Birth Hospitals - Frequently Asked Questions

“Infants should have their hearing screened as close to discharge as practicable, while at the same time allowing sufficient time for a single repeat screen to be performed if the infant does not pass the first screen. The second screen, should it be required, should not be performed immediately following the first screen, but should occur at least several hours later.” (JCIH 2019).

Newborn hearing screenings can be carried out by a range of personnel, including audiologists, nurses, technicians, or trained volunteers. Regardless of their role, all screeners must undergo proper training to effectively use the technology and follow the specific protocols of the screening program. It is essential for the screener to be well-versed in JCIH guidelines, EHDI process, and the hospital/clinic protocols, including adhering to standard precautions and patient confidentiality standards (ASHA, 2013).

Yes, it is acceptable to repeat the screening one more time before discharge. This should be done several hours after the initial screen, preferably right before discharge. No more than 2 hearing screens should be performed prior to discharge. Always screen both ears. Both ears must yield a pass result in the SAME session to be considered a pass result.

Results should be provided immediately to the family so they can understand the outcome of the screening and importance of prompt follow-up when needed. The use of scripts is recommended (see tools for improvement). Results should be provided verbally and in writing in a language the families are able to comprehend. Written results brochures are available to order for free from EHDI.

For the baby who does not pass the hospital screen:

• Educate parents on the importance of completing an outpatient rescreen prior to 1 month of age.
• Schedule an appointment for an outpatient hearing rescreen before discharge.

Outpatient rescreening should be performed as soon as possible after hospital discharge, and before one month of age. Rescreening should comprise a single quality rescreen of both ears in the same session.

An infant that does not complete an initial hearing screening for any reason should be scheduled for an appointment to return to the birth facility for completion of the hearing screening or the designated refer site of the hospital before 1 month of age.