Get the free OAE Hearing Screening Form PDF - infanthearing

OAE Screening Protocol & Documentation Form Hearing Screening Record Child s Name ID # Date of Birth Clinic Birth Hospital ? Periodic Screen OAE Child s Days Age Months ? ? 2-4 1 ? 2 ? 4 ? ? 6 9 ?

How to fill out oae hearing screening form

How to fill out ECHO OAE Screening Protocol & Documentation Form

1. Begin by gathering patient information such as name, date of birth, and contact details.
2. Indicate the date of the screening and the name of the screening personnel.
3. Fill out the reason for the screening, specifying any relevant medical history or risk factors.
4. Record the type of equipment used for the OAE screening, including the manufacturer's name and model.
5. Document the OAE test results clearly, including pass/fail outcomes and any specific measurements taken.
6. Include notes on any follow-up actions required based on the results, such as referrals to specialists.
7. Ensure all signatures and necessary authorizations are completed for compliance.
8. Review the entire form for completeness and accuracy before submission.

Who needs ECHO OAE Screening Protocol & Documentation Form?

1. Healthcare providers conducting hearing screenings on infants and young children.
2. Audiologists and specialists in pediatric audiology.
3. Administrators responsible for maintaining hearing screening protocols in healthcare facilities.
4. Parents or guardians seeking to understand the screening process for their children.

People Also Ask about

What is the report that contains hearing test results called?

GENERAL: Audiograms are used to diagnose and monitor hearing loss. Audiograms are created by plotting the thresholds at which a patient can hear various frequencies.

What is the difference between ABR and OAE screening?

The ABR screening tells us how the nerve and brainstem pathways for hearing are working. The ABR records activity at the level of the brainstem in response to sounds played through earphones. The OAE screening measures the function of the outer hair cells, but does not measure a response from the auditory nerve.

What is the OAE hearing test for newborns?

The OAE (Otoacoustic Emissions) test checks part of the inner ear's response to sound. The test is mostly done on infants and children who may not be able to respond to behavioral hearing tests because of their age.

What is a normal hearing test result?

Normal hearing range is 250-8,000 Hz at 25 dB or lower. A word recognition test (also called speech discrimination test) assesses a person's ability to understand speech from background noise.

What is the method of screening OAE?

How the OAE Is Done. A small earphone, or probe, is placed in your ear. The probe puts sounds into your ear and measures the sounds that come back. You do not need to do or say anything during the test.

How do I document hearing screening results?

Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER. Use consistent notations with a key indicating which symbols or words denote PASS and REFER so that results are clear to caregivers/guardians and providers.

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What is ECHO OAE Screening Protocol & Documentation Form?

The ECHO OAE Screening Protocol & Documentation Form is a standardized document used to record and track the results of the Otoacoustic Emissions (OAE) hearing screenings performed on infants and young children.

Who is required to file ECHO OAE Screening Protocol & Documentation Form?

Healthcare providers who conduct OAE hearing screenings as part of early detection programs are required to file the ECHO OAE Screening Protocol & Documentation Form.

How to fill out ECHO OAE Screening Protocol & Documentation Form?

To fill out the ECHO OAE Screening Protocol & Documentation Form, providers must enter relevant patient information, screening results, and any follow-up actions taken based on the outcomes of the OAE screenings.

What is the purpose of ECHO OAE Screening Protocol & Documentation Form?

The purpose of the ECHO OAE Screening Protocol & Documentation Form is to ensure accurate tracking and reporting of hearing screening results, facilitating appropriate follow-up care and interventions for children identified with potential hearing issues.

What information must be reported on ECHO OAE Screening Protocol & Documentation Form?

The information that must be reported includes patient identification details, dates of screening, results of the OAE tests, any referrals made, and notes on follow-up actions.