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On the front line
A staff nurse's guide to carrying out a contact lens teach
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Jodie Pendlebury
16 January 2021
Jodie Pendlebury, a staff nurse in Liverpool, tells OT about her day-to-day work in paediatric ophthalmology...
What’s your role?
I’m a staff nurse based in paediatric ophthalmology at Alder Hey Children’s NHS Trust in Liverpool. I test visions, carry out visual field testing, OCT imaging and run a nurse-led watery eye clinic. But my favourite part is teaching children and parents how to apply and remove contact lenses.How long have you been involved in contact lens work?
I have worked in the department for 11 years and have been involved in contact lens teaching for at least nine of those. I remember our lead
optometrist at the time approaching me and asking if it was something I would like to get involved in. I jumped at the chance. It is something I love doing and it can be so rewarding.
What have you found most challenging about this aspect of your role?
We don’t just see local children; sometimes they come from Wales, the Isle of Man or even further afield. This becomes slightly harder to manage as they aren’t just down the road if they encounter a problem with the lenses.I try and plan a teaching session to coincide with one of their other appointments, allowing plenty of time for the discussion/questions and if they need a break in between, so that they feel well prepared and confident handling the contact lenses.
Jodie’s top tips for a successful teach
- Allow plenty of time for teaching, remembering that multiple sessions may be necessary
- Be clear about the importance of hand hygiene and contact lens care
- Remember to talk them through it all; it’s important they feel comfortable to alleviate anxiety
- Encourage the patient to use a mirror and lean over a desk so that any unsuccessful attempts will be caught
- Keep solution, saline and a box of tissues to hand while teaching
- Once the contact lenses are in, encourage the patient to go for a short break to allow them time to settle
- The top lashes often get in the way; try to teach the patient to get a good grip of them to make application easier
- Tell the patient to keep their glasses, a contact lens case and small bottle of solution in their school bag in case of any problems
- Be explicit about no swimming or showering in contact lenses and to avoid tap water coming into contact with the lenses by making sure their hands are completely dry before handling them
- Don’t let the patient take their lenses home until you are confident that they know what they are doing.
About the author
Jodie Pendlebury is a staff nurse at Alder Hey Children's NHS Trust, LiverpoolAdvertisement
More Practice team resources: Contact lenses for younger patients
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Your contact lenses for younger patients resources guide
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Are contact lenses safe for children?
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Refraction changes in children
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Seeing the benefits
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Application and removal without the tears and tantrums
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Cases from practice
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Introducing contact lenses to kids
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Contact lenses for younger patients: a guide for every practice
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