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TOPICAL MEDICATIONS
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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
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Types of Topical Medications
*Powders*Sprays*Creams*Ointments*Lotions*Pastes
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Soften, Slough off Dry Skin
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Reduce/Kill Bacteria
• Alcohol• Betadine• Antibiotic
ointment
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Fungal/Yeast Infections
Desenex Miconazole
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InflammationItching
HydrocortisoneCalamine Lotion
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Relieve Pain
SolarcaineBiofreeze
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Skin Patches, Transdermal Nitro, Nicotene, Duragesic Absorbed through
skin Only applied or
removed by nurse Report if coming
off Monitor skin
condition for irritation
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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
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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?
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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
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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)
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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
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Medicated Shampoo
Special shampoo may be orderedBy physician for treatment of Scalp problems
•Psoriasis•Dandruff•Lice
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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
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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?
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Medicated Baths
Used for treatment of skin conditions
Itching Rashes Fever
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Photo’s used with express consent of Walgreen’s Inc
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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