Outpatient rescreening rescreening should comprise a

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Outpatient Rescreening Rescreening should comprise a single rescreen of both ears in the same session, regardless of initial screening results There is an obligation to report outcomes of all rescreen results whether passed or not passed , to the state EHDI The JCIH supports the AAP published guidelines for rescreening in the Medical Home ( AAP, 2014)
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Equipment Ensure initial equipment calibration is performed by a manufacturer or distributor in a manner consistent with purported screening parameters Oversight to ensure equipment parameters remain appropriate. Requirements for troubleshooting, annual calibration, and expected performance should be reviewed by the audiologist. .
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Rescreening in the Medical Home Rescreen must be performed using an automated physiologic device (OAE or AABR) - Not behavioral (whisper, rattle, other noises) Equipment must be calibrated initially and annually by manufacturer or hospital engineering dept. Must have quiet environment & appropriately trained personnel Always rescreen both ears Report outcomes of all rescreen results whether passed or not passed , to the state EHDI
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Rescreening in the Medical Home Exception to Medical Home Rescreening: NICU infants who do not pass hospital screen should always be referred directly to audiology
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Surveilance/Screening in the Medical Home All infants should have an objective standardized screen of global development with a validated tool at 9, 18, and 24-30 months of age. ( i.e. Ages and Stages) Children who do not pass a medical home global screen or if there is concern regarding hearing or language should be referred for speech-language evaluation and audiology assessment.
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Clinical signs of possible hearing loss Irritability, inattention, behavior problems Delayed speech and language skills Unintelligible speech Child only responds when signal is loud or when in a quiet room Uncharacteristic voice pattern- low and unmodulated Child turns TV on very loud
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Rhode Island Department of Health Home Visiting Pediatricians Audiologists Head Start RI Hearing Assessment Program Early Intervention Lead Prevention Newborn Blood Spot WIC: Special Supplemental Nutrition Program for Women, Infants and Children Birth Defects Vital Records and Newborn Developmental Risk Assessment Immunizations School Nurses KIDSNET
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Resources for the Medical Home Great for parents Hands and Voices Boystown National Research Hospital research and videos American sign language
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For Infants and young Children there should always be Urgency for Diagnosis and Intervention for HL to ensure the best outcome
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Thank You Questions ?
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  • Fall '19
  • Otology, Sensorineural Hearing Loss, Tinnitus, Hearing impairment, Long QT syndrome

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