What Is A Newborn Hearing Screener

Other Warning Signs Of Hearing Loss

Newborn hearing screening | NHS

Your newborn might be at risk for delayed onset hearing loss if any of the following applies to your baby:

  • You or another caregiver have concerns for hearing
  • There is a family history of childhood hearing loss
  • Your child had a Neonatal Intensive Care Unit stay of longer than 5 days
  • Your child has a history of jaundice requiring blood transfusion
  • Your child has undergone chemotherapy or been treated with an intravenous antibiotic known to be toxic to the hearing and/or balance organs
  • Your child suffered from perinatal asphyxia
  • Your child received extracorporeal membrane oxygenation therapy
  • Your child was exposed to infections that occur before and after birth .
  • Your child has a syndrome, genetic disorder, or craniofacial condition known to be associated with hearing loss.

If one or more of the above circumstances applies to your newborn, routine hearing monitoring is advised. Speak with your childs pediatrician about their recommendations for hearing monitoring and for a referral to an audiologist for routine hearing testing.

Once an appointment with an audiologist has been made for your newborns next hearing test, make sure you have the following information:

  • Audiologists Name
  • Appointment Time
  • Appointment Location/Address

If your baby did not pass the newborn hearing screening or you think your newborn may have hearing loss, use the Find an Audiologist tool to set up an appointment to get your babys hearing checked.

Oticon Newborn Hearing Screener In Bryan Texas

Posted: Hearing Screening Associates is a full-service company that offers an all-inclusive service for screening the hearing of newborn infants. The concept covers everything from personnel and testing to equipment to reporting and billing. The Newborn Hearing Screening Technician performs mandated hearing screening tests for newborn infants, provides education to parents pertaining to the relevance

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Newborn Hearing Screening Methods

The two methods considered suitable for hearing screening are OAE and AABR . OAE testing is quick and inexpensive with regard to the equipment and disposables costs.

AABR testing takes a little more time to perform and the equipment and disposables are more expensive.AABR typically has better test specificity, meaning that fewer babies with normal hearing will be referred for more tests.Also,AABR detects hearing problems caused by conditions in the auditory nervous system whereas OAE only detects cochlear hearing loss.AABR is particularly recommended for babies whose birth history puts them at higher risk for hearing loss.

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When Will The Hearing Test Take Place

You’ll be offered a hearing screening test for your baby within the first few weeks of their life from 12 hours old. The hearing test is usually done before you leave the maternity unit. In some areas, it will be carried out at home.

Your midwife or screener will be able to tell you where and when the screening test will take place. If your baby’s hearing is not screened, ask your child health nurse, midwife, local audiology department or family doctor to arrange an appointment.

Will My Child Be Successful In School

A day in the life of a newborn hearing screener

Like all children, children who are deaf or hard-of-hearing can develop strong academic, social, and emotional skills and succeed in school. Find out how your school system helps children with hearing loss. With your input, your childs school will develop an Individualized Education Program or Individualized Family Service Plan for your child, and you should ask if an educational audiologist is available to be part of the academic team. Explore programs outside of school that may help you and your child and talk with other parents who have already dealt with these issues. The Individuals with Disabilities Education Act ensures that children with hearing loss receive free, appropriate, early-intervention services from birth through the school years. Contact the U.S. Department of Education, along with resources listed in our directory of organizations.

An educator teaching a young boy.

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New Version Of The Nhstc

Please Note: As of 10/1/2021, we are introducing an updated version of the NHSTC course NHSTC 2020!

If you are in the process of taking the current NHSTC course we highly recommend you discontinue it and begin taking the updated version as it has lots of great, new information. If you choose not to start the updated version, you will have one week to complete the old course before it is no longer available.

To start the updated version simply log in with your current Moodle account. If you have never enrolled in the past, simply create an account to get started.

Recertification Test UPDATE:

If you took the old course in the past and wish to get re-certified, please log in to the new version and retake the full course, as the pre-test, core curriculum, and post-test are all new. In the future, you can log back in using your same account and re-certify by simply taking the Recertification Test.

We are happy to announce the release of the updated Newborn Hearing Screening Training CurriculumNHSTC 2020.

This version has a new look and feel and improved navigation and accessibility for use with mobile devices. It includes the latest standard of care in newborn hearing screening practices, consistent with the Joint Committee on Infant Hearing 2019 Position Statement.

The screening equipment used throughout the NHSTC is for the purpose of assisting the learner through demonstration. NCHAM and the NHSTC do not endorse the use of any specific type of equipment.

Does The Baby Actually Need A Screening

Yes, all newborns should be screened for hearing loss. In 2019, for example, 98% of U.S. newborns were screened, and 6,000 were identified with permanent hearing loss.

Experts point out that hearing loss can be an invisible condition in newbornsand approximately 95% of babies born deaf have parents with normal hearing. Identifying and addressing a babys hearing loss early in life helps their language and speech development.

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Your Baby Probably Had A Hearing Screening

Almost all states, communities, and hospitals now screen newborns for hearing loss before the babies leave the hospital. The hearing screening is easy and painless, and it can determine if more testing is needed. In fact, many babies sleep through the hearing screening, and the test usually takes just a few minutes.

