The initial screen is considered having been accomplished at the hospital prior to discharge, or taken by you somewhere if your child was home birthed. Sometimes in the hospital, the screeners may screen more than once to get a good reading (but should not be done more than twice), but that is still considered the initial screen.
If your child fails the initial screen, you will return for the outpatient hearing screen or rescreen appointment. The reason for this, is that often a baby who does not pass a screen at the hospital, may have fluid in their ears, (you may have heard this at the hospital by a screener) and so the rescreen is done prior to sending a child on to diagnostic evaluation. PLEASE DON’T ASSUME it’s just fluid in the ears…. It may or may not be, which is why you need to return for the rescreen.
A Did not pass at the second or rescreen appointment means your baby needs further testing by an audiologist. The audiologist should have experience with testing babies and should have the necessary equipment The Pediatric Audiologist(s) listed on your hospital’s Roadmap for Families lists the only audiologists determined to have the necessary experience and equipment. Please call them immediately for an evaluation. The younger your baby the easier it is to perform the test. Your baby will need to be asleep. Older babies (4 month +) may require sedation so they sleep. You want to avoid this if possible due to added costs, limited audiology sites that can provide sedation safely, and most importantly the additional risks to your baby with sedation.