Bedside procedures

How to irrigate an eye

Other platforms explain it with text and video. In VMS you practice it on the patient.

MD / DOPANursing (NCLEX)EMS (NREMT)

Chemical eye injuries are emergencies. Irrigation starts before anything else.

Step by step

  1. Start immediately

    Water or saline at once; do not wait. [1]

  2. Anesthetic

    Drops if available, to keep the eye open. [1]

  3. Direction

    From the inner corner to the outer, away from the other eye. [1]

  4. Under the lids

    Hold lids open, sweep under them for particles. [1]

  5. Volume and pH

    At least a liter, then check pH; continue until near normal (about 7 to 7.5). [1]

  6. Refer

    Urgent eye exam. [1]

Common errors

Practice it in VMS

In VMS you do this on the patient, not on paper: every step goes on the checklist with a score, and in Teach mode Blocky tells you what comes next.

VMS cases that train this skill

58 VMS cases train this skill: open the case library

Sources

  1. NASEMSO National Model EMS Clinical Guidelines
  2. Open RN, Nursing Skills 2e (Chippewa Valley Technical College) (CC BY 4.0)
  3. OpenStax, Clinical Nursing Skills (CC BY 4.0)

Steps adapted from Open RN, Nursing Skills 2e (Chippewa Valley Technical College) and OpenStax, Clinical Nursing Skills, licensed under CC BY 4.0. VMS is not affiliated with these organizations. Updated: 2026-10-11.