NVQ evidence

Action

Rationale

Explain the procedure to the patient

To ensure full comprehension and the giving of information to make a valid consent

Assist client to the correct position:-

• Head well supported and tilted back
• Preferably lying

To help to reduce sudden unexpected movement in the client.

Maintain an optimum light level to enable maximum observation whilst not dazzling the client

To maximize observation

Wash hands using antibacterial hand wash and dry thoroughly and apply plastic apron and sterile gloves.

To reduce cross-infection

If one eye is infected, attend to the non-infected or less-infected eye first

To reduce cross-infection

Always bathe with eyes closed first

This reduces risk of cross-infection as well as helps to prevent corneal damage.

Using sterile water on a clean piece of gauze, ask the client to look up and gently swab the lower eye from nasal corner outwards

If the swab is too wet, fluid can run down the cheek causing discomfort as well as increased risk of infection. This motion reduces risk of swabbing fluid into the lacrimal punctum, or into the other eye.

Ensure that the swab edge avoids the lid margin`

To avoid touching the sensitive cornea.

Repeat as necessary to remove discharge. Use a new swab for each sweep

To reduce cross infection

Repeat for upper eye lid, slightly everting it and asking the client to look down

To effectively remove any foreign material fro the eye and reduce cross-infection.

When both eyes are both clean and dry, assist client to comfortable positions

Remove all disposable equipment and wash and dry hands

To reduce cross infection

Record procedure, noting any changes or abnormalities detected

To monitor trends and maintain good documentation practice