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    This standing order provides guidelines for the supply and administration of Amethocaine Hydrochloride eye drops. It outlines the drug name, presentation, indications, contraindications, precautions, dosing, administration instructions, storage requirements, potential adverse effects, and required documentation and authorizations. Nurses must be properly accredited to administer the eye drops according to this order and document the administration for later medical officer review within 24 hours. Related guidelines on eye problems and pain management are also referenced.

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    This standing order provides guidelines for the supply and administration of Amethocaine Hydrochloride eye drops. It outlines the drug name, presentation, indications, contraindications, precautions, dosing, administration instructions, storage requirements, potential adverse effects, and required documentation and authorizations. Nurses must be properly accredited to administer the eye drops according to this order and document the administration for later medical officer review within 24 hours. Related guidelines on eye problems and pain management are also referenced.

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    This standing order provides guidelines for the supply and administration of Amethocaine Hydrochloride eye drops. It outlines the drug name, presentation, indications, contraindications, precautions, dosing, administration instructions, storage requirements, potential adverse effects, and required documentation and authorizations. Nurses must be properly accredited to administer the eye drops according to this order and document the administration for later medical officer review within 24 hours. Related guidelines on eye problems and pain management are also referenced.

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    52 views1 page

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    This standing order provides guidelines for the supply and administration of Amethocaine Hydrochloride eye drops. It outlines the drug name, presentation, indications, contraindications, precautions, dosing, administration instructions, storage requirements, potential adverse effects, and required documentation and authorizations. Nurses must be properly accredited to administer the eye drops according to this order and document the administration for later medical officer review within 24 hours. Related guidelines on eye problems and pain management are also referenced.

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    of 1

    Standing Orders for the Supply or Administration of

    Medication under the NDEC Model


    PROCEDURES

    3.3 Standing Order for supply of Amethocaine Hydrochloride eye drops

    TITLE Standing order for Amethocaine Hydrochloride eye drops


    Trade Name(s) Minims Amethocaine Eye Drops

    1 Clear, colourless sterile eye drops 0.5% (5mg/mL), or 1% (10mg/mL)


    Presentation Single patient, single use

    Indication Production of local anaesthesia in the eye. Reduces pain to facilitate adequate eye exam
    1
    Contraindications Current use of sulphur based antibiotics (sulphonamides)

    Instruct patient not to rub or touch the affected eye while anaesthesia persists. Should be used
    Precautions1 with caution in children, as this group is more susceptible to drug effects.
    1 drop into affected eye/s, repeated every 5 minutes if necessary. Up to 3 drops may be used for
    Dose
    foreign body removal
    1
    Dose frequency Single dose

    To be administered in hospital only.


    Ensure contact lenses are removed
    Instil dose into affected eye/s
    Administration1 (see Emergency Eye Manual pg. 26 for eye drop instructions)
    http://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
    Instruct patient not to rub or touch the affected eye while anaesthesia persists

    Refrigerate and store out of patient and public access, preferably in a locked room or a locked
    Storage
    cabinet securely attached to the wall or floor – see PD2013_043.

    • On instillation an initial burning sensation may be experienced. This may last for up to 30
    seconds
    Adverse effects1 • Blurred vision, lacrimation (watery eyes)
    • Persistent use may result in corneal damage
    Never give patient anaesthetic drops to take home
    An RN whose competency to practice Nurse Delegated Emergency Care and to comply with this
    Nursing Accreditation
    Standing Order has been assessed and approved by a Local Facilitator, in accordance with the
    Requirements NDEC Education and Accreditation Framework.
    Administration record is to be documented by the administering nurse. Document on the “once
    only” section of the appropriate medication chart.
    Documentation
    The record of administration must be checked and countersigned by a medical officer within 24
    hours of initial administration.

    NDEC Nurse Management Guideline: Eye Problems http://www.ecinsw.com.au/node/270


    Related Documents
    NDEC Nurse Management Guideline: Pain http://www.ecinsw.com.au/node/275

    Local Standing Order Authorisation:


    Date approved by ______ LHD Drugs and Therapeutics Medical Officer Name:
    Committee:

    Review Date: Signature:

    1
    The drug information provided is to act as a guide only, for further information reference should be made to the full product info available on
    MIMS or the Australian Medicines Handbook <accessible in NSW Health facilities via CIAP: > If contraindications, precautions or interactions are
    present refer to MO before administration

    PD2015_024 Issue date: July-2015 Page 9 of 25

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