Syringing a patient's ears is usually performed to remove the cerumen (wax). Although a common procedure it is invasive with the potential to cause discomfort or even injury to the patient.

Equipment

Aims

Procedure

  1. Welcome patient, check identity, seat in upright chair close to work surface with equipment. Check source of referral for syringing.
  2. Check patient's history of ear problems or treatments, along with previous use of softening agent. (Advised to use olive oil for 2-3 days prior to syringing).
  3. Examine patient - ensure wax is soft, no obvious sign of infection or abnormality. For examination, use the largest speculum on the auroscope that will comfortably fit into the ear. Gently pull the pinna upwards and backwards to straighten the canal.
  4. Explain procedure to patient and ask patient to inform the nurse of any discomfort. Demonstrate noise of syringe. Gain informed consent.
  5. Protect patient with towel
  6. Ask patient to support Noott's tank (or get assistance)
  7. Ensure water is warm
  8. Straighten ear canal, while controlling jet. Aim jet upwards and backwards towards the roof of the canal, rather than directly at the tympanic membrane.
  9. Check at intervals for pain and examine for effectiveness.
  10. After removal of wax, give a final check and offer patient a tissue.
  11. Discuss causes of wax build up, the natural cleaning process of ears and the importance of the patient not attempting to use cotton buds, matchsticks etc to clean their ears.
  12. Update computer.

References