Ear Irrigation PDF

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Summary

Ear Irrigation Template...

Description

Student ______________________________________________________

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Instructor ____________________________________________________

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PERFORMANCE CHECKLIST SKILL 19.2

EAR IRRIGATION

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Comments

1. Identified patient using two identifiers, compared identifiers with information on MAR.

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2. Reviewed medication order including solution and affected ear.

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3. Reviewed medical record for history of ruptured tympanic membrane, placement of myringotomy tubes, or surgery of the auditory canal.

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4. Inspected pinna and external auditory meatus for redness, swelling, drainage, abrasions, and presence of cerumen or foreign objects; attempted to remove objects by first straightening the ear canal.

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5. Used otoscope to inspect deeper portions of auditory canal and tympanic membrane.

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6. Asked if patient is experiencing discomfort.

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7. Noted patient’s ability to hear clearly.

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8. Reviewed patient’s knowledge of purpose for irrigation and normal care of ear.

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1. Identified expected outcomes.

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2. Checked accuracy and completeness of each MAR.

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3. Instilled softener into ear for 2 to 3 days before irrigation if patient had impacted cerumen.

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4. Explained procedure, warned that irrigation may cause sensation of dizziness, ear fullness, and warmth.

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1. Performed hand hygiene, arranged supplies at bedside.

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2. Provided privacy.

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3. Assisted patient to appropriate position, placed towel under patient’s head and shoulder, had patient hold emesis basin under ear if able.

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4. Poured irrigating solution into basin, checked temperature properly.

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ASSESSMENT

PLANNING

IMPLEMENTATION

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5. Applied gloves, cleaned auricle and outer ear canal with gauze or cotton ball, did not force drainage or cerumen into ear canal.

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Comments

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6. Filled irrigating syringe with solution.

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7. Pulled pinna back appropriately based on patient’s age, placed tip of device just inside external meatus, left space around irrigating tip and canal.

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8. Instilled solution properly, allowed fluid to drain out into basin during instillation, continued until canal was cleaned or solution was used.

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9. Maintained flow of irrigation in steady stream until pieces of cerumen flowed from canal.

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10. Asked if patient was experiencing pain, nausea, or vertigo.

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11. Drained excessive fluid from ear by having patient tilt head.

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12. Dried outer ear canal gently with cotton ball, left in place for 5 to 10 minutes.

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13. Assisted patient to a sitting position.

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14. Removed gloves, disposed of supplies, performed hand hygiene.

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1. Asked patient if discomfort was noted during instillation.

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2. Asked patient about sensations of lightheadedness or dizziness.

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3. Reinspected condition of meatus and canal.

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4. Assessed patient’s hearing acuity.

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5. Asked patient and family to describe how to use syringe for ear irrigation.

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6. Identified unexpected outcomes.

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1. Recorded procedure, amount of solution instilled, time of administration, and irrigated ear in appropriate log.

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2. Documented evaluation of patient learning.

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3. Reported appearance of external ear and patient’s hearing acuity in appropriate log.

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EVALUATION

RECORDING AND REPORTING...