American Speech-Language-Hearing Association

Oregon Hearing Screening Requirements for Newborns and School-Aged Children

The following information summarizes hearing screening programs for newborns and school-aged children.

The information has been collected by researching individual state statutes, regulations, policy documents, and by contacting each state. The information is reviewed on an annual basis. Please be advised that regulations and policy may change at any time, so always check with your state for the most up-to-date information.

Newborn Screening

Screening

In all hospitals or birthing centers with more than 200 live births per year, each newborn child shall receive a newborn hearing screening test within one month of the child's date of birth.

Intervention

The hospital or birthing center shall notify the parent or guardian and the health care provider of the newborn child of the newborn hearing screening test results within 10 days of the test. This notification shall include a description of the meaning of a 'pass' result and a 'refer' result.

The hospital or birthing center shall, with the results of the newborn hearing screening test, provide the parent or guardian of a child who needs follow-up testing and the health care provider with the names and contact information for diagnostic facilities and a description of the importance of timely diagnosis and intervention.

Standards/Protocols

Standards and protocols are not addressed by law/regulations.

Tracking/Reporting

Using information submitted by birthing facilities and screening facilities, including birth records and newborn hearing screening test results, the Oregon Health Authority shall establish a registry of all newborns and their hearing screening test results or status.

Each screening facility conducting newborn hearing screening tests or diagnostic tests shall report to the Oregon Health Authority, at a minimum, the following information about each newborn child receiving hearing screening in that facility.

  1. Name of the child;
  2. Child's date of birth;
  3. Birthing facility identifier;
  4. Screening facility identifier, if different than birthing facility;
  5. Newborn blood spot screening kit unique identification number, for matching purposes;
  6. Result of the newborn hearing screening test (or) status of the newborn hearing screening test, if not completed.

The Oregon Health Authority may request that diagnostic facilities report additional information deemed necessary to:

  1. Match the follow-up test result or status with the appropriate child in the Newborn Hearing Screening Test Registry and Tracking and Recall System;
  2. Provide or offer follow-up services to children identified with hearing loss or at-risk of hearing loss and their families.

School-Age Screening

Ages/Populations Screened

Guidelines indicate:

Hearing screening shall be offered annually for all students in as many of the following categories as resources allow, starting with:

  • First entry into school
  • Every year from pre-kindergarten through 3rd grade
  • 7th and 11th grades
  • Upon entrance into special education
  • Upon grade repetition
  • Parent or school staff referrals

Who Can Screen

Guidelines indicate:

Hearing screening programs should be conducted under the direction of a licensed audiologist, a speech language pathologist, or the school nurse.

Training for Screeners

Guidelines indicate:

The supervising professional has the responsibility for training and monitoring screening activities.

Type of Testing

Guidelines indicate:

  • An individual pure tone screening is recommended.
  • Conventional audiometry where students are instructed to raise their hand (or point to the appropriate ear) when they hear a tone is the commonly used procedure.

Equipment Standards

Guidelines indicate:

Proper handling of machines, daily equipment check, and yearly calibration should be the standard to assure accurate screening.

Follow-up Protocols & Documentation

Guidelines indicate:

Results of all screenings and testing should be shared with parents or guardians.

Resources

For further information on hearing screening requirements, visit these websites:

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.

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