North Dakota Early Hearing Detection EHDI logoand Intervention Program


Outpatient Hearing Screen (or Rescreen)Outpatient Flow Chart

North Dakota’s Early Hearing Detection and Intervention Program (ND EHDI) continues to work past birth screening efforts to assure infants requiring an outpatient screen receive the appropriate follow-up by one month of age.
An outpatient screen is recommended for infants who did not pass (referred) or did not have a birth screening at the hospital prior to discharge. The outpatient screen is generally done in coordination with the two-week well baby check or may be scheduled as a separate appointment.
Outpatient screens are generally scheduled by hospital staff before hospital discharge. Outpatient screens may be offered at the birth hospital, a clinic with available hearing screening and/or audiology services or through the Right Track or Tribal Tracking programs. Programs such as Right Track and Tribal Tracking can provide free in-home hearing screenings and answer any other questions parents may have about their child’s development. Families may accept/decline any of their services.

How is a baby’s hearing screened?

Electrodes are placed on the baby's head to detect responses. Sounds (soft clicking noises) are played in the baby's ears. This test measures how the brain responds to sounds and can identify babies who need to be tested for possible hearing loss.

A miniature earphone and microphone are placed in the ear, sounds are played and a response is measured. If a baby hears normally, an echo is reflected back into the ear canal and measured by the microphone. If a baby has a hearing loss, the echo is not detected by the OAE machine.

Results of the Outpatient Hearing Screen (or Rescreen)

Once an infant has completed the outpatient screen, results are documented in ND EHDI’s data system. Parents or guardians of an infant referring (not passing) the outpatient screen will receive a letter from ND EHDI recommending  follow-up by an audiologist to further assess their infant’s hearing health. A referral to the early intervention service called the Parent Infant Program (PIP) is also made. The Parent Infant program is a home-based program offering family centered and individualized support to address each family’s/child’s needs specific to hearing health. Families may accept/decline any PIP services. Parent Infant Program web site. 

A hearing screen checklist for Outpatient Providers