Ear, Nose & Throat Nursing Procedures



DESCRIPTION

This is the process of building a therapeutic relationship/environment with the patient/client and family who visits the hospital. It makes the patient/client and family feel at ease to discuss his/her needs with the nurse. This action is performed by the nurse immediately he/she comes into contact with a patient/client and family.

AIMS

  1. Develop mutual trust between patient/client and the nurse
  2. Reduce anxiety
  3. Maintain the dignity of patient/client
  4. Promote effective communication

TYPES

  1. N/A

DESCRIPTION

It is the act of describing a procedure, an action or task that will be carried out for a patient/client and or the family during the delivery of care.

AIMS

  1. Seek patient/client and family’s co-operation and consent
  2. Provide clear understanding of the action or task
  3. Allay fear and anxiety
  4. Indicate the purpose of the procedure
  5. Aid in patient/client and family’s compliance to treatment

TYPES

  1. N/A

DESCRIPTION

This is a procedure performed to assess the external auditory canal, tympanic membrane and head of malleus.

AIMS

  1. Assess for the presence of foreign body and impacted wax
  2. For therapeutic purposes
  3. For diagnostic purposes

TYPES

  1. N/A

DESCRIPTION

This a surgical procedure a to widen the entrance of the external auditory canal.

AIMS

  1. Widen congenital or acquired meatal stenosis

TYPES

  1. N/A

DESCRIPTION

This is a gentle flushing out of the external auditory carnal with water or normal saline at body temperature.

AIMS

  1. Remove wax
  2. Remove foreign body in the ear
  3. For other therapeutic purposes

TYPES

  1. N/A

DESCRIPTION

This is a process of collecting specimen from a discharging ear using a sterile cotton wool swab/applicator.

AIMS

  1. For culture and sensitivity sample

TYPES

  1. N/A

DESCRIPTION

It is a surgical procedure of eradicating disease from the middle ear cavity and mastoid air cells.

AIMS

  1. Remove infected air cells within the mastoid bone to treat middle ear conditions

TYPES

  1. N/A

DESCRIPTION

Is the immediate nursing care a patient/client receives at the ward after undergoing Radical mastoidectomy.

AIMS

  1. Prevent post-operative complications
  2. Promote healing and early recovery

TYPES

  1. N/A

DESCRIPTION

Is a diagnostic procedure performed to assess the vestibular system using cold water of 30˚C and warm water of 44˚C.

AIMS

  1. Stimulate involuntary to and fro rapid eye movement (nystagmus)

TYPES

  1. N/A

DESCRIPTION

This is a process of administering medications into the external auditory canal.

AIMS

  1. Treat ear infection
  2. Soften wax
  3. Manage itchy ears

TYPES

  1. N/A

DESCRIPTION

Is a procedure that require the use of microscope to visualize the external auditory canal and cleaning done by suctioning.

AIMS

  1. Examine the ear canal and the tympanic membrane in detail
  2. Allow safe cleaning and assurance of the wellbeing of the ear

TYPES

  1. N/A

DESCRIPTION

It is a surgical procedure of removing polyploid mass from the aural cavity.

AIMS

  1. Clear aural cavity from obstructive polyps
  2. Restore hearing
  3. Obtain biopsy

TYPES

  1. N/A

DESCRIPTION

This is a surgical procedure of making a minute incision into the tympanic membrane.

AIMS

  1. Allow the drainage of pus from the middle ear to relieve pressure
  2. Facilitate the insertion of grommet for aeration

TYPES

  1. N/A

DESCRIPTION

It is an aseptic procedure to clean an ear wound.

AIMS

  1. Prevent wound infection of the ear
  2. Promote wound healing

TYPES

  1. N/A

DESCRIPTION

This is a procedure where sutures on the external part of the ear are removed.

AIMS

  1. Promote healing
  2. Reduce infection
  3. Reduce tissue reaction

TYPES

  1. N/A

DESCRIPTION

This is a process of administering nasal medications into the nasal cavity.

AIMS

  1. Manage nasal conditions (allergies, nasal congestion and sinus infection)

TYPES

  1. N/A

DESCRIPTION

This is a surgical excision done to remove a cyst in the sub-labial region.

AIMS

  1. Prevent non-odontogenic infections
  2. For histopathologic analysis
  3. For improvement in esthetics
  4. Prevents recurrence

TYPES

  1. N/A

DESCRIPTION

This is a process of collecting a nasal discharge from the nasopharynx by using a sterile cotton wool swab/applicator.

AIMS

  1. Perform culture and sensitivity test

TYPES

  1. N/A

DESCRIPTION

It is the introduction of warm moist air into the lungs by using the Nelson inhaler.

AIMS

  1. Relieve congestion of the upper respiratory tract

TYPES

  1. N/A

DESCRIPTION

This is a mechanical process of tamponing bleeding from the anterior portion of the nasal cavity.

AIMS

  1. Prevent excess blood loss due to epistaxis
  2. Stabilize the nose in with BIPP (Bismuth Iodoform paraffin paste) in fractured nasal bone or any nasal operation e.g. Sub-mucus resection

TYPES

  1. N/A

DESCRIPTION

This is an act of using mechanical process of securing homeostasis from the posterior portion of the nose. It is an emergency procedure performed by the nurse, using balloon catheters or nasogastric tubes.

