2. Wash hands again- put on nonsterile gloves if needed. Decreases contact with bodily fluids and medication. Reduces transmission of microorganisms. 3. Place child in supine position with head slightly hyperextended. Minimizes drainage of medication through tear duct. 4. Remove cap from medication and place cap on its side. Prevents contamination of bottle 5. Squeeze the prescribed amount of medication into the eyedropper. Ensure correct dose. 6. Place a tissue below the lower lid.Absorbs the medication that flows from the eye. 7. With dominant hand,hold eye dropper ½-3/4inch above the eye ball.Rest hand on child’s forehead to stabilize.Reduces risk of dropper touching eye structure,and prevent s 8. Place hand on cheek bone and expose lower conjunctival sac by pulling down on cheek. Stabilizes hand and prevents systemic absorption of eye medication. 9. Instruct child to look up; drop prescribed number of drops into center of conjunctival sac. Reduces stimulation of blink reflex; prevent injury to cornea.
** NOTE: AN INFANT OR YOUNG
CHILD MAY NOT BE ABLE TO LOOK UP AS DIRECTED 11. Instruct child to gently close eyes and move eyes, place finger on either side of child’s nose to close tear duct s and prevent medication from draining out of the eye. Distributes solution over conjunctival surface and anterior eyeball.
** NOTE: AN INFANT OR YOUNG CHILD
MAY NOT BE ABLE TO FOLLOW THESE INSTRUCTION
12. Remove gloves;wash your hands.
Reduces transmission of microorganisms. ❑ EYE OINTMENT
1. Step 1-8 general guidelines.
2. Wash hands again; put on nonsterile gloves if needed. Decreases contact with bodily fluids and medication. Reduces transmission of microorganisms. 3. Place child in supine position with head slightly hyperextended. Minimizes drainage of medication through tear duct. 4. Remove cap from medication and place cap on its side. Prevents contamination of bottle cap. 5. Lower lid: a) With nondominant hand,gently separate child’s eyelids with thumb and finger and grasp lower lid near margin immediatelybelow the lashes;exert pressure downward over the bony prominence of the cheek. Provides access to the lower lid. b) ask child to look up. Reduces stimulation of the blink reflex and keeps the cornea out of the way of the medication. c) Apply eye ointment along the inside edge of the entire lower eyelid from the inner to outer canthus. Ensures drug is applied to 6. Upper lid: a) Instruct child to look down. Keeps cornea out of way of medication, b) With nondominant hand,gently grasp child’s lashes near center of upper eye lid with thumb and index finger,and draw lid up and away from eyeball. Keeps cornea out of way of medication. 7. Squeeze ointment along upper lid,starting at inner canthus. Ensures medication is applied to entire length of lid. 8. Remove gloves;wash your hands.Reduces transmission of microorganisms. DOCUMENTATION 1. Time and date 2. Medication administered 3. Route administered 4. Site (which eye) 5. How child tolerated medication administered Any questions? Thank you