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Enter Hospital Name Here NEWBORN HEARING SCREENING Infant Reporting Form INPATIENT IP SCREEN COMPLETED IP Screening RIGHT LEFT EAR DATE OF SCREENING ABR ABR-Auditory Brainstem Response DPOAE TEOAE PASS REFER RESULT check one DPOAE-Distortion Product Otoacoustic Emission TEOAE-Transient Evoked Otoacoustic Emission Transferred out to Hospital Name Unit on date Missed discharged without screen Complete Follow-Up section below Waived Face Sheet not r.

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OAE amplitudes are generally in the range of -10 dB SPL to +30 dB SPL in healthy functioning ears. Therefore, setting a minimum OAE level ensures that low-level artifact responses are not accepted as a true OAE response. Minimum OAE levels should not be set lower than device-specific system distortion levels.

Otoacoustic emissions (OAE) are sounds generated from the cochlea transmitted across the middle ear to the external ear canal, where they can be recorded. [1] The production of an OAE is a marker for inner ear health and a simple way to screen for hearing loss.

Typical passing criteria for DPOAEs requires absolute response amplitude of at least -6dB and responses at least 6dB above the noise floor at three or more of the test frequency bands, with the 4000Hz region a mandatory passing frequency.

Distortion product otoacoustic emissions (DPOAEs) are a common screening and diagnostic test used to assist in the identification and diagnosis of hearing impairment in young infants referred from newborn screening.

Acute otitis externa (AOE) is a diffuse inflammation of the external ear canal that is most commonly caused by Pseudomonas aeruginosa and Staphylococcus aureus. Presents with rapid onset of ear pain, tenderness, itching, aural fullness, and hearing loss.

When the DPOAE is present in the ear canal, it indicates that the mechanism generating it (i.e., the cochlear amplifier) is functional; when the DPOAE is absent, it indicates that the amplifier is nonfunctional or dysfunctional and that there is hearing loss.

The otoacoustic emission test (OAE) measures hair cell function in the inner ear. An emission refers to the sound generated within the normal cochlea of the ear in response to stimulation. OAE testing is used for a number of reasons, including screening of infants and other special populations.

The OAE (Otoacoustic Emissions) test checks part of the inner ear's response to sound. The test is mostly done on infants and children who may not be able to respond to behavioral hearing tests because of their age.

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airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232