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Early Identification of Hearing Loss: Universal Newborn Hearing Screening (An Implementation Guide)

Profile of an Newborn
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The materials in this section accompany the booklet, Early Identification of Hearing Loss: Implementing Universal Newborn Hearing Screening Programs. The purpose is to provide concrete examples of the materials developed by hospitals in implementing successful universal newborn hearing screening programs. All materials included in this section can be used or adapted by other hospitals in implementing their programs.


Appendices Table of Content


Section 1. Enlisting Support for Newborn Hearing Screening PDF LINK
Can I Hear You? (Colorado) 25KB  
American Academy of Pediatrics Task Force on Newborn and Infant Hearing (02/1999) (AAP)   X
Recommendations of the NIDCD Working Group on Early Identification of Hearing Impairment on Acceptable Protocols for use in State-Wide Universal Newborn Hearing Screening Programs (09/1997) (NIH)    
Joint Committee on Infant Hearing (12/1994) (ASHA) 42KB  
Comments of the National Association of the Deaf In the Matter Of: Early Hearing Detection and Intervention (09/1997) (NAD) 13KB  
1996 Position Statement of the Directors of Speech and Hearing Programs in State Health and Welfare Agencies (1994) (DSHPSHWA) 16KB  
History of Recommendations for Newborn Hearing Screening (CDC)   X 
Sample Letter Sent to Garner Support for a UNHS Program (Colorado) 5KB  
NCHAM Fact Sheet on Universal Newborn Hearing Screening 310KB  
Longmont United Hospital Birthplace Fact Sheet on Support for UNHS Programs(Colorado) 11KB  
UNHS Summary Brochure (Minnesota) 35KB  
The Early Identification Kit for Infant Hearing 156KB  
Public Service Announcement: Early Identification of Hearing Loss (California) 4KB  
Video! What Can Baby Hear? Auditory Tests and Interventions for Infants with Multiple Disabilities 16KB  
Section 2. Determining the Appropriate Protocol for your Hospital PDF LINK
A Guide To Selecting Equipment for a Newborn Hearing Screening Program (NCHAM)   X
Implementation of Hospital-Based Newborn Hearing Screening Programs (Marion Downs)   X
Newborn Hearing Screening Technologies (Marion Downs)   X
Methods for Newborn Hearing Screening (NIH)    
Questions You Need to Ask When Starting A Newborn Hearing Screening Program 13KB  
Genesis Medical Center Departmental Policy Regarding Neonate Hearing Screenings (Iowa) 26KB  
Flow Charts of Screening Activities for Various Hospitals (Part I) 17KB  
Flow Charts of Screening Activities for Various Hospitals (Part II)    
Newborn Hearing Screening Policy for Longmont United Hospital (Colorado) 11KB  
Excerpt from Policy and Procedures Manual for Newborn Hearing Screening at Greater Staples Hospital (Minnesota) 75KB  
Protocol For Hearing Screening Using The Transient Evoked Otoacoustic Emissions (Oregon) 5KB  
Section 3. Dealing With Procedural Issues PDF LINK
Newborn Hearing Screening Program Structure Decisions 6KB  
Organizational Elements of a Successful State Newborn Hearing Program (Marion Downs)   X
Example of Hospital Procedures Model (Utah)    
Newborn Hearing Screening Guide for Screeners (Utah) 9KB  
Job Description for 1/2 Time Technician/Screener for the Newborn Hearing Screening Program 7KB  
Audiology Assistant Specific Duties and Responsibilities 4KB  
Newborn Hearing Screening Audiologist's Weekly Data Management Duties 4KB  
Audiologist Assistant Position Description/Performance Appraisal (Iowa) 14KB  
Informed Consent Form (Mississippi) 14KB  
Summary of Hospital's Implementation Procedure(Iowa) 7KB  
Transferred Babies Form 6KB  
Informed Consent Form (Utah) 9KB  
Questions to Answer in Setting Up a Universal Newborn Hearing Screening Program 4KB  
Daily Checklist for Inpatient Newborn Hearing Screening (Hawaii) 8KB  
Responsibilites for Doing Newborn Hearing Screening (Illinois) 12KB  
Section 4. Communicating With Parents, Physicians, and Hospital Staff PDF LINK
Parent Education: Prior to the Baby's Birth    
Can Your Baby Hear? (Utah) 17KB  
How Well Can My Baby Hear? (Connecticut) 26KB  
Newborn Hearing Screening (Utah) 27KB  
La Examinacion del oir para el Recien Nacido (Utah) 75KB  
Infant Hearing and Screening (Utah) 20KB  
A Note About Your Baby's Hearing (Iowa) 17KB  
Project H.A.P.I. (Hearing Assessment Program for Infants) (Arkansas) 97KB  
A Sound Beginning for All Babies (Colorado)    
Informing Health Care Professionals About the Program    
Sound Start: Universal Newborn Hearing Screening Program (Utah)    
Universal Newborn Hearing Screening (California)    
Handout for Hospital Staff (Iowa) 42KB  
Information for Physicians Regarding Early Identification of Hearing Loss (Hawaii) 7KB  
Letter to Physicians about need for follow-up 11KB  
Reporting Results to Health Care Professionals    
Initial Screen Report (Illinois) 21KB  
Need for Follow-up Testing (Iowa) 7KB  
Summary of HI*TRACK Reporting Capabilities    
Special Care Baby Notification to Screeners 40KB  
Informing Parents About Screening Results    
