Wanting to know what some of your hospitals policies are on irrigating ears. I feel like the hospital I work at we irrigate way too many ears, and I have seen a lot of TM ruptures from doing so. We have one size ear tip for all patients and don't inform parents that TM rupture is a risk involved with the procedure. I read in an ENT article that ear irrigation should involve informed consent and that if OM is suspected irrigation should be avoided. Any thoughts?