Administering Topical Medication Script
Administering Topical Medication Script
Tan Nery, Charmaigne Dale Pequiro, Nickdonn Ray Peter CON 2B- Pharma RLE
Scene 1
Narrator: Topical administration of medication over a localized area allows the absorption of the drug to the
skin, mucous membrane, or tissue membrane. A topical medication may be formulated as a lotion, ointment,
cream, powder, foam, spray, or transdermal patch. See the video of how to administer topical medication over
a patient with irritations and inflammation in the skin.
Narrator: Before applying one, check the medication administration record against the doctor’s order twice.
After performing hand hygiene and ensuring privacy introduce yourself to the patient then identify the patient
using three identifiers.
Nurse 1: Good morning sir, my name is Donn and I’m your nurse today can I ask you your name?
Patient 1: I’m Mark Joshua Ampong.
Narrator: Ask if he has any allergies.
Nurse 1: Uhh, do you have any allergies?
Patient 1: No.
Narrator: Then check the wristband, bed tag, medication ticket and verify the patient to the watcher. Also,
check the expiration date of the medication. As you proceed always keep in mind the 12 rights of medication
administration.
Narrator: Apply clean glove, if the patient’s skin is not intact it is necessary to apply sterile gloves. To use a
topical cream, ointment, or oil-based lotion exposed the affected area and keep unaffected area covered.
Clean and dry the area. If your patient’s skin is excessively flaky and dry, apply the topical agent while his skin
is still damp.
Narrator: After changing your glove, place the required amount of medication on the palm of your hand and
warm it by rubbing your gloved hands together. Spread the medication evenly over his skin using long stroke
with the direction of hair growth. Avoid rubbing the skin vigorously. Mention to the patient that his skin may
feel greasy for a while.
Narrator: Remove gloves and perform hand hygiene.
Scene 2
Narrator: To apply a transdermal patch, apply clean glove and remove the old patch. Check between the
patients skinfold if necessary. Fold the sticky side together and dispose of the patch according to agency
policy. Use a marker and mark the time, date and your initials on the new patch.
Narrator: Apply clean gloves. Apply the new patch with clean dry area and avoid using the previous side for at
least a week. The site should relatively be free of hair. Avoid skin that’s oily, burns, cuts, or irritated. When you
find a new site, carefully full the liner of the new patch, fold it around the edges without touching the
adhesive. Apply the patch immediately to the selective site pressing it firmly with your hands for at least
10seconds.
Nurse 2: Mam/Sir, don’t cut the patch if you are aready prescribed with lower dose. If you will cut the patch it
will disturb the drug delivery mechanism making the dose unpredictable. Also, don’t use heating pads nears
the patch. Don’t reuse the application site for 1 week, and don’t combine the patch with other forms of the
same drug.
Narrator: Remove gloves and perform hand hygiene.
Scene 3
Nurse 3: Good morning mam/sir, I’m going to place an anesthetic spray on your sun burn. I’m gonna ask you
to turn your head to the left.
Narrator: To apply an anesthetic spray, ask to turn her/his face away or cover it with a towel. Vigorously shake
the container. Hold the spray 6-12 inches away to the application site then spray the medication evenly over
the affected area.
Scene 4
Nurse 4: Maam/Sir, good morning. I’m going to apply oil-based lotion to your affected area.
Narrator: Put on clean gloves and begin by shaking the bottle vigorously. Place a small amount of lotion on a
gauze dressing or pad. Apply it to the skin.
Nurse 3: This might feel a little coll when I apply it to your leg.
Narrator: Dabbing gently over the affected area. Then explain that the lotion will make the area feel coll and
dry.
Nurse 3: It might take a little while for it to dry, okay?
Patient 3: Oh, okay. Thank you!
Narrator: Avoid rubbing vigorously. Doing so might damage the skin.
Scene 4
Narrator: To apply a powdered medication, the skin surface must be thoroughly dry. With your non dominant
hand, spread the skinfold such as the axilla and dry those areas with a towel. If your applying the powder near
his face, ask him to turn away for a moment. When applying powder near the nose or mouth, sprinkling some
into your gloved hand and then apply it to the patients skin will prevent inhalation. The application site should
be applied with a fine, thin layer of powder. Cover the skin with a dressing if ordered by the healthcare
provider.
Narrator: As part of your follow-up care, discard and keep the equipment back to it’s area and perform hand
hygiene. Document the patients medication administration.