In addition to the examinations mentioned above, the patient should be evaluated
for signs that may be indicative of hearing defects.
a. Failure to react to loud noises.
b. Inattentiveness in a group conversation.
c. Inappropriate responses in conversation.
d. Facial expressions which indicate a difficulty in understanding what has been
e. Habitually asking "what?"
f. Speaking in a loud or monotonous voice.
g. Speech that is slurred or unclear.
h. Complaint of ringing, buzzing, or roaring in the ears. (Tinnitus)
Sensation of pressure or fullness in the ears.
Discomfort or pain in or around the ears.
k. Light-headedness, dizziness, or loss of balance.
Section III. TREATMENTS AND PROCEDURES
1-12. PRECAUTIONS FOR THE EYES
To prevent injury to the eye and to apply the most effective methods of treatment,
it is necessary to understand and practice safety precautions.
a. Cleansing the Eyelids. The eyelids are always cleansed prior to the
eyelids must also be cleansed after the dressings are removed following eye surgery.
(1) The eyelids are cleansed with 2x2-inch gauze squares moistened in
sterile normal saline or with a solution prescribed by the physician. With the patient's
eyes closed, wipe gently from the inner canthus (corner) to the outer canthus. Be
careful not to exert any pressure on the globe.
Use a fresh piece of gauze for each stroke.