Abstract Introduction: Despite a larger frequency of OPD patients requiring treatment, why is it not done in OPD should be addressed. Because there is no suction equipment in the ENT OPD, these patients who require suctioning are referred to ENT Emergency Room. This is a source of undue inconvenience for patients. This not only poses a risk to patient safety, but it also has major financial consequences, as well as a negative impact on patient satisfaction, which is a key indicator of treatment quality. Methods: This is a closed-loop audit cycle beginning with recognition of the problem and assessing the magnitude of the problem. Based on the burden of referrals to the MOT, the auditors proposed the changes in practice under hospital OPD guidelines enacted by Pakistan Otolaryngology Association. Results: A significant percentage of 52.5 is requiring ear suction in the first audit cycle. The percentage of patients that had to be referred to ENT OT decreased from 52.5% in the previous audit to a significantly low value of 9.5% in this audit. This clinic’s role is to decrease the burden of referrals, reduce patients’ misery of going to the ER for suctioning, and improve patient satisfaction. Conclusion: Our study discerns the fact that the implementation of some simple protocols will lead to an immense change. The resultant reduction in clinical activity will lead to a reduction in the workload of the doctors too.