QUICK REFERENCE GUIDEWhen should I complete the rescreening hearing test?
If an infant has failed the newborn hearing screening test in the hospital, test the infant as soon as possible, before one month of age or within one month after discharge of NICU infant. Both ears must be tested even if the child only failed one ear in the hospital.
Which hearing screening test should I choose?
The only technologies approved for this population are:
OAE- (Otoacoustic Emission) or
AABR- Automated Auditory Brainstem Evoked Response
Both technologies are appropriate but infants who did not pass an AABR in the hospital must be rescreened with AABR to identify auditory neuropathy.
What is considered a "pass" for the OAE test?
A child must pass at least three frequencies in each ear. These frequencies must include:
one low frequency (between 2000 to 3000 Hz )
one high frequency (between 3000 or 4000 Hz )
one other frequency (between 1000-6000 Hz range)
What is considered a "Pass" for the AABR test?
The automated ABR units are usually preset to automatically screen for a response at 35 dB. Screening at 25 dB is recommended if possible.
What do I do if the infant passes the rescreening test?
1. Report hearing screening results on babies that are rescreened in physician's offices to LDH within 7 days even if the results are normal, using the Physician FSR.
2. Monitor all children for speech/ language developmental milestones, auditory skills, parental concerns, and middle ear status at 9, 18 and 24-30 months of age using a validated assessment tool as recommended by the AAP.
What do I do if the infant does NOT pass the rescreening?
1. Refer the child to an audiologist as soon as possible for further diagnostic testing. Do not attempt to perform diagnostic testing in your office. Make the appointment while the parents are in your office.
2. Report hearing screening results on babies that are rescreened in physician's offices to LDH on the Physician Follow-up Services Report Form within 7 days after the screening was completed.
3. Also report hearing screening results to LDH within 7 days on babies given an initial hearing screening if born out of the hospital or if an infant was not screened prior to discharge from the hospital but received initial screening in your office.
4. Give the parents information to help them understand the importance of further testing and need for early identification of hearing loss. Brochures are available free of charge by calling the Early Hearing Detection and Intervention Program at (504) 568-5028 or on the EHDI website.
What do I do when a child has a hearing loss confirmed by the audiologist?
1. Make an appointment for the child to see:
- an otolaryngologist who has knowledge of pediatric hearing loss
- an ophthalmologist experienced in infant evaluation for Usher Syndrome
- a geneticist if the family is interested
2. Refer the child to Early Steps for early intervention services within 48 hours.
3. Refer the child to the Parent-Pupil Education Program to meet with a LA Deaf and Hard of Hearing Outreach Teacher.