Eye Drainage, Foreign Body, Irritation and Redness RN Protocol for Henry Ford Health System School Based Health Clinics DEFINITION: Inflammation and/or infection of the conjunctiva (mucous membrane lining the eye), caused by allergens, irritants (e.g dust, smoke, perfume, foreign object, pepper spray), bacterial (staphylococcal, streptococcal, haemophilus) or viral (usually adenovirus, but also herpes simplex) infections. SUBJECTIVE: Signs & Symptoms: Allergic is watery; bilateral Discharge contagious period No occur with common cold May Itching Bacterial drainage (thick, yellow to green-yellow) and crusting during sleep Purulent begins unilateral and progresses to bilateral. Spread from hand to hand Often contact, sharing makeup etc. period ends 24 hours after medication is started and symptoms are Contagious no longer present occur with common cold May Viral less severe, watery discharge (may be thick and white to pale yellow) Usually 3-5 days often bilateral Most contagious, no antibiotics needed Highly occur with common cold May period continues symptoms are present Contagious Chemical shortly after contact with irritating substance Appears contagious period No Foreign tearing, irritation and inflammation Pain, body contagious period No ASSESSMENT: Allergies to food/medication/environment History Current medications Recent Injury to eye Any burning, itching, watering, discharge Foreign body in eye Trauma to eye (i.e. projectile object, foreign body, etc.) Current contact lenses use Visual Disturbance Eye Pain Drainage/blood from eye, swelling, redness Recurrent problem? History of seasonal allergies/environmental allergies Onset of irritation/drainage Bilateral, unilateral Contact lenses worn
Eye Drainage, Foreign Body, Irritation and Redness RN Protocol for Henry Ford Health System School Based Health Clinics DEFINITION: Inflammation and/or infection of the conjunctiva (mucous membrane lining the eye), caused by allergens, irritants (e.g dust, smoke, perfume, foreign object, pepper spray), bacterial (staphylococcal, streptococcal, haemophilus) or viral (usually adenovirus, but also herpes simplex) infections. SUBJECTIVE: Signs & Symptoms: Allergic Discharge is watery; bilateral No contagious period May occur with common cold Itching Bacterial Purulent drainage (thick, yellow to green-yellow) and crusting during sleep Often begins unilateral and progresses to bilateral. Spread from hand to hand contact, sharing makeup etc. Contagious period ends 24 hours after medication is started and symptoms are no longer present May occur with common cold Viral Usually less severe, watery discharge (may be thick and white to pale yellow) 3-5 days Most often bilateral Highly contagious, no antibiotics needed May occur with common cold Contagious period continues symptoms are present Chemical Appears shortly after contact with irritating substance No contagious period Foreign body Pain, tearing, irritation and inflammation No contagious period ASSESSMENT: Allergies to food/medication/environment History Current medications Recent Injury to eye Any burning, itching, watering, discharge Foreign body in eye Trauma to eye (i.e. projectile object, foreign body, etc.) Current contact lenses use Visual Disturbance Eye Pain Drainage/blood from eye, swelling, redness Recurrent problem? History of seasonal allergies/environmental allergies Onset of irritation/drainage Bilateral, unilateral Contact lenses worn