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    Return Demonstration Evaluation Tool For Ear Irrigation

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    tflorenz
    This document provides an evaluation tool for assessing a student's return demonstration of ear irrigation. It outlines the key steps of the procedure, including: 1) assessing the ear for any issues, 2) preparing supplies and positioning the patient, 3) slowly instilling the irrigating solution and allowing it to drain, and 4) evaluating the patient's response after. The tool evaluates the student on their skills in performing the procedure, knowledge of the rationale and elements involved, and their attitude and organization during the demonstration.

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    Return Demonstration Evaluation Tool For Ear Irrigation

    Uploaded by

    tflorenz
    99 views3 pages
    This document provides an evaluation tool for assessing a student's return demonstration of ear irrigation. It outlines the key steps of the procedure, including: 1) assessing the ear for any issues, 2) preparing supplies and positioning the patient, 3) slowly instilling the irrigating solution and allowing it to drain, and 4) evaluating the patient's response after. The tool evaluates the student on their skills in performing the procedure, knowledge of the rationale and elements involved, and their attitude and organization during the demonstration.

    Original Title

    Ear-Irrigation

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    © © All Rights Reserved

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    This document provides an evaluation tool for assessing a student's return demonstration of ear irrigation. It outlines the key steps of the procedure, including: 1) assessing the ear for any issues, 2) preparing supplies and positioning the patient, 3) slowly instilling the irrigating solution and allowing it to drain, and 4) evaluating the patient's response after. The tool evaluates the student on their skills in performing the procedure, knowledge of the rationale and elements involved, and their attitude and organization during the demonstration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    99 views3 pages

    Return Demonstration Evaluation Tool For Ear Irrigation

    Uploaded by

    tflorenz
    This document provides an evaluation tool for assessing a student's return demonstration of ear irrigation. It outlines the key steps of the procedure, including: 1) assessing the ear for any issues, 2) preparing supplies and positioning the patient, 3) slowly instilling the irrigating solution and allowing it to drain, and 4) evaluating the patient's response after. The tool evaluates the student on their skills in performing the procedure, knowledge of the rationale and elements involved, and their attitude and organization during the demonstration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    RETURN DEMONSTRATION EVALUATION TOOL

    FOR EAR IRRIGATION

    Name: __________________ Grade: __________


    Time started: _________ Time Ended: ______ Date of RD: ________

    AREA FOR EVALUATION RATING COMMENTS


    SKILSS (35%) 5 4 3 2 1 0
    ASSESSMENT/PLANNING
    1. Reviews physician’s order including
    solution to be instilled and the
    affected ear to receive irrigation.
    2. Reviews medication record for history
    of ruptured tympanic membrane using
    an otoscope.
    3. Inspect the pinna and external
    auditory meatus for redness, swelling,
    drainage and abrasions and presence
    of cerumen or foreign objects.
    a. Always attempt to remove foreign
    object in the ear by first simply
    straightening the ear canal.
    b. If vegetable matter (such as dried
    bean or pea) is occluded in the canal,
    do not perform the irrigation.
    4. Ask if the patient is experiencing
    discomfort, note the patient’s ability
    to hear clearly.
    5. Review patient’s knowledge of
    purpose for irrigation and of normal
    care of ears.
    IMPLEMENTATION
    1. Washes hands.

    2. Arranges supplies at bedside and done


    gloves.
    3. Positions the examination light to
    illuminate the affected ear.
    4. Assists patient to a sitting or lying
    position with head turned toward the
    affected ear.
    5. Places towel under the patient’s head
    and shoulder and have the patient hold
    the emesis basin under the affected
    ear.
    6. Pours irrigating solution into the
    basin.
    7. Gently cleans auricle and outer ear
    canal and moisten cotton ball
    applicator.
    8. Fills the syringe with warm solution
    (98.6°F or 38°C) approximately 50
    ml.
    9. For adult and children over age 3
    years old, gently pull upper portion of
    pinna up and back; in children age 3
    years and below, pull the pinna down
    and back.
    10. Slowly instills the solution by holding
    tip of the syringe 1 cm or ½ inch
    above opening to ear canal.
    11. Direct the fluid towards the superior
    aspect of the ear canal. Push the
    plunger or depress the bulb in slowly
    and carefully.
    12. Allows fluid to drain out during
    instillation into the basin. Continue
    until canal is cleansed or until the
    desired amount of solution ordered
    has been used.
    13. Inspects the ear canal to see if it is
    clean. Dry the ear and neck area.
    14. Leaves the cotton ball loosely in place
    for 5-10 minutes.
    15. Assist patient to a sitting position.

    16. Clean the area. Disposes supplies and


    remove gloves.
    17. Performs handwashing.

    EVALUATION
    1. Asks patient if discomfort is noted
    during installation of solution
    2. Asks patient about sensation of
    lightheadedness and dizziness.
    3. Re-inspects condition of the meatus
    and ear canal.
    4. Let the patient describe the purpose of
    irrigation and proper technique for ear
    care.
    5. Ask the patient about improved
    hearing.
    DOCUMENTATION
    1. Records in the nurses notes the
    procedure, amount of solution
    instilled, time of administration and
    ear receiving irrigation.
    2. Notes the appearance of external ear
    and patient’s hearing acuity in the
    nurse’s notes.
    3. Report’s adverse effects/patient’s
    response and/ or withheld drugs to
    nurse in-charge or physician.
    KNOWLEDGE (15%)
    1. Gives rationale of the procedure

    2. Explain the elements and mechanics of the


    procedure
    3. Knows the elements of nursing process as
    applied
    4. States principles applied in procedure

    ATTITUDE: (10%)
    1. Is well groomed.
    2. Wears prescribed, neat and clean
    uniform.
    3. Arrives on time for the RD.
    4. Speaks to CI and client tactfully.
    5. Minimizes use of energy, time and
    effort.
    6. Utilizes supplies efficiently.
    7. Considers client’s safety, privacy and
    comfort.
    8. Is well organized.
    9. Keeps working area clean at all times.
    10. Gives high value for aesthetics.

    Comments:
    ______________________________________________________________________________
    __________________________________________________________________

    Clinical Instructor’s Signature: ___________________________

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