Matt's Nursing Notes

Matt Costello, SSA/RN

Matt began working at the Guernsey County Board of DD in 2008 as the program nurse. He obtained his Bachelor of Science in Nursing in 2015 from Ohio University and then became an SSA and currently fills the role as the GCBDD Health Care Coordinator. Matt acts as the QA RN for the County Board and performs the Nurse Quality Assurance Reviews (NQARs) for the County Board. NQARs are performed to provide consultation and oversight to ensure the safe administration of medications and performance of Health Related Activities. Matt is a licensed Radiologic Technologist through the Ohio Department of Health and a licensed Registered Nurse through the Ohio Board of Nursing. He became an RN in 2000 and worked as an RN and Radiologic Technologist in a Heart Cath Lab from 2001-2007 and was also a staff RN on Medical/Surgical unit from 2000-2001.

Pink Eye (Conjunctivitis)

Pink Eye (or conjunctivitis) is an inflammation of the white part of the eye and the inner eyelids.  The three main causes of pink eye are bacterial, viral, and allergic. Bacterial and viral forms can be contagious. The only way to determine which type of conjunctivitis someone has is to see a doctor.  Although pink eye is usually not serious, if untreated or if treatment fails and is not corrected, conjunctivitis may cause visual impairment. 

Bacterial Conjunctivitis Symptoms

Red eye(s), heavy discharge of colored pus, tearing

Crustiness of the eyelid, especially after waking

Infected eye may feel itchy, sandy or gritty, and is sensitive to light

Contagious as soon as symptoms appear and remains contagious as long as there is discharge from the eye, or until 24 hours after antibiotics are started


  • Usually requires an antibiotic to heal, typically one week
  • Warm compresses on the eyes can help remove discharge

Viral Conjunctivitis Symptoms

Red irritated eye(s) and eyelids, excessive eye watering, clear discharge

Highly contagious even before symptoms appear and can remain contagious as long as symptoms last (from 7-12 days)

Begins with one eye but may spread to the other eye

Often associated with upper respiratory infection or the common cold

May be accompanied by swelling and tenderness of the lymph nodes near the ear


  • Can heal itself, but should still be checked by a doctor
  • Placing cool compresses over the infected eye can help with symptoms

Allergic Conjunctivitis Symptoms

Intense itching of the eye(s), swollen eyelids, tearing

NOT contagious

Usually affects both eyes


  • Can heal itself. Cold moist washcloths applied to the eyes can provide relief
  • If possible avoid or eliminate the allergen that is the cause


  • Wash hands well and often, especially before and after touching eyes