Ohio Admin. Code 3701-40-06 - Hearing screening and equipment requirements for hospitals
(A)
Each hospital shall designate a hearing screening
coordinator who is responsible for the coordination of the facility's hearing
screening program. The coordinator shall be an individual with staff privileges
at the facility and either:
(1)
A physician or audiologist; or
(2)
An individual
working under the supervision of or in collaboration with a physician or
audiologist.
(B)
Each hospital required to conduct a hearing screening
on a newborn or infant shall, before discharge, conduct a hearing screening on
each ear of every newborn or infant born in, admitted to or transferred into a
hospital, through the use of a physiological test.
(C)
The hospital
shall conduct a second screening on a newborn or infant, if the first screening
in either ear was a non pass. The screening shall include:
(1)
Otoacoustic
emissions screening testing as a first and/or second screening test, but shall
not be used after auditory brainstem response screening
testing.
(2)
Newborns and infants admitted to neonatal care services
level II, III, or IV shall receive hearing screenings conducted with auditory
brainstem response screening equipment.
(D)
The second
screening shall:
(1)
Be a physiological test;
(2)
Test both ears;
and
(3)
Be completed prior to discharge.
(E)
The
hospital shall conduct a maximum of two hearing screenings prior to discharge
unless there is clearly an equipment error or an error in administering the
screening. Additional screening is only acceptable if medically necessary. Only
two complete hearing screenings shall be reported to the
director.
(F)
The equipment used for screening shall be capable of
giving reliable results, maintained in good working order, and calibrated
annually per manufacturer's guidelines.
(G)
The hospital
shall communicate the results of the hearing screening for every newborn or
infant to the attending physician, certified nurse-midwife, certified nurse
practitioner, primary care physician, or designated medical home to
include:
(1)
Results of the hearing screening for each
ear;
(2)
Types of hearing screening; and
(3)
Risk factors for
hearing loss, if any.
(H)
The hospital
shall report the following categories of newborns and infants to the attending
physician, certified nurse midwife, certified nurse practitioner, primary care
physician, or designated medical home within forty-eight hours of discharge
for:
(1)
Newborns or infants who did not pass a hearing screening;
and
(2)
Newborns or infants who were discharged from the
facility without a hearing screening.
(I)
The hospital
shall provide the parent, guardian, or custodian of every newborn with printed
information provided by the department as outlined in paragraph (D) of rule
3701-40-10
of the Administrative Code.
(J)
The hospital
shall communicate verbal and written results of the newborn or infant's hearing
screening to the parent, guardian, or custodian prior to discharge to
include:
(1)
Results of the hearing screening for each
ear;
(2)
Type of hearing screening; and
(3)
Risk factors for
hearing loss, if any.
(K)
The hospital
shall provide the parent, guardian or custodian of a newborn or infant that did
not pass the hearing screening with the following prior to discharge:
(1)
A referral to
audiologist for diagnostic hearing evaluation;
(2)
Assistance in
scheduling an appointment for diagnostic hearing evaluation before
discharge;
(3)
Information on the importance of making and keeping an
appointment for a diagnostic hearing evaluation; and
(4)
A list of
audiology facilities where newborn diagnostic hearing evaluations are
conducted.
(L)
The hospital shall notify the director of the name and
contact information of the individual designated as the hearing screening
coordinator, the supervising physician or audiologist, the birth clerk, and the
hearing clerk on an annual basis and whenever changes occur.
(M)
The hospital
shall report the following categories of newborns and infants to the director,
in the manner and format prescribed, within seventy-two hours of initial
screening, discharge, or transfer:
(1)
Newborns or infants who did not pass final hearing
screening.
(2)
Newborns or infants who were transferred to or from
another hospital.
(N)
The hospital
shall report the following categories of newborns and infants to the director,
in the manner and format prescribed, within ten days of initial screening,
discharge, or transfer:
(1)
Newborns or infants who received a hearing screening
and the results of the hearing screening including risk
factors;
(2)
Newborns or infants who did not receive a hearing
screening and the reason(s) not screened; and
(3)
Newborns or
infants whose parents, guardian, or custodian objected to a hearing
screening.
(O)
The hospital shall report to the director, for each
newborn and infant, the name and address of the primary care physician, the
certified nurse-midwife, certified nurse practitioner, or medical home where
the parent will take the newborn or infant for care after
discharge.
(P)
Each hospital shall develop a written protocol
following the recommendations of the joint committee on infant hearing for
these criteria:
(1)
Conduct hearing screenings for both ears on all
newborns or infants born, admitted, or transferred into a hospital prior to
discharge, or when determined to be medically appropriate.
(2)
Conduct a second
hearing screening for both ears when the newborn or infant does not pass the
first hearing screening in one or both ears.
(3)
The hospital
shall have a contingency plan included within a written protocol for continued
provision of hearing screening when equipment is malfunctioning or awaiting
repair of replacement.
Replaces: 3701-40-06
Notes
Promulgated Under: 119.03
Statutory Authority: 3701.508
Rule Amplifies: 3701.505; 3701.508
Prior Effective Dates: 02/01/2003, 05/19/2008, 11/12/2013
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