Current through Register Vol. 43, No. 12, March 20,
2024
(a) Writing and
implementing a medical care facility policy for the newborn hearing screening
program in consultation with the facility's medical director, staff audiologist
or consulting audiologist, obstetrics nurse manager, and nursery nurse manager,
and with the hearing screening state program coordinator;
(b) providing for the maintenance and
accurate operation of the hearing screening equipment;
(c) developing a back-up hearing screening
plan to ensure continuation of hearing screening if the equipment malfunctions
or when there is a change in personnel administering the hearing screening;
(d) ensuring that the hearing
screening is performed by appropriately trained and supervised personnel, as
specified in K.A.R. 28-4-608;
(e)
overseeing data management and reporting to the department, as specified in
K.A.R. 28-4-605; and
(f) ensuring
that the following requirements of the hearing screening program are met:
(1) Coordinating the supervision of or
supervising the personnel who provide hearing screening, including the ongoing
monitoring of their competency and retraining;
(2) monitoring the results of the screening
program, including the number of newborns discharged before screening and the
referral rates;
(3) before the
newborn's or infant's discharge, informing the parent of the results of the
hearing screening and providing a copy of the results;
(4) before or upon discharge of any newborn
or infant who has passed the hearing screening, providing the child's parent
with written information describing the following:
(A) The purpose, benefits, and limitations of
hearing screening;
(B) the
procedures used for hearing screening;
(C) the risk indicators for delayed-onset,
progressive, and acquired hearing loss; and
(D) normal infant developmental milestones
regarding hearing, speech, and language;
(5) before or upon discharge of any newborn
or infant who has not passed the hearing screening, providing the child's
parent with written information describing the following:
(A) The purpose, benefits, and limitations of
hearing screening;
(B) the
procedures used for hearing screening;
(C) the factors that could result in a
referral for further hearing screening, including debris in the ear canal and
fluid in the middle ear;
(D) the
effects of hearing loss on infant development, including speech and language
development;
(E) the risk
indicators for delayed-onset, progressive, and acquired hearing loss;
(F) the recommendation for
follow-up hearing screening;
(G) a
list of options of personnel or sites that provide follow-up hearing screening;
and
(H) a timeline for follow-up
hearing screening in accordance with accepted medical practices;
(6) before or upon discharge,
informing the newborn's or infant's primary medical care provider of the
results of the hearing screening and the recommendations made to the child's
parent;
(7) retaining the hearing
screening results in the newborn's or infant's medical record; and
(8) if a newborn or infant is discharged
before hearing screening or if a newborn or infant needs additional procedures
to complete the hearing screening, ensuring that the following requirements are
met:
(A) Informing the parent of the need for
hearing screening;
(B) providing a
mechanism by which hearing screening can occur at no additional cost to the
family;
(C) making a reasonable
effort to ensure that the newborn has a hearing screening before the child is
30 days old. To be considered a reasonable effort, the manager or coordinator
shall document at least two attempts to contact the newborn's parent by mail or
phone. If necessary, the manager or coordinator shall use information available
from the facility's own records, the newborn's primary medical care provider,
the local public health office, or other agencies; and
(D) notifying the newborn's primary medical
care provider after two unsuccessful attempts to contact the newborn's parent.
