Managing Cerumen Outline


1. Why manage cerumen?

a.    Impact on practice

b.    Scope of practice statements

2. Cerumen Composition

3. Competencies

a. Examination of the Ear

i. Magnification
ii. Illumination

b. Case History

i. Test Results
ii. Contraindications
iii. Identification

c. Culturally Responsive Intervention

ii. Consent to Treat

d. Risk Management

i. Possible Risks
ii. Risk Reduction

e. Infection Control

i. Core Competencies
ii. Exposure Groups
iii. Standard Precautions

1. Hand Hygiene

2. Risk Assessment

3. Protective Equipment/Respiratory Etiquette

4. Environmental Cleaning

5. Equipment Cleaning

6. Waste Management

7. Post Exposure Management

8. Staying Home when Sick/Immunizations

f. Ear Wax Softening

g. Equipment

i. Tools
ii. Suction
iii. Aural Irrigation

h. Methods

i. Documentation

j. Follow-up & Prevention

Learning Objectives:

Upon completion of this symposium, participants will be able to:

  1. Describe patient demographics of groups most likely to have impacted cerumen
  2. List the most common reflexes that can be triggered during cerumen removal
  3. Describe potential beneficial functions of cerumen
  4. Understand the importance of infection control when removing cerumen
  5. Identify a variety of techniques that can be used to remove cerumen.
  6. Identify how cerumen and tinnitus/temporary thresholds shift are connected
  7. Understand modifications of techniques for patients with a perforated tympanic membrane or patients with tympanostomy tubes.