How do you document an eye exam?
If this is the case, you should record it as such. Alternative notations are the decimal notation (eg, 20/20 = 1.0; 20/40 = 0.5; 20/200 = Page 3 Eye Exam.doc 3 0.1) and the metric notation (eg, 20/20 = 6/6,20/100 = 6/30). Visual acuity is tested most often at a distance of 20 feet, or 6 meters.
How do nurses assess eyes?
Eyes:
- Have the patient follow your pen light by moving it 12-14 inches from the patient’s face in the six cardinal fields of gaze (start in the midline) Watch for any nystagmus (involuntary movements of the eye)
- Reactive to light? Dim the lights and have the patient look at a distant object (this dilates the pupils)
What should be included in a nursing assessment?
Initial evaluation or the general survey may include:
- Stature.
- Overall health status.
- Body habitus.
- Personal hygiene, grooming.
- Skin condition such as signs of breakdown or chronic wounds.
- Breath and body odor.
- Overall mood and psychological state.
How do I report a Snellen chart?
Recording Snellen Results Top number equates to the distance (in metres) at which the test chart was presented (usually 6m), Bottom number identifies the position on the chart of the smallest line read by the ‘patient’. Eg; 6/60 means the subject can only see the top letter when viewed at 6m.
How do you describe a normal eye exam?
Normal pupils: equal, round and symmetric. Normal pupils appear symmetric. To assess for symmetry, look directly at the patient’s eyes and note whether they are in the same relative position within the eye socket and of equal size and shape. Anisocoria means that the pupils are unequal in size.
What are the steps involved in eye assessment?
During the exam An eye exam usually involves these steps: Measurement of your visual acuity to see if you need glasses or contact lenses to improve your vision. Measurement of your eye pressure. You’ll be given a numbing drop in your eyes.
How do you write a nursing assessment?
The following are comprehensive steps to write a nursing assessment report.
- Collect Information.
- Focused assessment.
- Analyze the patient’s information.
- Comment on your sources of information.
- Decide on the patient issues.
How do you assess visual acuity using a Snellen chart?
Visual Acuity Testing (Snellen Chart)
- Ensure proper room lighting and set phone brightness to 100%.
- Hold the screen 4 feet (1.2 m) from the patient (approximately the end of a standard hospital bed if patient is sitting upright).
- Test each eye independently.
- See Pearls/Pitfalls for further instructions.
What line is 20/20 on the Snellen eye chart?
This line, designated 6/6 (or 20/20), is the smallest line that a person with normal acuity can read at a distance of 6 metres.
What action should the nurse take when testing a client’s near vision?
To test near visual acuity, the nurse should have the client hold the chart 14 inches from the eyes. The Snellen chart should be kept at eye level, 20 feet away on the wall when testing for distant vision.
What are the steps the nurse needs to take when using the Snellen eye chart to test visual acuity of the client?
To test visual acuity, use a Snellen chart and have the patient wear glasses or contact lenses if they normally wear them. Tell the patient to first cover the right eye, then left eye, and lastly read the chart with both eyes.
What is 6 60 on the Snellen chart?
On the Snellen scale, normal visual acuity is called 6 / 6, which corresponds to the bottom or second bottom line of the chart. If you can only read the top line of the chart then this would be written as 6 / 60. This means you can see at 6 metres what someone with standard vision could see from 60 metres away.
How do you do a Snellen test in nursing?
To test visual acuity, use a Snellen chart and have the patient wear glasses or contact lenses if they normally wear them.
- Have patient stand 20 feet from chart.
- Tell the patient to first cover the right eye, then left eye, and lastly read the chart with both eyes.