Hearing Screening E-Learning Course
Hearing Screening Procedures
Risk Assessment and Hearing History
Hearing risk assessment and history consists of questions designed to detect a child’s potential risk for hearing loss. This includes asking if:
- There is a history of childhood hearing disability or hearing loss in the child's siblings or the family of the biological mother or father.
- Delay in the child’s language acquisition.
- Recurrent otitis media. In addition.
- Parent, or guardian concerns about the child's hearing.
- Screeners use a hearing screening questionnaire to assess a child’s particular risk factors for hearing loss, it is not intended to be a comprehensive health history.
For more information, refer to Risk Assessment.
Risk Assessment and Hearing History Procedure
One month to 21 years
To assess risk factors for lost to follow-up, delayed onset, progressive and acquired hearing loss
Review the following:
- For infants zero to one months of age or any initial C&TC visit of a child up to the age of three years:
- Universal newborn hearing screening is required for all newborns by one month of age using either otoacoustic emissions (OAE) or auditory brainstem response (ABR) technology.
- If an infant did not receive newborn hearing screening, it is recommended that an objective screening, OAE or ABR as appropriate, be performed as soon as this gap in screening is identified.
- For all children:
- Review: JCIH Risk Indicators and Observed Complaints and Behaviors.
- Monitor developmental milestones and caregiver concern. This is especially important until pure tone audiometry screening can be performed, typically at three to four years of age.
- For youth 11 through 20 years, review Indicators of Noise Induced Hearing Loss.