Date Performed: Final Grade:

Clinical Instructor:

ADMINISTERING EAR MEDICATIONS

Definition:

Objectives:
1.
2.
3.
Safety/Security Measures:
1.
2.
3.

Equipment:

PROCEDURE GRADE REMARKS

1. Check doctor’s order.
Rationale:

2. Assemble the equipment needed.

2. Rationale:

3. Identify the patient carefully which may done in three ways:

a.) Comparing the medication ticket to the patient’s
identification wristband and bed tag.
b.) Asking the patient his/her name.
c.) Verifying the client’s identification with a staff member
who knows the patient or the watcher.
Rationale:

4. Perform hand hygiene and don clean gloves if necessary.

Rationale:

5. Provide privacy.
Rationale:

6. Introduce yourself and explain the procedure to the patient.

Rationale:
7. Assess the client’s condition.
Rationale:

8. Observe patient’s right.

Rationale:

9. Assess ear canal for wax accumulation. If present get an

order to irrigate the canal before instilling the ear drops.
Rationale:

10. Warm the drops to body temperature if allowed.

Rationale:

11. Fill the ear dropper with medication.

Rationale:

12. Straighten the patient’s ear canal to help the medication

reach the eardrum. For an adult, gently pull the auricle up
and back. For an infant or a child under 3, gently pull the
auricle down and back because the ear canal is straighter
at this age.
Rationale:

13. Administer the correct number of drops along the side of

the ear canal.
Rationale:

14. Avoid the tip of the dropper to touch the inner ear.
Rationale:

15. Have the patient remain on the side for five minutes
following instillation.
Rationale:

16. Assess the client’s response.

Rationale:
17. Do the after care. Properly discard the used equipment and
wash hands.
Rationale:

18. Document relevant information.

Rationale:

 Ability to answer questions

 Definition
 Objectives
 Principles
TOTAL
Signature of the Clinical Instructor:

Reference/s:
1
Adion,D. &Dizon, E. (2009). Manual and Checklists on Health Care Procedures. 1st
edition. Manila: Educational Publishing House.
2
Kozier, Barbara.&Erb, Glenora(2008).Kozier&Erb’s Fundamentals of Nursing
Checklist. 8th ed. Philippines: Pearson Education, Inc.
3
Potter, Patricia et.al (2017).Fundamentals of Nursing. 9th ed. Philippines: Elsevier Pte. Ltd.
4
Taylor, Carol., Lillis, C. & Le Mone, P. (2001). Fundamentals of Nursing The Art and Science
of Nursing Care. 3thed.