AIMS

  1. Prevent excessive blood loss due to epistaxis from posterior source

TYPES

  1. Packing with Foley Catheter
  2. Packing with Naso-gastric Tube

USING POST NASAL PACK

DESCRIPTION

This is an act of using mechanical process of securing homeostasis from the posterior portion of the nose. It is an emergency procedure performed by the nurse, using balloon catheters or nasogastric tubes.

AIMS

  1. Prevent excessive blood loss due to epistaxis from posterior source.

TYPES

  1. Packing with Foley Catheter
  2. Packing with Naso-gastric Tube

POST NASAL PACKING USING FOLEY CATHETER

DESCRIPTION

This is a surgical procedure performed to correct a fractured or deviated nasal bone.

AIMS

  1. Prevent malformation of the nasal bone

TYPES

  1. N/A

DESCRIPTION

This is a surgical procedure by which a cannula is inserted into the maxillary sinus via the inferior meatus or maxillary antrum to aid in washing of the cavity. The nurse assists and observe patient for any abnormal behaviour throughout the procedure.

AIMS

  1. Allow irrigation and drainage of the maxillary antrum

TYPES

  1. N/A

DESCRIPTION

It is a surgical procedure to create an opening into the maxillary antrum (antro-nasal wall) and nasal cavity under the inferior turbinate.

AIMS

  1. Allow drainage of pus, fluid and aeration of the antrum

TYPES

  1. N/A

DESCRIPTION

It is a surgical procedure where an incision is made in the Buccal Sulcus overlying the canine fossa.

AIMS

  1. Facilitate thorough inspection of the maxillary antrum and remove all infection and diseased tissues while creating intranasal counter drainage through the inferior meatus

TYPES

  1. N/A

DESCRIPTION

This is a surgical procedure done to correct pathology/deformity of the nasal septum.

AIMS

  1. Correct septal deviation
  2. Reduce the size of the inferior turbinate to facilitate breathing
  3. Used as optional treatment for chronic sinus infections that do not respond to other treatments

TYPES

  1. N/A

DESCRIPTION

This is a surgical procedure of removing or excising polyploid mass from the nose.

AIMS

  1. Clear nasal passages from obstructive polyps
  2. Restore nasal breathing
  3. Enhance the sense of smell

TYPES

  1. N/A

DESCRIPTION

It is a surgical procedure that allows the surgeon to make a direct approach to frontal and ethmoidal sinus to remove diseased tissue.

AIMS

  1. Treat diseased tissues in the Frontal and Ethmoidal Sinuses

TYPES

N/A

DESCRIPTION

It is a surgical procedure of making an opening into the trachea in patients with upper air way obstruction to create a secured air way.

AIMS

  1. Deliver oxygen to the lungs safely in cases of injury or accident to the muscles around the trachea
  2. Remove secretion from the airway
  3. Reduce the risk of aspiration in certain conditions such as oesophageal fistula
  4. Maintain airway in patients with neurological impairment

TYPES

  1. Temporary
  2. Permanent

DESCRIPTION

Nursing care given to a patient/client on the ward after tracheostomy.

AIMS

  1. Clean and remove secretions from the airway
  2. Maintain a patent airway

TYPES

  1. N/A

DESCRIPTION

This is a surgical procedure of removing the palatine tonsils.

AIMS

  1. For biopsy
  2. Treat recurrent tonsillitis
  3. Treat enlarged tonsils that cause upper airway obstruction
  4. Treat peritonsilar abscess that is unresponsive to medical treatment

TYPES

  1. N/A

DESCRIPTION

This is the use of rigid or flexible oesophagoscope to examine/explore the oesophagus.

AIMS

  1. Remove food bolus or foreign body impaction (dentures)
  2. Obtain biopsy
  3. Dilate oesophageal strictures
  4. Evaluate and manage gastroesophageal reflux disease

TYPES

  1. N/A

DESCRIPTION

This is a procedure used to examine the airway and the lungs using bronchoscope.

AIMS

  1. Diagnostic purposes (e.g. Malignancy, Haemoptysis)
  2. Therapeutic purposes (e.g. Foreign body removal, dilation of bronchial stenosis)

TYPES

  1. N/A

DESCRIPTION

Is a sterile procedure to incise and drain pus from peritonsilar space.

AIMS

  1. Promote healing and prevent further complications

TYPES

  1. N/A

DESCRIPTION

This is a medical procedure done for visual examination or explore the larynx.

AIMS

  1. Diagnose conditions of the larynx
  2. For removal of new growth e.g. Vocal nodes
  3. For taking biopsy

TYPES

  1. Indirect laryngoscopy
  2. Direct laryngoscopy
  3. Fibre-optic laryngoscopy

INDIRECT LARYNGOSCOPY

DESCRIPTION

This is a medical procedure done for visual examination or explore the larynx.

AIMS

  1. Diagnose conditions of the larynx
  2. For removal of new growth e.g. Vocal nodes
  3. For taking biopsy

TYPES

  1. Indirect laryngoscopy
  2. Direct laryngoscopy
  3. Fibre-optic laryngoscopy

DIRECT LARYNGOSCOPY

DESCRIPTION

This a procedure where a swab is taken from the pharynx in patients with upper respiratory tract infection.

AIMS

  1. Isolate organisms for culture and sensitivity test

TYPES

  1. N/A

DESCRIPTION

It is a surgical procedure of removing the nasopharyngeal tonsils (adenoids).

AIMS

  1. Clear post nasal airway obstruction
  2. Treat middle ear infection
  3. Treat paediatric chronic rhino sinusitis

TYPES

  1. N/A