The common indications for irrigation of the external ear are presence of foreign bodies, local inflammation, and buildup of cerumen in the ear canal. The procedure is not without potential hazards. Usually irrigations are performed with liquid warmed to body temperature to avoid vertigo or nausea in patients. The greatest danger during ear irrigation is rupture of the tympanic membrane by forcing irrigant into the canal under pressure.

Equipment

▪ Clean gloves

▪ Irrigation syringe

▪ Basin for irrigation solution (use a sterile basin if a sterile irrigating solution is used)

▪ Emesis basis for drainage or irrigating solution exiting the ear

▪ Towel

▪ Cotton balls or 4 × 4–inch gauze

▪ Prescribed irrigation solution warmed to body temperature, or mineral oil, or over-the-counter softener

▪ Medication administration record (MAR)

▪ Otoscope (optional)

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