I Just Had My Very First Hearing Test! (Utah) 15KB  
!Acabo de Tener mi Primera Examinacion del oir! (Utah)    
I Just Had My Very First Hearing Test! (Utah) 20KB  
Sound Beginnings (Rhode Island) 36KB  
Your Baby's Hearing (Arizaona) 5KB  
Congratulations on the Birth of Your Child (Hawaii) 23KB  
Your Infant's Hearing Will Be Screened (Utah) 17KB  
I had my hearing screened! (Utah) 49KB  
I just had my first hearing test. (Iowa) 20KB  
Baby Hearing Test (Colorado) 115KB  
Congratulations on the Birth of Your Child (Washington DC) 59KB  
Waiver of Newborn Hearing Test (Colorado) 23KB  
Parent Education for Babies Who Pass    
To the Parents of Baby: (Washington DC) 21KB  
Your Baby Must Have Good Hearing to Learn to Talk (Hawaii) 104KB  
Can Your Baby Hear? (Arizona) 18KB  
Otitis Media (Utah) 83KB  
Infeccion del Oido Medio (Utah) 94KB  
Hearing in Babies (Utah) 84KB  
For Parents of Babies Who Are Referred    
Just a Reminder (Utah) 22KB  
Reminder Card (Utah) 21KB  
Just a Reminder (Utah) 20KB  
Rescreen Notification (Utah) 20KB  
To the Parents of Baby: (Washington DC) 26KB  
Follow-up When Hearing Loss Is Diagnosed    
Communicating from Birth: Do You and Your Child Need Help (Utah)    
Denver Ear Institute: The Children's Comprehensive Program (Colorado)    
Now What? (American Academy of Audiology)    
Colorado Home Intervention Program (Colorado)    
Getting Started (Massachusetss) 20KB X
Section 4. Communicating With Parents, Physicians, and Hospital Staff PDF LINK
Parent Education: Prior to the Baby's Birth    
Can Your Baby Hear? (Utah) 17KB  
How Well Can My Baby Hear? (Connecticut) 26KB  
Newborn Hearing Screening (Utah) 27KB  
La Examinacion del oir para el Recien Nacido (Utah) 75KB  
Infant Hearing and Screening (Utah) 20KB  
A Note About Your Baby's Hearing (Iowa) 17KB  
Project H.A.P.I. (Hearing Assessment Program for Infants) (Arkansas) 97KB  
A Sound Beginning for All Babies (Colorado)    
Informing Health Care Professionals About the Program    
Sound Start: Universal Newborn Hearing Screening Program (Utah)    
Universal Newborn Hearing Screening (California)    
Handout for Hospital Staff (Iowa) 42KB  
Information for Physicians Regarding Early Identification of Hearing Loss (Hawaii) 7KB  
Letter to Physicians about need for follow-up 11KB  
Reporting Results to Health Care Professionals    
Initial Screen Report (Illinois) 21KB  
Need for Follow-up Testing (Iowa) 7KB  
Summary of HI*TRACK Reporting Capabilities    
Special Care Baby Notification to Screeners 40KB  
Informing Parents About Screening Results    
I Just Had My Very First Hearing Test! (Utah) 15KB  
!Acabo de Tener mi Primera Examinacion del oir! (Utah)    
I Just Had My Very First Hearing Test! (Utah) 20KB  
Sound Beginnings (Rhode Island) 36KB  
Your Baby's Hearing (Arizaona) 5KB  
Congratulations on the Birth of Your Child (Hawaii) 23KB  
Your Infant's Hearing Will Be Screened (Utah) 17KB  
I had my hearing screened! (Utah) 49KB  
I just had my first hearing test. (Iowa) 20KB  
Baby Hearing Test (Colorado) 115KB  
Congratulations on the Birth of Your Child (Washington DC) 59KB  
Waiver of Newborn Hearing Test (Colorado) 23KB  
Parent Education for Babies Who Pass    
To the Parents of Baby: (Washington DC) 21KB  
Your Baby Must Have Good Hearing to Learn to Talk (Hawaii) 104KB  
Can Your Baby Hear? (Arizona) 18KB  
Otitis Media (Utah) 83KB  
Infeccion del Oido Medio (Utah) 94KB  
Hearing in Babies (Utah) 84KB  
For Parents of Babies Who Are Referred    
Just a Reminder (Utah) 22KB  
Reminder Card (Utah) 21KB  
Just a Reminder (Utah) 20KB  
Rescreen Notification (Utah) 20KB  
To the Parents of Baby: (Washington DC) 26KB  
Follow-up When Hearing Loss Is Diagnosed    
Communicating from Birth: Do You and Your Child Need Help (Utah)    
Denver Ear Institute: The Children's Comprehensive Program (Colorado)    
Now What? (American Academy of Audiology)    
Colorado Home Intervention Program (Colorado)    
Getting Started (Massachusetss) 20KB X
Section 5. Training Newborn Hearing Screeners PDF LINK
Screener's Feedback Form (Utah) 51KB  
Screener Evaluation Form (Hawaii) 36KB  
TEOAE-Based Newborn Hearing Screening Training Program (Iowa) 25KB  
Universal Infant Hearing Screening Workshop (West Virginia) 36KB  
Section 6. Keeping Referral Rates Low PDF LINK
How can I minimize the referral rate for a newborn hearing screening program? (NCHAM)   X
Section 7. Managing Data and Patient Information PDF LINK
Data Management Technologies (Marion Downs National Center)   X
NCHAM HI*TRACK Patient Information and Data Management Software   X
OZ Corporation's SIMS program   X
Data Management Form for Newborn Hearing Screening 22KB  
Your Baby's Hearing Checklist 16KB  
Section 8. Financing the Program PDF LINK
NCHAM Spreadsheet for determining what does a Newborn Hearing Screening Program Cost (NCHAM)   X
Longmont United Hospital Comparison of Universal Newborn Hearing Screening Programs (Colorado) 5KB  
Iowa Small Grants Program (Iowa) 31KB  
Letter Requesting Participation in State Funded UNHS Project (Utah) 31KB  
Section 9. Caring for Equipment and Supplies PDF LINK
     
