Using the Elephant Ear washer, direct a steady, slow stream of solution against the roof of the auditory canal to prevent injury to the tympanic membrane. See Fig. 7
- Always start with two short applications of water to determine if the client is sensing water in the nose or throat, which signifies a perforated tympanic membrane. If this occurs, DO NOT IRRIGATE. Terminate the procedure and advise the physician/NP.
- Use only sufficient force to remove secretions. Continuous in-and-out flow of the irrigating solution helps prevent pressure in the canal.
- Ensure that the tip end is not inserted too far into the ear canal as to avoid injury to the tympanic membrane.
- If flow of fluid is impeded due to the bending or plugging of tip end, back pressure may cause the nozzle/tubing to separate from the barbed end of fitting.