Inpatient Screening: Introduction
Review sample policies, procedures and competency guidelines that align with JCIH Guidelines.
Assure follow-up with a few key data-collection and communication tools.
See how the collaboratives used improvement tools to test steps of change within their organizations.
Closing the Follow-up Gap: Inpatient Screening
If infants do not pass their newborn hearing screen in the hospital, it is important that the babies are screened again as soon as possible (no later than 1 month of age). Most can return to the birthing hospital for an outpatient re-screen within the first week or two after discharge. If it is not possible or convenient (or for insurance coverage), the provider can refer the infant to another screening location. If the infant was screened with the AABR, it is best if AABR is used for the rescreening.
- Hearing Screening Locations for Infants (English and Spanish)
NICU graduates (more than a 5-day stay) or infants with risk indicators for hearing loss:
- Do not rescreen
- Refer to a pediatric audiologist for diagnostic testing
- Older infants may need sedation/anesthesia
Please be advised, results from each screening or diagnostic test performed must be sent to the Office of Newborn Screening. The fax number is 602-364-1495.
- Results of all hearing screening and subsequent tests for hearing loss performed on newborns and infants must be reported to the Office of Newborn Screening, along with identifying information for the baby and the facility performing the test.
- Results from each hearing screening or diagnostic test performed must be sent to the Office of Newborn Screening within one week of the test date.
- All tests, even if normal, should be reported. Normal results help the Newborn Screening Follow-up team know when the child no longer needs active follow-up.
- How does the care align with screening guidelines and best practices?
- How is the family engaged?
- How is care coordinated and communicated?
- How do you find resources appropriate to this family's needs?
- What staff training is needed?
- How can you help families identify a PCP prior to discharge?
- How can you assure that your hospital is recording the PCP for every baby?
- How would this infant be handled if transferred to the NICU?