Hearing Screening Training Manual - Minnesota Department of Health

Hearing Screening Training Manual

The Hearing Screening Training Manual is available in sections on the left side of this webpage. Click the links to view the various topics or you may download a copy of the manual (PDF) for offline use and printing.


This hearing screening manual is an update to the 1996 version, which was developed by a professional review committee. The committee comprised representatives from ENT, audiology, family practice, pediatrics, school and public health nursing, Minnesota Department of Health (MDH), Minnesota Department of Human Services, Deaf and Hard of Hearing Services Division, Minnesota Department of Education (MDE), and the Minnesota Academy for the Deaf. This updated manual reflects the Guidelines for Hearing Screening After the Newborn Period to Kindergarten Age (January 2014) developed by a collaborative working group of the Early Hearing Detection and Intervention (EHDI) community advisory committee, including hearing and educational experts, and Child and Teen Checkups (C&TC) program staff. The following paragraph has been adapted from the previously mentioned guidelines.

The goal of hearing screening is to identify children with permanent and longstanding fluctuating childhood hearing loss that may affect health, communication, learning and development. With prompt referral and follow-up, Minnesota children have an opportunity to receive appropriate, timely care and services, which lead to better health and educational outcomes.

According to the Guidelines for Hearing Screening After the Newborn Period to Kindergarten Age:

"Hearing screening in early childhood settings increases the likelihood that children lost to follow-up from newborn screening, along with children presenting with post-neonatal hearing loss, will receive timely diagnostic and intervention services needed during the critical language learning years. While questionnaires and checklists are useful in identifying a child at risk for hearing loss, over 50 percent of children with hearing loss will not be identifiable through these measures. Hearing screening technology such as pure tone audiometry is a practical and effective means of identifying children who need further evaluation for possible hearing loss."

This document provides best practice hearing screening guidelines for children. Hearing screening does not take the place of audiological assessment or evaluation.


This manual is for use in Child and Teen Checkups (C&TC), Early Childhood Screening, Head Start, and school-based programs.


The purpose of this hearing training manual is to provide the screener with instructional information to conduct hearing screening procedures in a variety of settings. This manual is a post-training reference and not a replacement for training. MDH training workshops present a detailed description of each procedure.

Updated Sunday, 20-Jan-2019 16:05:27 CST