Early Hearing Detection and Intervention A roadmap to success

Outpatient screening: before one month

Introduction

Standardize communications (written and verbal) with parents about hearing screening results

Provide clear communication about next steps using the Patient Checklist for Primary Care Providers

Identify two points of contact for families of infants who did not pass such as a relative or friend

Offer a referral to Minnesota Hands and Voices

Schedule the follow-up appointment during the visit

Report the results to the family, the primary care provider, and Minnesota Department of Health

Closing the follow-up gap: Outpatient screening


Role of Outpatient Screening Staff

Important Steps to Cover

  • Complete outpatient rescreening before 1 month of age

  • Educate parents about newborn hearing screening follow-up

  • Prepare quiet infant for screening

  • Screen both ears (ABR Tips, OAE Testing Steps & Do's and Don'ts, Clinic Quality Assurance Checklist)

  • If infant does NOT PASS, schedule appointment for diagnostic audiological evaluation (Hearing Screening Follow-up Process)

  • Document outpatient rescreening result in:

    • Baby's medical record

    • Hearing Screening log book (if completed by hospital nursery staff)

  • Report final results to the parent, primary care provider, and MDH Newborn Screening Program

    • Hearing PASS Result* (English) *Available in English, Hmong, Karen, Russian, Somali and Spanish (Order here)

    • Hearing ALERT: REFER Result* (English) *Available in English, Hmong, Karen, Russian, Somali and Spanish (Order here)

  • Report outpatient results to MDH using appropriate forms for: Audiologists: Audiology Results Report Form

  • Have a plan if infant/family does not show for appointment

Materials marked with * are available to order free-of-charge on the Minnesota Newborn Screening Program website.

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

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Misconception: Middle ear fluid prevents completion of diagnostic ABR

Clinical Fact: Underlying sensory loss can and should be ruled out as soon as possible through use of bone conduction ABR stimuli

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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

 

More Hearing Screening Myths