Prevalence Of Hearing Loss

Newborn Hearing Screening: Which Method is Best? (2/5)

The ability to hear during the early years of life is critical for the development of speech, language, and cognition.

Retrospective studies of large universal newborn hearing screening programs have shown that permanent hearing loss is one of the most common abnormalities present at birth. In 1999, the American Academy of Pediatrics Task Force on Newborn and Infant Hearing stated, “significant bilateral hearing loss has been shown to be present in approximately 1 to 3 per 1000 newborns in the well-baby nursery population, and in approximately 2 to 4 per 1000 infants in the intensive care unit population.” Data from the newborn hearing-screening programs in Rhode Island, Colorado, and Texas show that 2-4 of every 1000 neonates have hearing loss . A retrospective study conducted by Connolly et al in 2005 found that 1 of every 811 infants without risk factors and 1 of every 75 infants with risk factors have hearing loss.

In the aforementioned study by Neumann et al, NIHS programs found the prevalence of infant permanent childhood hearing loss to range internationally from 0.315.0 cases per 1000 infants.

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What If My Baby Did Not Pass The Hearing Screening

Additional testing is the next step to tell if your baby has hearing loss and what type of loss it is. A healthcare professional trained to test hearing, such as an audiologist, will be able to perform more detailed hearing tests. Your babys doctor should perform or order any medical tests needed to find out the cause of the hearing loss.

Making sure your baby gets this additional testing quickly is also important. CDC-funded research shows just how important it is. Children with hearing loss who are identified before 3 months of age, and receive services before 6 months of age, have better vocabularies than those identified or receiving services later. For more information about this research, visit Giving Every Child the Gift of Words

What Does It Mean If A Baby Does Not Pass The Newborn Hearing Screening

When a baby does not Pass the hearing screening it means that more testing is needed. The baby could have hearing loss and it is important to follow-up.

It does not mean that your baby definitely has permanent hearing loss. Temporary conditions can affect the result even for a baby with normal hearing. These conditions include:

  • The ear canal was blocked with fluid or vernix which clears in a few days.
  • The baby was too active or awake during the screening.
  • There was interference in the test room such as background noise or electrical interference

Screeners try to control the test conditions to get a reliable test. Waiting to screen until the baby is at least 12 hours old can avoid issues with fluid in the ear canal. It is best to screen when the baby is sleeping quietly after being fed. Also screeners should try to find a quiet room for testing.

When a baby does not pass the first screening, many Newborn Hearing Screening programs will perform a second screening before sending the baby on for more in depth testing.

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A Career Description For A Newborn Hearing Screener


Early detection gives infants born with a hearing deficit a better chance to learn how to communicate and to develop normally. According to the American Academy of Pediatrics, three of every 1,000 newborns have some degree of hearing loss.

Newborn hearing screeners nurses, technicians, audiology assistants and sometimes volunteers — conduct infant hearing health tests, as explained by the American Academy of Audiology. Early detection and intervention programs are found in all 50 states, according to the National Institutes of Health.

What Language And Communication Approaches Might Be Available For My Child

Newborn hearing screening

Children who are deaf or hard-of-hearing can learn to communicate in several ways. Find out as much as you can about the communication choices and ask your health care team to refer you to experts if you want to know more. Because language development begins early, regardless of the communication mode you choose, you should engage with your child and begin intervention as soon as possible.

Common approaches used to help children with hearing loss communicate and interact with others include:

  • Listening and spoken language : works to strengthen listening, talking, and reading skills through the use of natural hearing and hearing devices such as hearing aids and cochlear implants, without the use of manual communication.
  • Auditory-oral: emphasizes residual natural hearing in combination with amplification devices and technology to help children develop speech and spoken-language skills. It includes the use of speech reading and natural gestures in the communication process.
  • Cued speech: is a system of specific hand shapes and placements that represent groups of consonants and vowels and that are used in combination with natural lip movements.
  • American Sign Language: is a visual-manual, natural language that is used in the American Deaf community.
  • Combined approaches: use aspects of various communication approaches, some of which are listed above, to expose children who are deaf or hard-of-hearing to many ways to communicate with others.

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Frequently Asked Questions About A Newborn Hearing Screener Salaries

The average salary for a Newborn Hearing Screener is US$15 per hour in Hasselt, Belgium Area. Salaries estimates are based on 284 salaries submitted anonymously to Glassdoor by a Newborn Hearing Screener employees in Hasselt, Belgium Area.

The highest salary for a Newborn Hearing Screener in Hasselt, Belgium Area is US$18 per hour.

The lowest salary for a Newborn Hearing Screener in Hasselt, Belgium Area is US$14 per hour.

Retesting May Be Needed

The results of the a hearing test indicate an infants hearing ability at the time of the test. Some children with recurrent ear infections, serious acute or chronic illness, or with a family history of hearing impairment , or other risk factors may develop hearing loss later in life. If there are ever any concerns about a childs hearing ability, or speech and language development, this should be addressed by the parents and the physician in order for an appropriate evaluation is to be completed.

