SOP OF TOPICAL MEDICINE

I. DEFINITION
This form of medicine is used for the outer surface of the body and serves to
protect or as a vehicle to deliver drugs.

II. OUTCOME
1. To maintain hydration
2. Protect the skin surface
3. Reduces skin irritation
4. Overcoming infections

III. INDICATION

1. Use on skin: examples: lotion, paste, patch, and ointment

2. Eye use: example: ointment.
IV.CONTRAINDICATION
1. In patients with glaucoma or other severe eye diseases, infants and
children. Except in doctor's supervision and advice
2. Hypersensitivity
3. In ulcer patients
4. Atopic individuals (hypersensitivity or allergies based on inherited
tendencies)

V. STANDAR OPERATINAL PROCEDURE

Critical Score
No. Procedure Point 0 1 2 3
1 Equipments Preparation

1.1 cotton balls / pieces of gauze /

cotton bud
1.2 medicine (ointment, lotion or
liniment) in the appropriate
container
1.3 nierbeken
2 Pre-interaction
2.1 Order verification
2.2 protect the privacy of the
environment
3 Orientation
4.1 Give greetings
(Assalamu'alaikum, introduce
yourself, call the name you
like, ask for your age, address)
4.2 Contract time procedure
4.3 explain the purpose of the
procedure
4.4 give patients the opportunity
to ask questions
4.5 ask for patient / family
approval
4.6 bring the instrument closer to
the patient's bed
4 Main Activity
4.1 Give greetings and mention
 Critical Score
No. Procedure Point 0 1 2 3
equipment
4.2 Check the accuracy and
completeness of the patient's
name card / form, medication
(drug name, expiration date),
dosage, route, and time of
administration.
4.3 Prepare medicines that will be
given whether using
preparations cream, ointment or
paste
4.4 Wash hands and wear gloves on
the dominant hand
4.5 Expose only the area where the
4.6 medication will be applied
4.7 Apply the skin medication
according to the skin medication
(take a little cream, ointment or
paste with your hands wearing
gloves on the gauze. Apply it
lightly, evenly, and on the body
parts).
4.8 Observe the presence or absence
of discoloration, swelling and
rashes on the area given after 30
minutes of administration.
4.9 Record the administration of the
drug along with the date, time
and change in the patient's skin

5 Termination
V.1Evaluate results subjectively
& objectively
V.2Observe the signs and
symptoms of side effects in
the patient
V.3summarize activities
V.4short health education
V.5next time contract
V.6Say Hamdalah and pray for
the patient's recovery by
saying Syafakallah /
Syafakillah
6 Documentation
6.1 Record patient responses
after topical drug
administration
6.2 record the date and time of
topical medication
administration
7 Attitude
7.1 Politeness
7.2 Thoroughness
7.3 Safety
7.4 Emphaty
8 Total Score

9 Global Rating
Fail
Borderline
 Critical Score
No. Procedure Point 0 1 2 3
Pass
Excelent

VI.REFERENCE
1. Daniels. 2010. Nursing fundamental: caring & clinical decision making. New
york. Delmar cengage learning
2. Derrickson B. 2013. Essentials of anatomy physiology. Singapore. John willey
& sons, inc.