Hearing Screening Tool for Healthcare Professsionals

HEARING SCREENING FOR HEALTHCARE OFFICE

PROCEDURE

1. Screenings should take place in a quiet, enclosed room. Stand 3-5 feet behind the patient or cover your mouth so no visual cues are available.

2. Tell the patient that you will use the phrase “Say the word _____” and then they should repeat only the last word out loud.
a. Examiner: “ Say the word shout”
b. Patient: “Shout”

3. Select one of the lists and present all the words on the list in a normal conversational voice. Record the number of words that were repeated correctly on the patient’s record.

4. In this quiet situation with no distractions, if the patient gets even one or two words wrong, it is possible that he/she has a hearing loss. It is recommended that the patient be referred to the audiologist for further evaluation. Complete the MDS or RAP for referral.

WORD LISTS

List One                                                                      List Three
Shout                                                                                Sell
Vine                                                                                  Third
Take                                                                                 Love
Fell                                                                                    Page
Chalk                                                                                Week

List Two                                                                      List Four
Juice                                                                                  Bite
Pick                                                                                   Seize
Raise                                                                                 Shirt
Thought                                                                            Time
Match                                                                                Dip