Newborn Hearing Screening Needs Assessment
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- Dorthy Ward
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1 Facility Name Contact Name Phone Number General Information What types of nurseries are available at your hospital? (i.e. well-baby, NICU, etc) Who will be the program administrator? How many births occur in your hospital on an annual basis? What is the geographical location of your hospital? (i.e. rural, urban, etc) What are the demographics of your patient population? Children s Hospital & Regional Medical Center 1
2 What is the average length of stay for babies born at your facility? Does your hospital have an Audiologist on staff? Informing and Consent How will you inform parents that their baby will receive a hearing screening prior to discharge? How will you obtain consent for the hearing screening? Is it covered in your hospital s general consent? What if the parents refuse the screening? Logistics When will you perform the screening? Where will you perform the screening? Children s Hospital & Regional Medical Center 2
3 Who will perform the screening? Who will train the screeners? Who will determine if the results of the screening are a pass or a refer? Who will review problem cases? Who will supervise and/or monitor your screening program? How will the screeners receive feedback about the program? Equipment & Screening Protocol What piece of equipment will you be using? Children s Hospital & Regional Medical Center 3
4 Will you be screening using OAE s, ABR or both? What will your screening protocol be? What is the cost per patient for your disposables? What is your back-up plan in case of equipment breakdown or failure? Communicating Results Who will inform the family of the screening results? How will you ensure that proper terminology is used to convey the results of the hearing screening? Who will you refer the family to if they have questions you are unable to answer about the screening test and/or the results of the screening test? Children s Hospital & Regional Medical Center 4
5 How will you inform the baby s physician of the results of the hearing screening? Tracking and Data Management How will you track the screening results in the infant s medical record? How will you ensure that every baby is screened? How will you ensure that babies who are transferred to other hospitals receive a hearing screening? How will you ensure that infants who are referred for a second screening or are missed before discharge return for a follow-up hearing screening? How will you ensure that infants who do not pass the 2 nd screening are scheduled for a diagnostic hearing evaluation with an Audiologist in a timely manner? Follow-up and Early Intervention Who will you refer to for Diagnostic Audiology? Children s Hospital & Regional Medical Center 5
6 How will you monitor the outcomes of diagnostic referrals? How will you monitor infants who are at risk for progressive hearing loss? Who are the Early Intervention points of contact for the counties that your hospital serves? Who are your Stakeholders & Key Participants? Title Contact Pediatricians Neonatal Nurse Manager Administrator Audiologist Otolaryngologist Children s Hospital & Regional Medical Center 6
7 School District 0-3 Coordinator Part C Coordinator/Lead FRC Children with Special Health Care Needs Coordinator Early Intervention Programs Parents of Deaf/HOH Children Stumbling Blocks What potential stumbling blocks may interfere with the success of your program? (staff willingness to participate, support of hospital administration, pediatrician support etc.) Children s Hospital & Regional Medical Center 7
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