Use plain water at body temperature. Never use cool water.
The child should be seated and should hold a small basin under ear to catch running water. The head should be tilted slightly toward the ear to be irrigated.
Gently pull the ear backward and downward to expose the ear canal. The tip of the syringe should be directed slightly upward toward side of ear canal rather than straight back toward the ear drum. Do not let tip of syringe touch or enter ear canal.
Squeeze contents gently toward the side of ear canal. Never inject forcefully. Note: When the ear canal is irrigated, the tip of the syringe should not obstruct the flow of water leaving the canal.
Clean syringe thoroughly with plain water. Shake out excess water and let air-dry thoroughly.