ensure privacy and perform hand hygiene then introduce yourself to the patient and identify the patient using to identify errs my name is Becky and I'm the nurse here to administer your eyedrops okay can I go ahead and verify your name and date of birth sure what is your name it's long Tucker and your date of birth ask if he has any allergies can I ask do you have any allergies okay very good eye medications can be formulated as Aunt Minh soared ROPS such as over-the-counter products like artificial tears eye medications also include prescription agents like those used to treat infections and glaucoma before applying any eye medication check the patient's medication administration record or ma r against the providers orders I'm going to go ahead and raise up the bed just a little bit follow the six rights of medication administration and do the third check of the medication at the bedside remember to check the expiration date of the medication if drainage or crusts appear on the inner canthus of the eye or on the margins of the eyelid gently wash from the inner to the outer canthus if necessary gently loosen crusts by soaking them for a few minutes with a warm washcloth or cotton ball do not scrub the eyelid I have a second washcloth I'm just gonna dry your eyes is that okay that's good okay I'm going to administer your eyedrops to instill eyedrops perform hand hygiene apply clean gloves I'll go ask the patient to look up if you would just look up using your non-dominant hand hold a clean tissue on the patient's cheekbone just below the lower eyelid gently press down with your thumb or forefinger against the bony orbit to expose the conjunctival sac never apply pressure directly against the patient's eyeball rest your dominant hand gently on his forehead holding the tip of the container 1 to 2 centimeters or about 1/2 to 3/4 of an inch above the conjunctival sac instill the prescribed number of eye drops if the patient blinks or closes his eye and the eye drops land on the outer margin of the eyelid repeat the installation when you're using eye drops that may have systemic effects use a tissue to apply gentle pressure to the nasolacrimal duct for 30 to 60 seconds per eye again avoid putting pressure on the eyeball ask the patient to close his eyes gently and briefly I'm gonna go ahead and administer your eye ointment I'm gonna go ahead and put on some gloves to instill in I own mint perform hand hygiene and apply clean gloves help the patient into a comfortable position such as the supine or Fowler's or sitting upright in a chair with his neck slightly hyper-extended ask him to look up hold the applicator above the margin of the lower lid then apply a thin ribbon of ointment evenly along the conjunctiva of the lower lid moving from the inner to the outer canthus if you could close your eye ask the patient to close his eye and rub it lightly in circles with a cotton ball unless doing so is contraindicated for any type of eye medication remove the excess from the eyelid if needed by gently wiping from the inner to the outer canthus dispose of your gloves and tissue or cotton ball and perform hand hygiene document administration of medication in the M AR note patient response and report any adverse effects to the health care provider I'm now going to place your eye patch on if an eye patch is needed place a clean one over the patient's affected eye covering it completely the patch must be taped securely but it shouldn't press on the eye I'm going to secure it with two pieces of tape one more piece does that feel comfortable that's fine as part of your follow-up care encourage the patient to demonstrate self administration of his eye medication reinforce your teaching as needed here's a Kleenex all right don't forget to look up while you're placing the drop in very good in the middle of the lower lid and then apply gentle pressure how's that very good