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Fluorescein Eye Staining: Best Practices and Documentation
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Slides Fluorescein Eye Staining Best Practices and Documentation.pdf
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Download Lecture Overview
00:01 So now that you've seen the procedure, let's go over some summary comments. 00:06 This skill might be simple, but there are some ways you can mess this up. 00:11 So adding too much dye can cause you to see ripples along the cornea, giving you a false positive. 00:18 You also want to make sure that you've waited long enough so that the stain can actually saturate the surface. And you also want to make sure you visualize systematically. 00:29 If you don't look at the eye in a systematic way, you may miss something. 00:33 It sounds silly, but make sure you have the patient remove their contact lenses first. 00:39 Don't forget you will need to document. 00:42 You want to document your initial assessment. 00:45 The reason why the patient came in to see you, what was actually happening prior to this occurrence happening. 00:52 The presence of vision loss is important. 00:55 So you want to note whether that's unilateral or bilateral. 00:59 You actually want to document what you did during the procedure and the outcomes. 01:05 So you might if you've checked their vision pre procedure you want to check their vision post-procedure as well. 01:12 You want to make sure you're documenting all of this, and you're also doing teaching with the patient. 01:19 And lastly, think about your procedure. 01:22 You need to make sure that you're coding for your procedure, whether this was greater than ten minutes of your time or less. 01:30 You also need to know any modifying codes that determine whether this is the right eye, left eye, or bilateral. 01:37 And you want to use your specific ICD ten codes, which you can find that will document corneal abrasion, ulcerations, or infections. 01:48 The evidence behind using fluorescein stain, when there is a concern for corneal abrasion specifically is very strong. 01:55 There is a 90% sensitivity. 01:58 This is very good for a diagnostic test. 02:01 So you want to make sure that you're very comfortable with using performing this procedure so that you can do the correct diagnosis for your patient. 02:09 I hope this video increases your confidence and understanding of the skill. 02:14 And thank you for watching.
About the Lecture
The lecture Fluorescein Eye Staining: Best Practices and Documentation by Glenna Lashley, FNP, MSN is from the course Primary Care Skills for Advanced Practice Providers.
Included Quiz Questions
Which of the following is NOT a required element to document when performing fluorescein staining?
- Initial assessment and reason for patient visit
- Presence and laterality of vision loss
- Procedure steps and outcomes
- Patient's contact lens prescription details
- Pre and post-procedure vision checks
Which statement correctly identifies a potential error in fluorescein staining technique?
- Using excessive dye can create corneal ripples that may be misinterpreted as positive findings
- Waiting too long after dye application reduces staining effectiveness
- Random visualization patterns improve detection of abnormalities
- Keeping contact lenses in place enhances staining results
- Documentation is only needed for positive findings
Author of lecture Fluorescein Eye Staining: Best Practices and Documentation
Glenna Lashley, FNP, MSN
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