Eardrop Instillation
Eardrops may be instilled to treat infection and inflammation, soften cerumen for later removal, produce local anesthesia, or facilitate removal of an insect trapped in the ear by immobilizing and smothering it.
Instillation of eardrops is usually contraindicated if the patient has a perforated eardrum, but it may be permitted with certain medications and adherence to sterile technique. Other conditions may also prohibit instillation of certain medications into the ear. For instance, instillation of drops containing hydrocortisone is contraindicated if the patient has herpes, another viral infection, or a fungal infection.
Equipment
Prescribed eardrops ▪ patient’s medication record and chart ▪ light source ▪ facial tissue or cotton-tipped applicator ▪ gloves ▪ Optional: cotton ball, bowl of warm water.
Implementation
Verify the doctor’s order.1
Avoid distractions and interruptions when preparing and administering the medication to prevent medication errors.2
Compare the medication label to the order and verify that the medication is correct. Confirm in which ear you must administer the medication.2
Check the expiration date on the medication, and don’t give if the medication is expired.2
Check the patient’s medical record for an allergy or other contraindication to the prescribed medication. If an allergy or other contraindication exists, notify the doctor and hold the medication.
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.6
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