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Division:Mountain DHP Type:Newborn Hearing ScreenerName of Nonemployee Dependent
Healthcare Practitioner (DHP):
DHP Unique Identifier:Date:Newborn Hearing Screener
The Newborn Hearing Screener must
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How to fill out newborn hearing screener

How to fill out newborn hearing screener
01
To fill out a newborn hearing screener, follow these steps:
02
Start by gathering all the necessary information about the baby, such as their full name, date of birth, and any relevant medical history.
03
Prepare the newborn hearing screener form or questionnaire. This form may be provided by the healthcare provider or hospital where the baby was born.
04
Carefully read the instructions on the form to understand what information needs to be provided.
05
Fill in all the required fields on the form accurately. This may include the baby's personal information, medical history, and any previous hearing tests.
06
Double-check the form for any errors or missing information before submitting it.
07
Submit the completed newborn hearing screener form to the designated healthcare provider or hospital. They will further assess the baby's hearing capabilities based on the information provided.
08
If any additional steps or appointments are necessary, follow the instructions given by the healthcare provider.
Who needs newborn hearing screener?
01
Newborn hearing screening is recommended for all infants regardless of their risk factors or family history of hearing loss.
02
However, certain factors increase the risk of hearing loss in newborns, making the screening even more crucial. These factors include:
03
- Family history of permanent childhood hearing loss
04
- Infection during pregnancy, such as cytomegalovirus (CMV), herpes, or rubella
05
- Maternal diabetes
06
- Use of ototoxic medications during pregnancy
07
- Birth complications, such as premature birth, low birth weight, or lack of oxygen
08
- Physical abnormalities of the head and neck
09
- Jaundice requiring a blood transfusion
10
- Bacterial meningitis
11
It is important to consult with the healthcare provider to determine if a newborn hearing screener is necessary for a specific baby based on their risk factors.
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What is newborn hearing screener?
Newborn hearing screener is a test performed on infants shortly after birth to detect hearing problems early.
Who is required to file newborn hearing screener?
Healthcare professionals, such as doctors and nurses, are required to file newborn hearing screener.
How to fill out newborn hearing screener?
Newborn hearing screener can be filled out by providing information about the infant's birth and test results.
What is the purpose of newborn hearing screener?
The purpose of newborn hearing screener is to identify hearing issues in infants so that early intervention can be provided.
What information must be reported on newborn hearing screener?
Information such as the infant's name, date of birth, test results, and healthcare provider must be reported on newborn hearing screener.
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