lower lid

9. Remove gloves, wash hands

10. Record route, site and time on MAR

For ear drops

1. Repeat steps from 12 to 16

2. Place client's face on side with affected ear

3. Straighten ear canal

4. Instill drops hokding the droper 1/2 inch above ear canal

5. Maintain position for 2-3 mins and place client in a comfortable position

6. Remove gloves, wash hands

Evaluation

1. Client received, right dose, med, route and time

2. Encountered minimal discomfort

3. Received maximum benefit from medication

Assessment

1. History of incontinence, infection, urinary pattern, fluid intake and rationale of

current treatment

2. Understanding of client

3. Room set up to determine ability to reach bathroom or commode

Planning and Expected Outcome

1. The catheter will be removed intact

2. Client will void within 8 hours after removal

3. Will not develop bleeding, pain or any complocations

4. Notify staff when voiding or having difficulty urinating

Materials

1. Clean gloves

2. Underpad

3. 10cc syringe

4. Urinal or bedpan

5. Periwash soap

Implementation

1. Verify order for removal

2. Identify client

3. Gather materials

4. Provide privacy

5. Adjust bed

6. Remove covers

7. Put on gloves
 8. Insert underpad

9. Empty tubing

10. Remove any tape holding the catheter

11. Open a syringe and insert it to the balloon port

12. Deflate the catheter ballon by aspirating 10cc of fluid twice, until depression is
seen

13. Ask client to take deep breath before gently removing catheter

14. Stop if there's resistance and recheck balloon port for further deflation

15. Note any sediments, mucus or blood that may be in the catheter. Culture the tip if
ordered or necessary

16. Cleanse perineal area

17. Remove & discard gloves, wash hands

18. Assist to position of comfort

19. Assess and document procedure (time or removal, size used, urine amount,
color and consistency & client's response

20. Also instruct client to drink oral fluids as tolerated/prescribed, call when need to
void

21. Monitor time and amount of first void. Offer bedpain if unable to go to bathroom

22. Refer to health provider if unable to void within 8 hours after removal

Evaluation

1. Catheter was removed intact

2. Client voided within 8 hours after removal

3. Did not develop bleeding, pain or any complications

4. Verbalized understanding of notifying staff when voiding or having difficulty

urinating