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EBP Compendium: Summary of Clinical Practice Guideline

Newborn Hearing Screening Programme
Newborn Hearing Screening and Assessment: Guidelines for the Early Audiological Assessment and Management of Babies Referred from the Newborn Hearing Screening Programme

Stevens, J., Sutton, G., et al. (2007).
NHS Newborn Hearing Screening Programme, 31 pages.

AGREE Rating: Recommended with Provisos


This consensus-based guideline provides recommendation for the early audiologic assessment of infants referred from the newborn hearing screening program.


  • Hearing/Balance Screening/Assessment
    • Requirements for a newborn audiologic assessment service include proper equipment, trained and experienced staff, and quiet accommodations.
    • Proper communication with parents before, during, and after the appointment is very important.
    • The first audiological assessment should be completed at roughly four weeks.
    • Sedation for testing should be avoided if possible, but may be considered for infants 3 months to 12 months in exceptional circumstances.
    • The suggested order of testing is: 1) otoacoustic emissions 2) air conduction (AC) click auditory brainstem response (ABR), 3) bone conduction (BC) click ABR, 4) tone pip ABR, 5) Auditory Steady State Response (ASSR), 6) tympanometry, 7) behavioral response to stimuli.
    • Recommendations regarding technical testing considerations are included in the guideline.
    • Each test session should be well documented.
    • Children with hearing impairment should be referred for educational management, and appropriate audiologic management should be initiated.

Keywords: Early Hearing Detection and Intervention

Access the Guideline

Added to Compendium: November 2010

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