Performing bilateral ear irrigation


Problem: Kim is instructed to perform bilateral ear irrigation on a 68-year-old patient with impacted cerumen.  Before the procedure, she uses an otoscope to check the auditory canal and sees a large amount of dark brown cerumen in the right ear, completely covering the tympanic membrane.  The left ear has a moderate amount of golden-brown cerumen covering the bottom half of the tympanic membrane.  After the procedure, both membranes are visible, and the patient tolerated the procedure without complaints. How should Kim document the procedure? Be specific.

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Biology: Performing bilateral ear irrigation
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