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TOPICAL MEDICATIONS - PowerPoint PPT Presentation

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TOPICAL MEDICATIONS
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  1. TOPICAL MEDICATIONS

  2. Nursing Assistant Role in use of TOPICAL MEDICATION • Must have training and be competent • Must be delegated by RN • RN must provide supervision • Skin must be unbroken/intact • Follow instructions for use

  3. Types of Topical Medications *Powders*Sprays*Creams*Ointments*Lotions*Pastes

  4. Soften, Slough off Dry Skin

  5. Reduce/Kill Bacteria • Alcohol • Betadine • Antibiotic ointment

  6. Fungal/Yeast Infections • Desenex • Miconazole

  7. InflammationItching Hydrocortisone Calamine Lotion

  8. Relieve Pain Solarcaine Biofreeze

  9. Skin Patches, Transdermal Nitro, Nicotene, Duragesic • Absorbed through skin • Only applied or removed by nurse • Report if coming off • Monitor skin condition for irritation

  10. 5 RIGHTS OF MEDICATION USE • RIGHT PATIENT- Identify patient • RIGHT DRUG- Read label, follow RN instructions • RIGHT AMOUNT- follow RN instructions • RIGHT TIME- as instructed • RIGHT LOCATION- apply thin layer

  11. What to Observe & Report • Is skin improved, same, or worse? • Is there any redness or irritation? • Is the skin intact or open? • Is there itching or pain? • Does patient have any complaint or report?

  12. General Application Guidelines • Follow nurses instructions, and POC • Use only medications in labeled containers • Never share ointments with other patients • Follow rules of medical asepsis, use gloves, avoid cross contamination • Apply only to clean/dry skin only • Apply in direction of hair growth • Report observations

  13. Application of Barrier Cream to Perineal Area • Obtain barrier cream from nurse • Complete perineal care as directed • Only touch container with clean gloves • Place ointment on a towel barrier with opened cap placed top down • Wear clean gloves when applying • Apply a thin layer, moving clean to dirty • Apply to clean area before dirty area (perineum before buttocks)

  14. Application of Powders • Avoid breathing in of powder (you and patient) • Follow rules of asepsis • Make sure area is clean and dry before application • Application to wet skin will cause clumping and possible irritation

  15. Medicated Shampoo • Special shampoo may be ordered • By physician for treatment of • Scalp problems • Psoriasis • Dandruff • Lice

  16. Delegation Guidelines • Instructions must be provided and followed • Shampoo container must be labeled with clients name • Stored in locked cabinet or obtain directly from nurse • Wear gloves • Protect for getting into eyes

  17. Observing & Reporting • Is the shampoo having desired effect? • What does the skin look like? • Is there any irritation? • Does application cause any discomfort or complaint? • Is the container close to empty?

  18. Medicated Baths • Used for treatment of skin conditions • Itching • Rashes • Fever

  19. Photo’s used with express consent of Walgreen’s Inc

  20. Delegation Guidelines • Must obtain supplies from RN and have instruction prior to use • Know how long person is to be in the tub, how much to use, what is desired effect • Use aseptic techniques (gloves, precautions, proper cleaning of tub) • Report observations to RN