Get the free Newborn Hearing Screening Results and Recommendations Form

Newborn Hearing Screening Results and Recommendations Form Instructions for Staff: Complete this form and provide a copy to the caregiver/s. Newborn hearing screening results and recommendations are

How to fill out newborn hearing screening results

How to fill out newborn hearing screening results

1. Gather necessary information such as name, date of birth, time of birth, birth weight, etc.
2. Perform the hearing screening test in a quiet room with minimal distractions.
3. Follow the instructions provided with the screening equipment to properly conduct the test on the newborn.
4. Record the results accurately on the screening form, noting any issues or abnormalities.
5. Submit the completed screening form to the appropriate healthcare provider for review and further action if needed.

Who needs newborn hearing screening results?

1. Newborns who are at risk for hearing loss, such as those with a family history of hearing loss, certain medical conditions, or exposure to ototoxic medications.
2. All newborns as part of routine newborn screening protocols to identify any hearing loss early on and provide necessary interventions.

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What is newborn hearing screening results?

Newborn hearing screening results refer to the outcomes of tests conducted to assess the hearing ability of newborns shortly after birth, aiming to identify any potential hearing loss.

Who is required to file newborn hearing screening results?

Typically, the healthcare providers who conduct the screening, such as hospitals or pediatric audiologists, are required to file the newborn hearing screening results.

How to fill out newborn hearing screening results?

To fill out newborn hearing screening results, record the infant's identifying information, the type of hearing test conducted, the results (pass/fail), follow-up recommendations, and the date of the screening.

What is the purpose of newborn hearing screening results?

The purpose of newborn hearing screening results is to quickly identify infants with hearing loss so that they can receive appropriate referrals and interventions as early as possible.

What information must be reported on newborn hearing screening results?

Reported information typically includes the infant's name, date of birth, screening date, test results, follow-up recommendations, and the names of the healthcare providers involved.