Download Protocol and Guidelines Appendices 1

A REFER result on AABR1
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A REFER result today indicates that your baby needs another screen.
There are several reasons why your baby requires a further screen
1. The screen was attempted when the baby was too young (Protocol recommends 6 hours or older)
2. Baby was unsettled during the screen
3. Excessive background noise during the screen – screening conditions or environment were not ideal
4. Baby may have fluid or a temporary blockage in their ear
5. Temporary blockage of the external ear canal due to
- position of baby’s head
- pressure on the canal
- residual birth debris in the ear canal
- residual vernix in the ear canal
6. Possibility of some degree of hearing loss
7. Do you have any questions? Can I go over any details again for you?
What happens if the baby refers?
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If the baby refers on either ear, we will repeat the screen
This may be in hospital or we will arrange for you to return for another screen as an outpatient
REFER AABR1- Appointment arranged AABR2
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The same technique will be used to assess your baby’s hearing.
The nurse screener will be able to explain the results following the screen.
This repeat screen will be undertaken either in the Hospital prior to discharge or in OPD.
If you are unable to attend the OPD appointment please contact 36461484 and we will be happy to
arrange another appointment for you.
Do you have any questions? Can I go over any details again for you?
PASS following AABR2 screen – include otitis media information
• Refer to appropriate “PASS” script above ie Pass with / without risk factors
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(Include the otitis media evidence from Karen Doyle et al 2004 paper)
There is some evidence that babies who do not pass their first hearing screen at 48 hours of life, but go
on to pass their second screen have a higher incidence of an otitis media before their first birthday.
(twice as likely to develop)
We recommend that you are very vigilant in monitoring your baby’s speech and language milestones and
seek the review of your family GP when concerns arise.