Page 186 - Demonstrating skill coppysaved colored-converted

24. Repeat steps 1–10.
25. Open the sterile package and press the dominant, gloved finger against the oval disk
so that it lies lengthwise across the fingertip.
26. Instruct the client to lookup.
27. With a non-dominant hand, gently pull the client's lower eyelid down and place the
disk horizontally in the conjunctival sac. It should float on the sclera between the iris and
the lower eyelid
Then pull the lower eyelid out, up, and over the disk.

16. Instilling an Ear Medication
Equipment
1. Medication administration record (MAR) Medication
2. Cotton-tipped applicator Non-sterile gloves
3. Cotton balls Tissue
Rationale
1. Prevents the occurrence of hypersensitivity reactions
2. Ensures accuracy in the identification of the medication.
3. Reduces the transfer of microorganisms.
4. Ensures the administration of the correct dose.
5. Ensures correct client.
6. Enhances cooperation.
7. Facilitates the administration of the medication.
8. Decreases contact with body fluid.
9. Opens the canal and facilitates the introduction of medication. The external ear
structures of adults and children are different. If the ear canal is not straightened properly,
medication may not reach the deep inner ear structures.
10. Prevents injury to the ear canal.
11. Allows for distribution of the medication.
Procedure
1. Check with the client and chart for any known allergies.
2. Check the MAR against the health care practitioner’s written orders.
3. Wash your hands.
4. Calculate the dose.
5. Use the identification armband to properly identify the client.
6. Explain the Procedure to the client.
7. Place the client in a side-lying position with the affected ear facing up.
8. Don nonsterile gloves.
9. Straighten the ear canal by pulling the pinna down and back for children or upward and
outward for adults.
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