Goal: The irrigation is administered successfully.
1. Gather equipment. Check medication order against the original order in the medical record, according to facility policy. Clarify any inconsistencies. Check the patient’s chart for allergies.
2. Know the actions, special nursing considerations, safe dose ranges, purpose of administration, and adverse effects of the medication to be administered. Consider the appropriateness of the medication for this patient.
3. Perform hand hygiene.
4. Move the medication cart to the outside of the patient’s room or prepare for administration in the medication area.
5. Unlock the medication cart or drawer. Enter pass code and scan employee identification, if required.
6. Prepare medications for one patient at a time.
7. Read the CMAR/MAR and select the proper medication from the patient’s medication drawer or unit stock.
8. Compare the label with the CMAR/MAR. Check expiration dates and perform calculations, if necessary. Scan the bar code on the package, if required.
9. When all medications for one patient have been prepared, recheck the label with the CMAR/MAR before taking them to the patient.
10. Lock the medication cart before leaving it.
11. Transport medications to the patient’s bedside carefully, and keep the medications in sight at all times.
12. Ensure that the patient receives the medications at the correct time.
13. Perform hand hygiene and put on PPE, if indicated.
14. Identify the patient. Usually, the patient should be identified using two methods. Compare information with the CMAR/MAR.
a. Check the name and identification number on the patient’s identification band.
b. Ask the patient to state his or her name and birth date, based on facility policy.
c. If the patient cannot identify him- or herself, verify the patient’s identification with a staff member who knows the patient for the second source.
15. Explain procedure to patient.
16. Assemble equipment at patient’s bedside.
17. Put on gloves.
18. Have the patient sit up or lie with head tilted toward side of the affected ear. Protect the patient and bed with a waterproof pad. Have the patient support basin under the ear to receive the irrigating solution.
19. Clean pinna and meatus of auditory canal, as necessary, with moistened cotton-tipped applicators dipped in warm tap water or the irrigating solution.
20. Fill bulb syringe with warm solution. If an irrigating container is used, prime the tubing.
21. Straighten auditory canal by pulling cartilaginous portion of pinna up and back for an adult.
22. Direct a steady, slow stream of solution against the roof of the auditory canal, using only enough force to remove secretions. Do not occlude the auditory canal with the irrigating nozzle. Allow solution to flow out unimpeded.
23. When irrigation is complete, place a cotton ball loosely in auditory meatus and have patient lie on side of affected ear on a towel or absorbent pad.
24. Remove gloves. Assist the patient to a comfortable position.
25. Remove additional PPE, if used. Perform hand hygiene.
26. Document the administration of the medication immediately after administration.
27. Evaluate the patient’s response to the procedure. Return in 10 to 15 minutes and remove cotton ball and assess drainage. Evaluate the patient’s response to medication within appropriate time frame.
Subscribe to:
Post Comments (Atom)
0 comments:
Post a Comment