eye medication

1.	Review prescribes medication  order for number of drops eyes (right or left ) to receive medication
2.	Identify the client compare the name on MAR with clients  ID band . ask client to state name
3.	Assess condition of external eye structure
4.	Determine whether client has any symptoms of visual  alteration
5.	Assess clients level of consciousness and ability to follow directions
6.	Determine whether client  has any known allergies to eye medication .also ask if client has any allergy to latex
7.	Assess clients knowledge regarding medications therapy and desire to self  administer medications
8.	Assess clients ability to manipulate and hold dropper
9.	Explain procedure to client
10.	Wash hands and arrange supplies at bedside  , apply disposable gloves
11.	Ask client to lie supine or sit back in chair to head backward
12.	If crusts  or drainages are present along the eyelid margins  , gently wash away or stock .wipe and clean  from inner to outer canthus
13.	Hold cotton ball or clean tissue in non-dominant hand on client’s cheek bone just below eyelids
14.	With tissue or cotton , resting on lower eyelid gently press downward with thumb or forefinger  against bony orbit
15.	Ask client  to look at ceiling and explain steps to client
16.	Instill eye drops ·         With dominant hand resting on clients forehead . hold filled medication , eye dropper approx. 1-2 cm above conjunctiva sac ·         Drop prescribed number of drops of medication into conjuctival sac ·         After instilling drop ask client to close eyes ·         When administering medication that cause systematic effects apply gentle pressure with finger and clean tissue on clients nasolacrimal duct for 30 -60 secs
17.	Instill eye ointment Holding ointment applicator above lower lid margin , apply thin stream of ointment evenly along inner edge of lower eye lid of conjunctiva from inner canthus to outer canthus Have client close eyes and rub lightly in circular motion with cotton ball , if rubbing s not contraindicated