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Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

1. Elements define the essential outcomes
2. Prepare for cerumen removal
   • Determine client needs through review of client case history and case management plan
   • Clearly explain cerumen removal procedure and provide opportunity for client to ask questions
   • Gain client consent for extraction procedure
   • Set up equipment following standard protocols and infection control guidelines
3. Conduct otoscopy
   • Follow personal hygiene and infection control procedures
   • Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures
   • Identify and respond to any abnormalities of the ear canal
   • Identify contra-indications to cerumen removal
   • Identify most appropriate method for cerumen removal taking into account results of findings
   • Follow cerumen softening procedures to dissolve cerumen if impaction present
   • Make referralto appropriate agency for further assessment and treatment
4. Remove cerumen
   • Select appropriately sized speculum as required
   • Extract cerumen using a sterilised wax ring and appropriate head light
5. Follow post-cerumen removal procedures
   • Complete post-cerumen removal otoscopic inspection to review status of ear canal
   • Address any post removal requirements using established methods
   • Complete accurate treatment documentation following organisational procedures
   • Identify the need for referral and refer client to health profession as required

Performance Evidence

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

followed established procedures and protocols to independently remove cerumen for at least 30 clients:

used cerumenolytic agents to soften cerumen, taking into account any client allergies

extracted cerumen by curette

stem any bloodflow

removed residual blood or debris post-cerumen extraction

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Knowledge Evidence

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national and state/territory) for cerumen removal:

duty of care

informed consent

privacy, confidentiality and disclosure

records management

work role boundaries, responsibilities and limitations, indicators for referral

anatomy, physiology and pathophysiology of the outer and middle ear:

medical or post-surgical conditions of the outer and middle ear that alter the appearance and/or function of the external ear canal or tympanic membrane

client positioning for safe and optimal cerumen removal

how to adjust headlamp for optimal view

correct and safe curetting technique

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