Instillation of Ear Drops Procedure PDF

STANDARD DOT PROCEDURE Instillation of Ear Drops Client Label: GOAL: To provide appropriate instillation of...

STANDARD DOT PROCEDURE Instillation of Ear Drops Client Label: GOAL: To provide appropriate instillation of ear drops. Maintain DIPPS Throughout Procedure SUPPLIES: SCHEDULE : TID HCA to do am & pm doses ▪ Ear drops  See Client Specific Instructions ▪ Gloves ▪ Tissues or cotton balls REPORTABLE OBSERVATIONS: STORAGE SPACE: 1) Inability to complete task. □ Cupboard beside or above fridge 2) Change in client condition. 3) Observable drainage of ear(s). □ Cupboard beside or above kitchen sink 4) Client reports pain, itching or change of vision. □ Lock box □ Other: PROCEDURE RATIONALE 1) Wash hands. 1) To maintain cleanliness as per standard 2) Gather supplies and assemble on a clean, dry surface. 2) To complete task in an organized manner. 3) Set out drop containers in order listed in Client Specific 3) To ensure correct drops are given as ordered. Instructions. 4) Put on gloves. 4) To maintain cleanliness as per standard 1. Check #1 Identify the Rights of Medication 3) SAFETY Assistance 4) To ensure correct medication is given. 6) Place client in a comfortable position with head tilted 6) This allows the solution to flow into the middle to expose the ear requiring the drop. Ear faces ear with gravity. upwards. 7) Check #2 Identify the Rights of Medication 7) SAFETY Assistance 8) Remove cap from bottle without touching the tip of the 8) To prevent spread of infection. bottle and place cap on clean, dry surface on its side.  9) Check #3 Identify the Rights of Medication 9) SAFETY Assistance 10) Gently pull the upper ear up and back for adult clients, 10) This allows the solution to flow into the middle down and back for children. ear with gravity. Instillation of Ear Drops (cont’d) PROCEDURE RATIONALE 11) Without allowing tip of bottle to touch the ear, instil 11) To ensure safety; to promote comfort and to ONE drop of medication inside the ear. prevent contamination of the tip. 12) Gently massage the outside of the ear (tragus) and 12) To distribute drop(s) deep into the ear canal and apply a cotton ball for a few minutes. prevent leakage. 13) Repeat for subsequent drops of medication as required 13) To ensure correct drops are given as ordered. (per instructions). 14) Use a clean disposable tissue to blot away excess 14) To remove excess liquid and promote client medication if needed. comfort. 15) Recap medication bottle. 15) To prevent deterioration of drops and maintain cleanliness of tip of bottle. 16) Repeat steps 9 to 13 for other ear if required. 16) To ensure correct drops are given as ordered. 17) Repeat steps 4 to 15 for other medications as per Client 17) To ensure correct drops are given as ordered. Specific Instructions. 18) Dispose of tissues and cotton balls into garbage. 18) To maintain cleanliness as per standard Remove and dispose of gloves and wash hands. precautions. 19) Return ear drops to storage area. 19) To ensure safe storage of ear drops. 20) Document. Report and record any reportable 20) To maintain accurate records. observations. Client Specific Instructions: Sulfacort 1 drop to right ear in the morning & at night by HCA. NAME and Credentials of Healthcare Provider: (please print) SIGNATURE and Credentials of Healthcare Provider: