NURSE SPECIALIST EAR CLINIC
Margaret Couillault - clinic owner - Clinical Nurse Specialist - Otology
Clinical Nurse Specialists are very experienced specialist qualified Registered Nurses who have gained their qualification within the public hospital ENT department and post graduate study. They are able to diagnose, treat, refer, and assist with educational advice for a wide range of ear conditions. Otolgy nursing requires specialised knowledge and clinical skills
Examination and treatment carried out under oto-microscopy - direct vision
Special care is provided for Hearing Aid clients
Referrals:
SELF REFERRAL / General Practitioner / Practice Nurses / Audiologists & Hearing Therapists
Support and consultation is provided by several Ear, Nose and Throat Specialists.
PLEASE SEE a DOCTOR IF YOU HAVE an URGENT PROBLEM
Please check with your District Health Board - Public Service for free Mobile Ear Clinic services for children (Healthpoint )
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Clinic
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CLINIC OPENS JAN 24TH -APPOINTMENTS FILLED
Please email me if you have a more needy problem
mcouillault@hotmail.com
LOCATION
215 Wairau Road
Wairau Valley
NORTH SHORE
inside Health-i care Medical Centre
Clinics held two to three days per week
Appointment - phone 634 0893
or book on line
at ezybook.co.nz
or contact Margaret at mcouillault@hotmail.com
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Bookings
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When booking online follow the instructions, you will be required to register with Ezybook.
You MUST register the person who the appointment is for
Enter any comment you may have of any issues in the "comment" section before you click on "confirm booking". This includes first, or follow up visit
PRICE MENU
ADULT INDIVIDUAL CONSULTATION AND TREATMENT - service time 15 - 30 mins -$55
ADULT FOLLOW UP TREATMENT - service time 15 - 30 mins - $50
SENIORS INDIVIDUAL CONSULTATION AND TREATMENT - $48
SENIORS FOLLOW UP TREATMENT - $45
CHILDREN AND STUDENTS INDIVIDUAL CONSULTATION AND TREATMENT - $45
CHILDREN FOLLOW UP - $40
Please note: PAYMENT IS BY CASH, CC, EFTPOS, CHEQUE on the day of treatment
War Pension and ACC Hearing Aid clients - no charge - costs claimed
Special Needs clients - free
* CANCELLATION POLICY
Please note that we require 12 hours notice to change or cancel your appt. A $10.00 cancellation fee applies if you do not attend or cancel late... Appts are limited so please think of others.
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Treatment and advice for
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YOUR APPOINTMENT IS FOR CONSULTATION AND TREATMENT
Excessive and impacted wax removal
Discharging ears - suppurating Otitis Media
Otitis Media with Effusion (Glue Ear)
Otitis Externa (ear canal infection)
Foreign Body removal
Mastoid Cavity maintenance
Routine clearing of earwax for Hearing Aid clients
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About us
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Margaret has 35 years years of clinical experience in otology within the public hospital and private health sector. She is a qualified Clinical Nurse Specialist.
Care and treatment is of a high standard with safe clinical practice due to experience and knowledge.
She is supported by ORL Specialist Doctors and able to refer direct to both private and public ORL services
Professional membership is with the National Ear Nurse Specialist Group Inc Society NZ, Member of the College of Nurses - NZ, and NZ Clinical Nurse Specialist Group.
"My practice places importance on good client service and I remain flexible to work with specific needs and aim to provide a safe, professional clinic for the community. "
Debbie Hopkins is Margaret's Personal Assistant and will assist with your enquiries and bookings and endeavour to fit your appointment is as soon as she is able
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Help and Advice
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You are welcome to email me - Margaret - for advice and treatment guidelines
mcouillault@hotmail.com
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SIMPLE EAR CARE / WAX
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If you know you have a blocked ear caused by excessive wax it may be helpful to see your Chemist and purchase 3% Peroxide, Almond Oil, or Olive Oil to see if it will loosen the wax. This may make your ear feel more comfortable.
Your GP may prescibe other drops for loosening the wax if it is badly blocked. This may also help to settle inflammation.
Do not attempt to clear your ear with cotton buds, hairclips or matchsticks! This is harmful to your ear and there is a risk of perforating your eardrum. The ear is naturally self cleansing and earwax is only removed if excessive or causing a problem.
Wax removal can be carried out under "direct vision" ( special ear microscope)
Please feel welcome to make an appt
We advise against ear syringing.
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Otitis Externa / Outer Ear Infection
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Mainstays of management are : local ear toilette ( dry mopping or suction / instruments under direct vision / microscopy), swab for microbiology, topical antibiotic, steroidal, anti microbial, anti fungal ear drops, topical astringents, oto-wicks.
Serious cases involving spread of the infection outside of the ear canal requires systemic treatment. ( oral antibiotics)
Prevention of recurrence is important.
Keeping the ear water free and not using cotton buds
You may require an appt for ear toilette - please phone the clinic
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Otitis Media and Otitis Media with Effusion (glue ear)
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This is inflammation of the middle ear - behind the eardrum - and usually requires a visit to your GP for examination and treatment.
There may be an acute infection in the middle ear with purulent fluid, fever and pain, hearing loss and pressure.
You may have non infected fluid in the middle ear causing hearing loss and a blocked feeling. You may need a nasal spray and/or steam inhalations to clear the Eustachian Tubes.
You may require antibiotic treatment, and if the ear is discharging - you will require an ear toilette (suction) to clear the discharge.
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Hearing Aids
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Many people are fortunate to be able to wear aids to hearing - therefore bringing a normal level of hearing back into their lives.
As hearing aids are potentially blocking the ear canal it is a good idea to obtain regular ear examination. Wax can become trapped in the canal , blocking sound and affecting the hearing aid function. This can be removed enabling restoration of hearing aid function.
It is not advisable for those with hearing aids to have the ear syringed. There is the risk of infection, tinnitus and further damage to hearing.
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