EAR CARE PROCEDURE FOR COMMUNITY NURSING SERVICES
EAR CARE PROCEDURE FOR COMMUNITY NURSING SERVICES
EAR CARE PROCEDURE FOR COMMUNITY NURSING SERVICES
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<strong>EAR</strong> IRRIGATION PATHWAY <strong>FOR</strong> <strong>COMMUNITY</strong> NURSES<br />
All patients must have applied 5 days of ear drops to soften wax<br />
(This can be prescribed by a GP or Nurse Prescriber)<br />
Ears examined and Nursing Aural Risk Assessment completed<br />
Outcome of assessment<br />
Soft wax present<br />
and no risk factors<br />
identified<br />
Wax has been<br />
cleared by the<br />
drops<br />
Hard,<br />
impacted wax<br />
present<br />
Risk factors<br />
identified<br />
Proceed to carry<br />
out ear irrigation<br />
If patient<br />
continues to<br />
experience<br />
hearing loss<br />
advise to see<br />
GP<br />
Advise to<br />
continue with<br />
drops for a<br />
further 5<br />
days<br />
Investigate<br />
compliance<br />
issues<br />
Do not<br />
irrigate ears<br />
Refer to GP<br />
May need ENT<br />
/ Audiology<br />
referral<br />
Re-book<br />
appointment<br />
NB In cases where a patient cannot give informed consent or provide a history to<br />
complete aural risk assessment and discuss with the GP<br />
<strong>EAR</strong> <strong>CARE</strong> <strong>PROCEDURE</strong><br />
11/13
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