Medication Administration - Otic Drops Policy

Medication Administration - Otic Drops Policy 

Purpose: 

To ensure safe and effective administration of otic (ear) drops to residents as prescribed, in compliance with CMS guidelines and the State Operations Manual (SOM) for long-term care facilities. 

Procedure: 

I. Preparation: 

• If medication was refrigerated, allow it to warm to room temperature. 

II. Resident Positioning: 

• Instruct the resident to lie down and turn their head with the affected ear in the upward position. 

III. Administration: 

• Straighten the auditory canal by holding the auricle upward and backward. Avoid holding too tightly to prevent discomfort. 

• Instill the medication as ordered by the prescriber. Hold the medicine dropper almost horizontal. Support the resident’s head if necessary. Use aseptic technique to prevent contamination. 

IV. Post-Administration: 

• Instruct the resident to remain in position for approximately 10 minutes with the affected ear upward. 

• Cleanse reusable items and discard disposable items appropriately. 

References: 

• Centers for Medicare & Medicaid Services (CMS), Requirements of Participation for Long-Term Care Facilities. 

• State Operations Manual (SOM), CMS.