The Nepal Health Professionals Council (NHPC) has in accordance with the NHPC Act 2053, approved this code of ethics according to clause 9 (1) of the NHPC Act 2053, for Ophthalmic Assistants those registered under it, are to abide by, the code of ethics is as follows:
It will come into force since Bhadra 1, 2061 (August 17th 2004):
1. Duties of professionals in general: The Health Professionals will:
1.1 Always maintain the highest standard of professional conduct.
1.2 Carryout professional duties with conscience and dignity.
1.3 Maintain the utmost respect for human life right from the time of conception as per the laws of land.
1.4 Not use knowledge contrary to the norms of humanity.
1.5 Dedicate life to the service of humanity.
1.6 Not permit motives of profit to influence the free and independent exercise of professional judgment on behalf of patient/clients.
1.7 Be dedicated to providing competent health service in sound technical and moral independence, with compassion and respect for human dignity.
1.8 Deal honestly with patients and colleagues.
1.9 Not self-advertising by health workers unless permitted by the laws of the country and the code of ethics of NHPC.
1.9.1 Respect the right of patient, of colleagues, and of other health professionals and with safeguard patient confidences.
1.10 Preserve absolute medical confidentiality.
1.11 Give emergency and life saving care as humanitarian duty unless any possibility to do better.
1.12 Observe the code of ethics approved by NHPC.
2. Professional Guideline
- Patient information: name, age, sex and diagnosis.
- Therapy prescribed: name of drug, doses, strength and quantity of drug, route of administration, frequency of administration and duration of administration.
- Prescriber’s name, address and registration number.
- If necessary, special instructions in taking the drugs need to be given to patient. It should be clearly written, e.g. before meal, or after meal.
- The prescriber must sign a prescription. The date of the prescription should also be given.
3. Scope of practice
Ophthalmic Assistant can prescribe drugs such as:
- Azithromycin Suspension/Tab
- Trimethoprim + Sulfamethoxazole
- Ampicillin Capsule/Suspension Amoxycillin Capsule/Suspension Cefazoline
- Cloxacillin Capsule/Susp Tetracycline/Doxycycline Gentamycin
- Ciprofloxacin eye drop/Oint
- Norfloxacin eye drop/Oint Ofloxacin eye drop/Oint •
- Chloramphenicol Eye Drop/Oint
- Gentamicin Eye Drops/Oint
- Tetracycline Eye Ointment
- Polymyxin B
- Tobramycin Eye Drop/Oint
- Hydroxy propyl methylcellulose Eye Drop
- Polyvinyl Alcohol
- Other eye smoothening/lubricating agents
- Acyclovir Eye Ointment/Tablets
- Miconazole Eye Ointment
- Natamycin Eye Drop
- Clotrimazole Eye Ointment
- Povidone Iodine
- Tincture Iodine
- Bleaching powder
- Almunium hydroxide Gel/Tab
- Magnesium tricilicate Gel/Tab
- Ranitidine tab
- Dicyclomine hydrochloride
- Hyosine butylbromide
- Oral Rehydration Solution
- V Dextrose, Normal Saline, Ringer lactate
- Acetyl Salicyclic Acid (Aspirin)
- Dexamethasone Eye Drop/Oint/Tab/Inj
- Bethamethasone Eye Drop/Oint/Tab/Inj
- Prednisolone Eye Drop/Oint/Tab/Inj
- Fluorometholone Eye Drop
- Hydrocortisone Eye Oint/Tab/Inj
- Medrysone Eye Drop
- Triamcelone Eye Oint
- Sodium Cromo glycate Eye Drop
- Ketorolac Eye Drop
- Flurbiprofen Eye drop
- Ibuprofen Eye drop
- Diclofenac eye drop
- Pilocarpine eye Drop
- Timolol Eye Drop
- Acetazolamide Tab
- Glycerol Oral Suspension
- Xalatine eye drop
- Mannitol IV infusion
- Atropine Eye Drop/Oint
- Homatropine Eye Drop
- Cyclopentolate Eye Drop
- Phenylephrine Eye Drop
- Tropicamide Eye Drop
- Vitamin A
- Vitamin B Complex
- Vitamin C (Ascorbic Acid)
- Pyrental pamoate
- Metronidazole with diloxanide
- Lignocaine with Adrenaline and hyaluronidase