Mr. Rajiv has ear pain and was prescribed ear drops twice daily. The nurse verified the order, explained the procedure to the patient, and positioned him on his side with the affected ear up. The nurse cleaned the ear canal, warmed the drops, administered the correct number of drops while pulling the ear upward and backward, and had the patient remain with cotton in the ear for 15-20 minutes. The nurse then assessed the patient's comfort and documented the administration.
Original Description:
Original Title
MSN II 01.7.2020-OSCE In Instillation of Ear drops
Mr. Rajiv has ear pain and was prescribed ear drops twice daily. The nurse verified the order, explained the procedure to the patient, and positioned him on his side with the affected ear up. The nurse cleaned the ear canal, warmed the drops, administered the correct number of drops while pulling the ear upward and backward, and had the patient remain with cotton in the ear for 15-20 minutes. The nurse then assessed the patient's comfort and documented the administration.
Mr. Rajiv has ear pain and was prescribed ear drops twice daily. The nurse verified the order, explained the procedure to the patient, and positioned him on his side with the affected ear up. The nurse cleaned the ear canal, warmed the drops, administered the correct number of drops while pulling the ear upward and backward, and had the patient remain with cotton in the ear for 15-20 minutes. The nurse then assessed the patient's comfort and documented the administration.
Scenario: Mr Rajiv has complaints of Left ear pain for past two days, on medical advice he has been prescribed Oflaxacin ear drops twice a day. Perform instillation of ear drops.
S.No. Steps of Procedure Score 1/0 Remarks
1 Verifies the physician order and the patient details
2 Checks for the allergies/ redness,
discharge
3 Identifies the patient and Explains the
procedure
4 Provides the side lying position to the
patient with ear being treated uppermost (Right Lateral) 5 Cleans the meatus of the ear canal using cotton tipped applicators. (Use normal saline if necessary)
6 Warms the medicine container in hand.
7 Fills ear dropper partially with
medication.
8 Straightens the auditory canal by
pulling the pinna upward and backward. 9 Instills the correct number of drops alongside of ear canal by holding the dropper one centi meter above ear canal. 10 Presses gently and firmly a few minutes on the tragus of the ear.
11 Instructs the patient to remain in side
lying position for about 5 minutes.
12 Inserts a small piece of cotton fluff
loosely at the meatus of auditory canal for 15 to 20 minutes.
13 Assesses the patient' comfort,
response and check the discharge / drainage from the ear.
14 Documents the medication
administration
Student Score
Feedback to the Student : ...............................................................