EAR CARE PROCEDURE FOR COMMUNITY NURSING SERVICES

PROCEDURE
Irrigation should never cause pain. if the
patient complains of pain - stop
immediately.
Periodically inspect ear with otoscope
during procedure and check irrigated water
for presence of wax
A maximum of one reservoir of water can
be used per ear – stop irrigating after 5
minutes
Dry excess water from external meatus
once irrigation is complete
Re-examine the ear, observing for any
abnormalities – refer to GP if necessary
If wax is removed due to the presenting
complaint of hearing loss, ascertain
whether good hearing is restored after
treatment – refer to GP if hearing is not
restored
Decontaminate hands
Dispose of contents of trough / receiver
and decontaminate equipment
Document all observations and actions
including consent and patient perceptions
RATIONALE
To prevent damage to ear
To identify if irrigation is effective or
complete
Further irrigation is likely to be
ineffective – patient may require a
further course of drops.
(Further irrigation may be attempted 15
minutes after initial irrigation if
appropriate)
Stagnation of water and abrasion of
skin predispose infection
Irrigation can sometimes cause trauma
Wax may hide evidence of
abnormalities
To ensure assessment of cause of
hearing loss and possible referral to an
ENT surgeon or Audiologist.
To prevent spread of micro-organisms
To prevent spread of micro-organisms
Ensure compliance with NMC and local
record keeping guidelines
Provide post-procedure ear care
information leaflet
Ensure patient remains informed and
involved with their care
The information above is adapted from guidance devised by the ‘Action on ENT’
steering board and is endorsed by the Primary Care Ear Centre – Rotherham.
www.earcarecentre.com
EAR CARE PROCEDURE
6/13