Application of eye drops
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1 Work Health Safety: : Personal & Medical Application of drops Risks Risk Level Risk Controls Infection of people from clients blood and other fluids Infection of client from open wound Client/staff emotional distress due to fear of serious health problems or lack of confidence in first aid response Poisoning from person having the wrong medication Likelihood: B Consequence: 3 Rating = HIGH Likelihood: B Consequence: 3 Rating = HIGH Likelihood: C Consequence: 4 Rating = MODERATE Likelihood: E Consequence: 4 Rating = LOW Work Practice, gloves protecting staff Work Practice Work Practice with staff providing necessary reassurance to client and Coordinator supporting staff. At Day Care or client outings will store medication securely if client is unable to keep it safe from others or self Staff to check the name of the medication is the name of client receiving medication Equipment required:. Mercy Services equipment Worker to wear footwear that is fully enclosed, slip resistant sole, water repellent/resistant and provides adequate support. Others equipment Prescribed -drops, tissue(s). Personal Protective Equipment required: gloves Activity Worker behaviour Client/other s behaviour (a) Prepare 1. At Day Centre or client outings staff will encourage clients to keep their medication secure. Staff will only store it and/or remind client if the client repeatedly demonstrates they cannot or if requested to assist by their carer. In such cases the medication will be kept in a locked place at the Day Centre or with staff in transit/ during an outing. 2. Worker will ask clients permission before gathering drops and tissues from within the client s home. Worker to bring disposable gloves. Clients should have drops and tissues available (b) Safety check 1. Check Care Plan/Run sheet for instructions especially which needs drops 2. Check label on container to ensure the correct client, correct drops, correct dosage and expiry date of medication OR if drops are nonprescription, check the dosage and frequency instructions on bottle and if possible confirm details with client. Worker should ensure that other clients are kept away from the situation and that their needs are attended due during this first aid situation. Approved and ratified: 07 June 2017 Page 1 of 5
2 Activity Worker behaviour Client/other s behaviour 3. Check date drops were opened they should be disposed of if not used within 28 days of opening OR if new drops write date on bottle. 4. Get client's permission to apply drops 5. Explain procedure for instilling drops and what the client needs to do to assist you 6. Wash hands and apply gloves (c) Cleaning the Eyes (d) Instillation of Eye Drops (e) After procedure (f) Follow-up 1. Client's head tilted towards left if cleaning the left and the right of cleaning the right 2. Clean the uninfected first, then the infected 3. Clean the from the inner to the outer canthus using a saline soaked gauze swab once only, then discard. Repeat procedure until the s are clean 1. Remove the top of drops without contaminating the tip and inside of top, hold top in the crook of your little finger 2. Ask client to tilt head back 3. Using a gauze swab lower the bottom lid 4. Rest your hand containing the drops on the client's forehead or cheek 5. Hold container 2 cms from middle lower lid and instil drops as ordered, then ask client to close 6. Wipe excess drops away and leave client comfortable 1. Dispose of rubbish appropriately (including vial that is single use) 2. Report any issues to Coordinator 3. Contact Poisons Information Centre -phone if there are concerns of incorrect dose of substance 4. Medication stored appropriately if applicable Day Centre or staff on outings to give medication directly to the client s carer when she/he goes home. 1. Document any incident and report it to your Coordinator immediately Client to follow workers instruction and stay still when requested Client to follow workers instruction and stay still when requested As at 07/06/17 this is authorised for use in: Service Position Day Centre Activity Officer and Coordinator Home Care Packages Community Care Assistant Home Support Program/NDIS Community Care Assistant Residential Aged Care Assistant in Nursing Date for review of safe work practice: June 2020 (or if injury or changes require) Approved and ratified: 07 June 2017 Page 2 of 5
3 COMPETENCY ASSESSMENT Application of drops Employee Assessor Date Desired Outcome: Apply drops as prescribed with a minimum of distress or discomfort to the client and worker. Knowledge required: Staff must have a first aid certificate Prepare Performance Criteria 1. Day Centre/client outing staff securely store drops - only if client cannot 2. Seeks client s permission prior to gathering equipment Safety check 1. Checks Care Plan/Run sheet for instructions 2. Checks label on container to ensure the correct client, correct drops, correct dosage and expiry date of medication OR if drops are nonprescription, checks the dosage and frequency instructions on bottle and if possible confirm details with client. 3. Checks date drops were opened OR if new drops writes date on bottle. 4. Gets client's permission 5. Explains procedure for instilling drops and what the client needs to do to assist you 6. Washes hands and apply gloves Cleaning the Eyes 1. Tilts client's head towards left if cleaning the left and the right of cleaning the right 2. Cleans the uninfected first, then the infected Competence demonstrated Comment Approved and ratified: 07 June 2017 Page 3 of 5
4 3. Cleans the from the inner to the outer canthus using a saline soaked gauze swab once only, then discard. Repeats procedure until the s are clean Application of Eye Drops 1. Removes the top of drops without contaminating the tip and inside of top, holds top in the crook of your little finger 2. Asks client to tilt head back 3. Using a gauze swab lowers the bottom lid 4. Staff rests hand containing the drops on the client's forehead or cheek 5. Holds container 2 cms from middle lower lid and instils drops as ordered, then asks client to close 6. Wipes excess drops away and leave client comfortable After procedure 1. Disposes of rubbish appropriately 2. Reports any issues to Coordinator 3. Contacts Poisons line if needed 4. Medication stored appropriately Follow-up 1. Documents any incident and reports it to your Coordinator immediately Is the worker assessed as being competent? YES NO Any required follow up action/training: Signature of employee.. Date.. Signature of assessor.. Date.. Approved and ratified: 07 June 2017 Page 4 of 5
5 Chart to indicate application Approved and ratified: 07 June 2017 Page 5 of 5
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