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
Role of Inpatient Screening Staff
Important Steps to Cover
- Educate parents about newborn hearing screening
- Prepare quiet infant for screening
- Screen both ears (ABR Tips, OAE Testing Steps & Do's and Don'ts)
- Rescreen before discharge if inital result is a REFER (REFER = Not Passing Result)
Document final inpatient result in:
- Baby's medical record
- Hearing Screening log book (Sample Hearing Logbook)
Report final inpatient results to the parent, primary care provider, and MDH Newborn Screening Program
- Schedule follow-up appointment prior to discharge for infants who do not pass
- Have a plan for missed screens, transfers (in and out; Hearing Screening Form for Transferred Infants), and equipment breakdown
Tips For Improvement
Misconception: Abnormal OAE’s along with flat tympanograms (normal volume) confirms a conductive hearing loss
Clinical Fact: Diagnostic ABR including bone conduction testing is needed in combination with OAE’s and tympanograms for a complete diagnosis of type and degree of hearing loss in each ear
Misconception: Hearing screening is not needed if there is no family history of hearing loss
Clinical Fact: More than 90% of infants with hearing loss have two parents with normal hearing
Misconception: Babies need to be sedated to complete ABR testing
Clinical Fact: Babies younger than 3 months can typically be tested without need for sedation