Hearing Screening Documentation, Tracking and Monitoring Tools
Step 1: Documenting Hearing Screening and Diagnostic Outcomes
Print a copy of the appropriate Screening Form (OAE or Pure Tone) for each child, record ear-specific outcomes, and conduct additional screening as indicated by the protocol. If follow-up evaluation is required, it is often helpful to transmit a copy of the Screening Form to the health care provider or audiologist. For the small subset of children (typically 10% or fewer) who are referred for evaluation, complete a Diagnostic Follow-up Form to document the outcomes of that process. Include all completed Forms in each child’s health record.
OAE Screening
- OAE Screening Form [PDF] or computer fillable version of the OAE Screening Form [PDF]
- Diagnostic Follow-up Form [PDF]
Pure Tone Screening
Step 2: Tracking
Download the simple-to-use Excel® spreadsheet. Enter basic identifying information for each child along with summary Screening and Diagnostic outcomes as they are completed. The spreadsheet will automatically help you track which children have completed the screening and which need follow-up as well as calculating important quality indicators for your hearing screening program.