Step 1: Choose the proper speculum size. Select the largest speculum that will fit comfortably in your client’s ear. 

Step 2: Hold the otoscope with the same hand as the ear you are assessing. For an adult, with your free hand, gently pull the pinna up and back to straighten the canal

Step 3: Using the same hand that is holding the otoscope, brace one or two fingers against the jawline in case of sudden movements.

Step 4: Gently move the otoscope into the proper position to view the ear canal and tympanic membrane. See Figure 1, for an example of how this looks with CARL including an inside view of his ear canal using a video otoscope. 

Step 5: Repeat procedure with next side and document the procedure as outlined by your licensing body. 

Step 6: Proceed to the next guide; Introduction to Audiometry.

¹ Obtaining consent by the College of Audiologists and Speech-Language Pathologists (CASLPO) http://www.caslpo.com/sites/default/uploads/files/GU_EN_Obtaining_Consent_ for_Services.pdf