Student Name ______________________________ ID # _________________________

Administration of Ottic Medications

Procedural Steps Yes No Comments

1. Check medication record and allergies
(Validated new medication with physician order)
2. Followed the TEN RIGHTS

3. Performed hand wash

4. Assembled equipment and supplies

5. FIRST CHECK: Retrieved correct medication checking

name and dose
6. Stated indications, actions of drugs and any special
considerations for preparing and administering the
medication
7. Check expiration date

8. Gently roll the container and ensure drug is at room

temperature.
9. SECOND CHECK: Compared medication label with
MAR or computer screen while preparing medication
10. Properly transported medication if necessary

11. Identified the patient using two patient identifiers, and

explained procedure to patient
12. Explained medication purpose and side effects to
patient
13. Assessed patient
14. Positioned patient side lying with ear to be treated
facing up; unless contraindicated
15. THIRD CHECK: Compared medication label with
MAR or computer screen at bedside
16. Apply gloves if any drainage

17. Pull upward and outward on auricle to straighten ear

canal; pull down and back for child under 3 years old
18. Hold dropper 1 cm from ear and administer prescribe
dosage
19. Have patient stay in that position for two to three
minutes if possible. Massage tragus gently two or three
times with your finger.
20. If needed, gently apply a cotton ball which is to be
removed 15 minutes later.
21.Documented immediately after administering the
medication(s)

1) Skill practiced in lab/open lab – Date: ___________________ NLS/Faculty:___________________

*Note: skill is “practice only” does not require individual evaluation*

NURS 1104 George Brown College Practical Nursing 2018/2019