Page last updated: June 1, 2022

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Reimbursement And Program Funding

Newborn hearing screening funding varies from state to state. States procure funds from fees, Medicaid, the Title V Maternal and Child Health Block Grant program, and state general revenues. The trend is to identify funding sources other than grants to ensure program continuity should grant support become unavailable. Costs associated with newborn hearing screening include those associated with the tests and those associated with program management .

Early Periodic Screening, Diagnostic, and Treatment Program

Through the EPSDT program, a set of services and benefits are mandated for all individuals under age 21 years who are enrolled in Medicaid. Federal rules encourage partnerships between state Medicaid and Title V agencies to ensure better access to and receipt of the full range of screening, diagnostic, and treatment services. EPSDT funds are an appropriate reimbursement source for screening and diagnostic services.

Current Procedural Terminology Codes

There are a number of CPT codes used to describe early hearing detection testing to a payer. Codes are defined by the payer or program. For specific instructions, see NCHAM State Contacts.

Alexander, D., & Van Dyck, P. C. . A vision of the future of newborn screening. Pediatrics, 117, S350-S354.

American Academy of Pediatrics. . Early Hearing Detection and Intervention . Retrieved from

Information For Parents & Guardians

Newborn Hearing Testing Screening (OAE and ABR)

For a text version of the Frequently Asked Questions, visit MyHealth.Alberta.ca Newborn Hearing Screening

Service Listing

Permanent hearing loss is one of the most common conditions found in newborns. Without screening, it can be hard to tell if a baby has hearing loss. Even though a baby may respond to sounds, they may not hear well enough to develop speech and language fully.

Over half of all babies identified with permanent hearing loss are healthy and have no family history. The earlier hearing loss is found, the sooner a baby will have support to help them develop language to prevent delays in their development.

Hearing screening is quick, safe, and will not hurt your baby. Have your babys hearing screened as early as possible.

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Effectiveness Of Earlier Intervention

Studies of the effectiveness of screening have examined the differences in outcomes of children who received newborn screening versus normally hearing children and versus unscreened hearing-impaired children . Using standardized methods, the USPSTF examined this issue in 2001 and again in 2008 . The impact of long-term language outcomes was ranked as uncertain in the 2001 review, and a call for further study was made. A Cochrane review , originally published in 2005 and now withdrawn due to lack of revision, cited a similar conclusion. In the most recent USPSTF review , the authors concluded that there was adequate evidence demonstrating that children with an earlier diagnosis had improved expressive and receptive language scores. Updated evidence from multiple studies now indicate that infants who are diagnosed and receive intervention before six months of age score 20 to 40 percentile points higher on school-related measures compared with hearing-impaired children who receive intervention later on .

Implementing Hearing Screening Protocols: Who And When

Hearing Impairment is not a visible condition at birth, and the cause of newborn hearing loss can be elusive. Most children with congenital hearing loss are born to normal hearing parents and have no health issues or risk factors for hearing loss. A Belgian study3 shows that the origin of hearing loss can only be identified in half of children referred by hearing screening. Of these, 60% of hearing loss was congenital and 19% suffered from cytomegalovirus infection. Other common factors for a high risk of hearing loss include premature birth, ototoxic medications, hyperbilirubinemia, or syndromes associated with hearing loss such as Waardenburg or neurofibromatosis.

The high prevalence of congenital hearing loss suggests, however, that even an apparently healthy baby, with no risk factors might still be susceptible to hearing deficits. Therefore, every infant even those who appear healthy in all respects should receive a newborn hearing screen. Additionally, research supports the Early Hearing Detection and Intervention guidelines4 advocating that early intervention for hearing loss is initiated no later than six months of age. Therefore, early screening at birth is strongly recommended.

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Costs Of Hearing Screening

If a baby is born in a healthcare facility, the newborn hearing screening will be performed by the healthcare provider without consideration of whether the infant or family has health insurance coverage. If born outside of a facility, testing can be provided by community organizations, midwives, hospitals, or audiology clinics.

These tests are often covered by private insurance or Medicaid. Check with the facility and your health insurance provider to determine if you will have any out-of-pocket costs.

What Causes Hearing Loss In Newborns

ALGO Newborn Hearing Screeners
  • Hearing loss in a newborn can be caused by a number of conditions.
  • Some of the known risk factors include
  • high bilirubin levels ,
  • drugs that are toxic to the ears ,
  • prolonged mechanical ventilation,
  • low birth weight.
  • Malformed structures in the middle or outer ear can also lead to hearing loss.
  • Viral illness during the pregnancy, such as rubella or cytomegalovirus , can be passed to the newborn and result in hearing loss.
  • Hearing loss can sometimes be inherited in abnormal genes passed from the parents to the newborn or be the result of a gene mutation that occurred during fetal development.
  • Genetic counseling is often recommended for parents to determine if heredity is the cause of the hearing loss.
  • In approximately half of all cases of hearing loss, the cause is never determined.
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