Name: ________________________________________
Date: _________________________________________
Procedure 38-6:
Irrigating the Ear
Objective: Irrigate ear following the physician’s orders.
Equipment and Supplies: Gloves; ear syringe; sterile basin; kidney-shaped emesis basin; warm
irrigation solution per physician’s order; towels; cotton balls; patient’s medical record
Affective Behaviors: Affective behaviors provide a professional approach to a skill that enhances
the patient encounter. These behaviors may also display sensitivity to a patient’s rights and
enhance communication. Pay close attention to these skills, which will be in bold, italicized font.
Skills Assessment Requirements
Read and familiarize yourself with the procedure. Complete each procedure within a reasonable
amount of time, with a minimum of 85% accuracy.
Documentation
Use the area below for any documentation needed to complete the procedure.
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GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
1. Check the physician’s orders.
2. Perform hand hygiene.
3. Assemble the equipment.
4. Check the name, concentration,
and expiration date of the
irrigating solution three times.
5. Identify the patient, and explain
the procedure.
6. Apply gloves.
7. Have the patient sit with the
aected ear tilted slightly
downward.
8. Place a towel over the patient’s
shoulder, and ask the patient to
hold the kidney-shaped emesis
basin against the neck below the
ear to catch run-o fluid.
9. Clean the external ear with a
moistened cotton ball.
10. Pour the warmed solution into a
sterile basin and fill the syringe
with 50 mL of solution.
11. For adults, pull the earlobe up and
back to straighten the ear canal;
for children under 3 years, pull
the earlobe down and back to
straighten the ear canal.
12. Expel air from the syringe and
insert the tip into the ear canal;
aim the stream of flow toward the
roof of the canal (Figure A).
13. Repeat until the return from the
ear is clear.
14. Remove the basin, dry the outer
ear, and remove the towel.
POINT VALUE
= 3–6 points
= 7–9 points
Name: ________________________________________
Date: _________________________________________
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GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
15. Give the patient cotton balls to
wipe any external drainage.
16. Instruct the patient about home
care if needed. Ask if the patient
has any questions.
17. Dispose of any waste material
properly.
18. Perform hand hygiene.
19. Document the procedure in the
patient’s medical record, noting
the type of drainage and any
patient symptoms such as pain or
dizziness.
GRADING
Points Earned
Points Possible 141 141
Percent Grade (Points Earned/
Points Possible)
PASS: YES
NO
N/A
YES
NO
N/A
Instructor Sign-O
Instructor: ______________________________________________ Date: _________________________
POINT VALUE
= 3–6 points
= 7–9 points
Name: ________________________________________
Date: _________________________________________
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