Component Task: Administration of Topical Medication

Administration of Topical Medication

This is the application of medication directly on the skin and the mucous membrane. These medications are available in the form of creams, lotions, ointment and patches.

Aims

·         Hydrate the skin

·         Local anaesthetic effects

·         Therapeutic effects

·         Protect the skin from direct sun rays

Requirements

a.      A tray containing the following:

·         Medication

·         Disposable gloves

·         Gallipot containing sterile swabs

·         Receiver for used swabs

·         Mackintosh and dressing towel

b.      Treatment chart (manual or electronic)

Steps

1.        Check for the right patient, right medication, right time, right dose against doctor’s order and treatment chart (manual or electronic) as well as the expiry date

2.      Establish rapport (Refer to steps)

3.      Explain procedure

4.      Ensure patient’s right to know/consent and to refuse medication

5.      Perform hand hygiene

6.      Prepare tray and send to bedside

7.       Provide privacy and expose the area

8.      Assess the site for application of medication

9.      Cover the bed with mackintosh and dressing towel

10.    Perform hand hygiene and wear gloves

11.      Dab skin area with a dry swab to dry and remove flicking skin

12.    Apply topical agents evenly on the skin and rub if necessary

13.    Remove glove and perform hand hygiene

14.    Document procedure on nurses’ notes and chart on the treatment chart (manual or electronic)

15.    Dispose off used items and decontaminate tray

16.    Perform hand hygiene

17.    Report to appropriate officer


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