LEVEL I – GRANT
TRINITY VALLEY COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
RNSG 1216
PROCEDURE GUIDE AND CHECK-OFF SHEET
INSERTING AND REMOVING CONTACT LENSES
Nurses should be familiar with the general principles of caring for contact lenses, including insertion and removal.
Delegation: This procedure may be delegated to unlicensed assistive personnel.
| Procedure | Scientific Rationale |
|1. The following equipment is needed for this skill: | |
|gloves | |
|storage container | |
|Manufacturer-recommended lens solution | |
|other products used for cleaning, disinfection, and storage | |
|manufacturer-recommended storage container. | |
|2. Insertion of contact lens: | |
|Assess lens for damage and cleanliness. | |
|Rinse lens with manufacturer-recommended lens solution before |b. Rinsing frees the lens of debris and helps lens glide over the cornea |
|inserting. |thus reducing risk of injury. |
|Place lens on index finger of dominant hand. Make sure to place |c. If soft lens droops outward and downward at edges, the lens needs to be|
|each lens in correct eye. |inverted. |
|Hold upper lid with index finger of non-dominant hand and spread | |
|upper and lower lid by slight downward pulling on lower lid with | |
|thumb. | |
|Place lens over the iris. | |
|Ask patient to blink. | |
|If patient feels discomfort, remove lens, clean, and insert again.| |
| |f. Determines if lens is correctly placed. |
|3. Removal of soft contact lens: | |
|Ask patient to look up and to the side. With middle finger, pull |a. Reduces risk of damage to the cornea. |
|down on lid and place index fingertip of dominant hand on lower | |
|edge of lens. | |
|Move lens down medially to the sclera. | |
|Remove lens by pinching it between pads of thumb and index finger.| |
|If edges stick together, add lens solution or saline. |Pinching causes the lens to double up which breaks the suction and allows |
| |removal. Using the pads of the fingers prevents scratching the eyes or |
| |the lens with the fingernails. |
|4. Removal of hard contact lens: | |
|Make sure lens is positioned directly over cornea. |a. Aids in proper removal. |
|Pull the patient’s upper and lower lids apart and to lateral side | |
|using the index and middle fingers. | |
|Ask patient to blink. The lens should fall into your hand. If it | |
|doesn’t, apply gentle pressure on lower edge of lens, and grasp | |
|upper edge as it falls away from eye. | |
|Place in storage container for appropriate labeled eye. | |
| |c. Reduces risk of damage to the cornea. |
| | |
|5. Follow recommended directions on products for |Ensures proper use of cleaning agents. |
|cleaning and disinfection of lenses. | |
|6. Store each lens in its own compartment that tis clearly labeled|Non-compliance with the care of contact lenses is one of the largest |
|right or left eye in a manufacturer-recommended storage container.|contributes to microbial keratitis, a potentially dangerous infection of |
|Cover lenses with recommended lens solution until they are |the eye. |
|re-inserted. Never reuse the lens solution. | |
|7. Document your care. |All data must be entered in patient’s record. |
N:ADN/ADN Syllabus/CBC Curriculum/Level I/1216/Performance Checklist for Basic Skills - Inserting & Removing Contacts Reviewed 04/16
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