January, 2018       

Probes & Tips header
ECHO Initiative Events

* * * * * * * * * *
New Live Webinars:

Introductory Webinar:
Planning Evidence-Based Hearing Screening Practices for Children
0-3 Years of Age
Tuesday, Jan. 16th, 2018
1:00-2:00 p.m. Eastern   

* * * * * * * * * *
  New 2018 
OAE Training
Web Class:
Four Sessions :
February 5th, 8th,
12th, and 15th, 2018
1 p.m. EDT
ECHO Initiative
Link to Previous Recorded Webinars:

If you've missed any of 
our previous webinars, 
click here to access our library of previously recorded webinars.

New to 
OAE Screening? 

I f your program is new to OAE screening, or if you have added new staff who need instruction on OAE 
screening practices,  
visit our 
where staff can view instructional video modules and access the corresponding 
Quick Links


Find more helpful hints from previous issues of

 Probes and Tips 

and many other
resources at:  


masthead 3-green


Join Our Mailing List  


Like us on Facebook
Tip of the Month
 The Positive Impact of a
 "Refer" Result
Although it may seem like a negative outcome when a child does not pass a hearing screening, the "refer" result is actually an opportunity to engage in a process that can have a positive impact on a child's life.  The quality of a screening program cannot be measured simply b y the number of children who pass; it is more accurately reflected in the number of children whose previously unrecogniz ed hearing health needs a re identified and met.
The critical key is the follow-up that happens AFTER the screening procedure.  
By adhering to a well-designed OAE or Pure Tone screening protocol, the actions you take can have a significant positive impact on a child's life by helping to identify:
  • Fluctuating (temporary) outer or middle ear conditionsAlthough the primary purpose of screening is to identify permanent hearing loss, the process can also alert providers to chronic conditions that need attention. By making a prompt referral to a health care provider when children refer from screening, many of these conditions can be diagnosed and resolved. Even temporary conditions can affect a child's ability to hear and cooperate with instructions, especially in noisy environments. If left unresolved over time, they can also negatively affect language learning. 
  • Permanent hearing loss, usually associated with the cochlea (inner ear). By rescreening children AFTER a health care provider has resolved any temporary conditions, and by making a referral to a pediatric audiologist when children still do not pass, a permanent loss can be diagnosed and intervention begun. Approximately 3 children per thousand are born with a permanent hearing loss and an additional 2 - 3 per thousand will lose their hearing during early childhood. Early diagnosis and intervention will make a world of difference in their lives. 
  • Mixed hearing loss.  It is also possible for children to have a a temporary loss affecting the outer or middle ear AND a permanent loss affecting the cochlea.  That is why children who are treated for outer or middle ear problems have to be rescreened once the fluctuating conditions have been resolved. 
Although we suggest that programs monitor their pass/refer rates as a way to minimize referrals based on screener error, an accurate "refer" result can be the first step in helping a child whose hearing problems have not yet been recognized. The overarching goal of screening is to correctly identify those children who need further follow-up and to make sure they receive it.   
Probe of the Month
Do you have questions about what steps to take if a child refers from screening? 

Let us know at:  
And, as always, share www.KidsHearing.org with anyone you think would benefit from our resources.     

 ECHO - Headstart

ncham logo
2615 Old Main Hill
Logan, UT 84322

Probes and Tips is a newsletter from the ECHO Initiative that provides monthly TIPS

to enhance early childhood hearing screening and follow-up practices and PROBES

 about current activities so we can learn from one another's successes and challenges.