Section 10. Reporting PDF LINK
Genesis Medical Center Parent Satisfaction Survey (Iowa) 9KB  
Genesis Medical Center Newborn Hearing Screens - Six Month Review (Iowa) 18KB  
Each Screening Program Must Report 16KB  
Reasonable Efforts Defined 16KB  
Information Hospitals are REQURIED to Give to Parents and Primary Care Providers 6KB  
First Steps Newborn/Infant Hearing Screening Report (Mississippi) 50KB  
Confirmed Hearing Loss Report (Colorado) 32KB  
Hospital Monthly Report (Colorado) 89KB  
Referral for Diagnostic Evaluation Form (Utah) 27KB  
Article in hospital magazine: What Can Babies Hear? (Missouri) 40KB  
Press Release: Longmont United Hospital Purchases New Equipment (Colorado) 37KB  
Newspaper Article: Finely tests infant hearing (Iowa) 15KB  
Article in hospital magazine: Building a Foundation for Good Hearing (Iowa) 57KB  
Summary of program for distribution to hospital staff (Iowa) 106KB  
Thank You Note To Hospital Board (Colorado) 34KB  
Summary of program for distribution to hospital staff (Iowa) 34KB  
Section 11. Completing Audiological Diagnosis and Follow up PDF LINK
Assumptions Underlying Diagnositic Audiometry In Newborns and Infants (Texas DOH)   X
Support for Parents with Children with Hearing Loss (ASDC)   X
Diagnostic Evaluation Referral Form (Utah) 10KB  
Section 12. Coordinating with the State System PDF LINK
State Contacts for Newborn Hearing Screening (NCHAM)   X
State Contacts for Early Intervention Programs: Birth through Two (NECTAS)   X
State Contacts for Early Intervention Programs: Three through Five (NECTAS)   X
What's a Medical Home? 54KB  
Section 13. Legislative Mandates PDF LINK
Summary of State's Legislative Mandates for Neonatal Hearing Screening (NCHAM)   X
Text of State Laws Related to Newborn Hearing Screening (NCHAM)   X
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UNHS Implementation Guide Materials
::

Implementation Guide for UNHS Programs

:: Implementation Checklist for UNHS Programs
:: Appendices to Implementation Guide for UNHS Programs




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Have a question about EHDI programs?  Please contact the NCHAM Helpdesk at 435.797.3584 or visit our technical assistance page.


National Center for Hearing Assessment & Management (NCHAM)
Utah State University -  2880 Old Main Hill - Logan, Utah 84322
Tel: 435.797.3584
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