9.9 Artificial eye care: insertion

Essential equipment

  • Personal protective equipment
  • Sterile water for irrigation
  • Low‐linting or lint‐free swabs
  • Non‐sterile powder‐free gloves

Pre‐procedure

ActionRationale

  1. 1.
    Introduce yourself to the patient, explain and discuss the procedure with them, and gain their consent to proceed.
    To ensure that the patient feels at ease, understands the procedure and gives their valid consent (NMC [162], C).
  2. 2.
    Wash hands or use an alcohol‐based handrub and put on personal protective equipment.
    To reduce the risk of cross‐infection (NHS England and NHSI [148], C).

Procedure

  1. 3.
    Wearing non‐sterile gloves and with the dominant hand, gently lift up the upper eyelid and pull down the lower eyelid. With the other hand, hold the prosthesis between the thumb and index finger and gently insert it.
    To minimize patient discomfort and ensure correct insertion. E

Post‐procedure

  1. 4.
    Remove gloves, dispose of equipment and decontaminate hands.
    To keep the environment clean and reduce the risk of cross‐infection (NHS England and NHSI [148], C).
  2. 5.
    Document the intervention in the patient's notes.
    To maintain accurate records. To provide a point of reference in the event of any queries. To prevent any duplication of treatment (NMC [162], C).