Exhasxar

I've never claimed that and most NPs I know don't. It's something I've struggled with so I was asking for advice to provide better patient care. In the area I work, if I wasn't here some pediatric patients wouldn't be able to be seen for a week for an acute visit until a week out or have to go to the ER. Most if my clinical experience was with adults

One of my concerns is not being very experienced with manual removal, I would be weary of injuring the TM in an infant. Especially since their canals are so small.

New NP in family practice. I've noticed that about 60 to 70 percent of infants I see I am unable to full visualize their TM due to earwax. If I'm concerned about otitis media or they have a fever, I usually irrigate it if they are over 1. For the first time I asked a nurse if they could lightly irrigate an ear for 9 month year old and they acted surprise I was asking for such a young age?? Is it not recommended for infants or should I be attempting to use a currette manually if they are under 1? What do you all do in your practice?