Equipment
■ Ear drops.
■ Dropper with flexible rubber tip.
■ Cotton-tipped applicators.
■ Cotton ball.
Assessment
■ Assess the external ear and canal for erythema, drainage, and cerumen.
■ Assess for ear pain or hearing impairment. Post-Procedure Reassessment
■ Assess for discomfort or pain during the procedure and for relief afterward.
■ Evaluate for wax build-up, redness, swelling, or drainage.
Key Points
■ Warm the solution to be instilled.
■ Be Safe! Do not exceed body temperature.
■ Assist the patient to a side-lying position, with the affected ear facing up.
■ Straighten the ear canal. For an adult, pull the pinna up and back; for a child 3 years or younger, down and back.
■ Instill the ordered number of drops into the ear canal.
■ Be Safe! Do not force the solution into the ear or occlude the ear canal with the dropper.
■ Instruct the patient to remain on his side for 5 to 10 minutes.
Documentation
■ Record:
■ Medication, time, dose, and route given, and signature.
■ Amount, color, character, and odor of any drainage.
■ Swelling or redness in the ear canal.
■ Pain or discomfort and hearing loss.
■ Therapeutic and adverse drug effects, nursing interventions, and teaching.
■ Document scheduled medications on the MAR, and PRN medications in the nursing notes (along with reason given and response).
■ Chart assessments before, during, and after instillation.
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| For infants and young children, pull pinna down and back |
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| For instilling drops into an adult’s ear, pull pinna up and back |
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