GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
1. ✦ Check physician’s orders.
2. ✦ Assemble the equipment.
3. ✶ Identify the patient, and explain
the procedure.
4. ✶ Check the medication label
three times for the correct
name, expiration date, and
concentration.
5. ✦ If the medication is cold, warm it
by rolling the bottle between the
palms.
6. ✦ Perform hand hygiene and don
gloves.
7. ✶ Have the patient tilt the head
away from the aected ear or
lie down with the aected ear
facing up.
8. ✶ Pull the earlobe up and back for
an adult (Figure A), or down and
back for a child (Figure B).
9. ✶ Place the dropper in the ear canal
without touching the sides of the
canal (Figure C).
10. ✶ Instill the appropriate number of
eardrops along the side of the
canal.
11. ✦ Instruct the patient to remain in
the same position for three to five
minutes.
12. ✶ Give instructions for home care if
needed. Ask if the patient has any
questions.
13. ✦ Dispose of the equipment and
clean the area.
POINT VALUE
✦ = 3–6 points
✶ = 7–9 points
Name: ________________________________________
Date: _________________________________________
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