¶ welcome to the school nurse's office
Welcome to the nurse's office. I see that you. Haven't scheduled for an ear cleaning and hearing test. Okay, okay, so you've been complaining about difficulties hearing lectures in class, correct? Okay and I have your online appointment information in your chart, right here. I am going to just confirm your information that you began on our website. OK? OK. Have your chart? What is your full name?
¶ check in (asking you questions)
Okay. Lovely, lovely name. What is your mailing address? Apartment. Okay. What is your school email and your student ID? Okay. Do you know your parents health care provider? Okay, do you have your insurance card on you? Can I see your card? Thank you. What is your primary physicians name in their office name and address if you know it? If I wrote your prescription for today, what a pharmacy. Would you like it to be sent to and what is the address of that farm?
See. I need to check your hands. So that is good to go. Now for your, for your appointment. I have a few things I need to do and then hopefully, we can get to the bottom. I love your shoes and send you back to class. Okay, so I know this is a ear cleaning and hearing test, but for any medical procedure as per standard protocol, I have to check your vitals. Okay, Okay. So that's what we're gonna do first going to check her vitals
are right. Let me put your chart up my little cute start, being a bleep out of the way. So I'm going to go ahead and check your breathing.
¶ checking your vitals (stethoscope, otoscope to check eyes, temperature)
I have my stethoscope here. Right here. I'm just going to check your breathing in your lungs. Okay, I should go hard in your lungs. Okay, so you just kind of breathe in and breathe out as I tell you, ok, breathing him. Pretty low. Good, good. Just breathe. Good job. Your lungs and your heart beat is very strong. That's my like to ear. Now I'm going to check your eyes just to make sure your eyes are, okay. No, pupil dilation or abnormal
things going on, okay? So I have this over the school Pier. I'm just going to shine this light in your eyes, too much for you, and you can look at the, like, if you wish or not, look away, Just look up for me. Good, good for me. Okay. Let's look at your other eye. Okay, you can. Look at the light if you want, or you don't have to Right now, I'm just going to have to go. Temperature obviously, right? So let's go ahead. That is a really good reading. Good reading. Good. Good good.
Alright, so now that is recorded for going to go ahead and start
¶ ear assessment & analysis with penlight
with your ear analysis. Going to check your ears and just see what's going on. The surface level and they were going to go in and deep broken. Okay. Go ahead and put these gloves on. Do you have any reasons to feel anxious or nervous during the day? I'm going to do a really quick chest Bare Bones surface level analysis, on your ears. Going to use this light year. And we'll show you it's more of a warm tone, my son's going to go ahead and check your ear.
okay, so with your Ears. I do see a little bit of buildup, more than likely, it's probably some earwax, so no need to worry about that. So I have the necessary tools
¶ ear cleaning (clean ears with alcohol wipes, water mister, cotton swabs, ear picks)
that are going to be using to make sure your ears good nice and clean, okay? So first things first, before we start with your cleaning, we're going to just like down your ears. I'm just going to gently clean each ear Mom, okay. Now, that your ears are my using clean off and sanitized. I am spraying some solution onto your ears, is going to come out in the mist. Going to come out. And kind of getting people to your ears as well, but it's really fun.
Now I am going to take my Lord cotton swab here. I have two of these for you and I'm going to spray them with a water and oil based solution. So it's not with me water-based up is is going to go into your ears. We can bring to that wax. But I just decided to use a little bit of lavender. I think Lavender is a very calming. Essential oils. So I decided to pull this one out. We're going to put this into one ear of corn cotton swab for the other day. Mother.
Do the same thing spray with a water-based solution. Five drops of the oldies. Okay, so now we're going to get into the ear cleaning portion. I have this fear big and we're going to get deep into your ears, okay? But you let me know, at any point in time you feel discomfort, okay? And I'm also going to be using these as well in your ear. You. Okay, so going to start with this first game, Okay. Pretty, darn good. I can see. Where are you going? So now we're going to go ahead
¶ hearing test (tuning fork, whisper words/numbers/phrases, mini maracas)
and do a little bit of a hearing test to make sure everything is in working condition. Okay, okay, so now we're going to do a few earring dense. Okay, okay. Tuning fork gear, I know, This tuning fork is not some people's favorites, but I'm going to use this tuning fork. I'm going to hit my hand. Raise your hand when you hear it, and then Put your hand down when you stop hearing it, okay? Whisper a few words numbers and phrases in your ear and you just
repeat back when you are, okay? Basketball court. Green purple. 16:24. 76. 22. 81. 17. 36. A girl that sits next to me magenta. Butterflies are extremely beautiful creatures. Mechanical pencil ran out of land. My cell phone battery is bad. 37 percent. Okay. You seem to be hearing pretty well, I have one more test and I'm going to do and I basically just have these Morocco like little mini Maracas here. And I'm just going to shake them, you know your hands up.
When you hear me, put your hand down, when you do Good God. Very very, very good. Excellent, excellent me with them down. That looks like he got you here. I'm Shane. Okay? So I think the last thing I'm going to do is I'm going to apply some your appointment
¶ ear ointment & treatment with ear massage
treatment on your ears because we did quite a bit with your ears. So I'm just going to take some more of this lavender oil. And I'm going to massage this lavender oil, onto your ears, very gently that will be treatment with description. So I know sometimes that you're cleaning can be a little bit intense. Leave you with some sort years so I'm going to give you some ear drops as a prescription. Okay, I'm going to take the few drops of mistreatment and drop it into your ears, go.
And I want you to hold your ear like that for me. Okay, I'm back. I'm going to prescribe. I guess I'm going to prescribe this. For years and you're going to do this treatment for one week and you're going to do it in the morning in the afternoon around lunch time. And then one more time, around dinner time for all seven or eight me, And is three drops for each year. Well, it looks like you are
¶ results & remarks, hope you feel better soon
hearing pretty well, let me write up your rental. On your student. Email is my biggest supporter. For you since you're providing me with your Pharmacy to Pharmacy that you put in the address, I don't have those. Trucks sent to that pharmacy location and they should be ready, they should be ready to pick up. We can see they should be ready to pick up this afternoon. You get out of class so I can make sure you tell your parents,
okay? But your prescription will be on. On a student portal. Yes, and I'm going to give you a prescription, and this prescription is going to be your hall pass back to class. With. So, get this to your parents. Good, good good. I am going to fill out the rest of your information on your student portal chart, that will be updated by the time you get out of class today. Yes. Yes, yes, your prescription is wrong. Very, very good. Any more tissues just come back here.
Okay, thank you so much for coming to the nurse's office. I'm so glad that you're feeling better. Okay. Alright. Will you take care? Okay, now back to your studies, stay out of trouble. Okay?