QTP4N1X1X-D1 governs training and evaluation for removing cerumen or foreign matter from the external ear canal.
View QTP4N1X1X-D1 on armypubs.army.mil
It contains a microscope-based curettage and suction method, including preparation, performance, follow-up, and final results or notes. The package requires satisfactory performance of all task parts without assistance and documentation of competency after evaluation.
Applies to: This qualification training package (QTP) was developed to make a training aid available that will assist Otolaryngology Surgical Technicians to develop technical skills essential to performing specialized tasks.
The principal danger of mechanical removal of debris or foreign bodies from the ear canal is trauma to the skin of the canal or perforation of the tympanic membrane. (paragraph 3)
The evaluator will STOP the procedure immediately and correct the trainee if performance may compromise patient safety. (paragraph 2)
The trainee must satisfactorily perform all parts of the task without assistance. (paragraph 3)
If the mass is too soft to mobilize and grasp, a few drops of Debrox solution introduced into the EAC followed by large bore suction may clear the debris. (paragraph 6)
If the patient experiences pain or bleeding, evaluation by the credentialed provider is indicated. (paragraph 2)