Wyo. Code R. 048-0035-2
Effective Date: 01/13/2000 to 04/28/2008
Rule Type: Superceded Rules & Regulations
Reference Number: 048.0035.2.01132000
(a) Hearing screening shall be given to every child born in the State of Wyoming.
(b) If the child is not born in a hospital, the attending physician, midwife, or person attending the delivery shall offer to arrange a hearing screening for the child at a Wyoming birthing hospital.
(c) If a newborn is transferred to another Wyoming birthing hospital, the hospital that discharges the child shall be responsible for insuring that hearing screening takes place. If a Wyoming resident newborn is transferred to a hospital outside Wyoming, the discharging Wyoming hospital shall insure that hearing screening takes place either prior to discharge or upon the infant's return to Wyoming.
(d) Newborn hearing screening and/or rescreenings may be delayed due to transfers and/or medical contraindications. The hospital must document the delays, and insure hearing screening has taken place prior to ultimate discharge.
(e) All screening results shall be reported at least monthly to the State Department of Health and be reviewed by a State approved audiology consultant. The reported data shall include:
(i) total number of births;
(ii) the number of newborns initially screened before discharge;
(iii) the number of newborns rescreened upon returning to the hospital;
(iv) the pass-fail results of all screenings;
(v) the number of newborns not screened due to parental waiver, medical contraindications, or lost to follow-up; and
(vi) any other screening results deemed as useful by the State Department of Health.
(f) Each birthing hospital shall establish a system to facilitate the referral for diagnostic audiological assessment for neonates who fail the newborn hearing screening. This includes, but is not limited to:
(i) written notification to the primary care physician that the child has failed the newborn hearing screening and that diagnostic audiological assessment is recommended; and
(ii) written notification to the parent(s) that the child has failed the newborn hearing screening, that diagnostic audiological assessment is recommended, and that the primary care physician has been notified.
(a) Each newborn's hearing shall be screened before discharge from the hospital.
(b) If a newborn fails the first screening, the screening procedure shall be immediately repeated before discharge from the hospital.
Section 3. Rescreening.
(a) Each newborn failing both initial screen(s) will be rescreened within 7-10 days of the initial screen(s).
Section 4. Method of Screening.
(a) Newborn screening and the documentation and dissemination of screening results shall be done by trained personnel, under the supervision of a State approved audiology consultant. Training procedure information will be audiologically approved and accepted.
(b) All screenings shall involve both ears.
(c) Birthing hospitals shall use one of the following screening methods:
(i) Auditory Brainstem Responses (ABR);
(ii) Automated Auditory Brainstem Responses (AABR); or
(iii) Otoacoustic Emissions (OAE), either Transient Evoked OAE (TEOAE) or Distortion product OAE (DPOAE).
(d) Instrumentation, electrode array, and transducer arrangements shall be in accordance with recommendations/specifications from the manufacturer of the screening device.
Section 5. Criteria to Pass Hearing Screening.
(a) Normal ABR for click stimuli at 35 dBnHL (decibels of normal hearing levels) or less in each ear; or
(b) normal TEOAE for click stimulus at 84 dBSPL (decibels of sound pressure levels) presentation level or less in each ear; or
(c) normal DPOAE for 1500-6000 Hz (hertz) stimuli at 65-55 dBSPL or less in each ear.
Section 6. Consent for Newborn Hearing Screening.
(a) Parental consent for screening shall be obtained pursuant to rules and regulations outlined in Section 3, Chapter 1, Rules and Regulations of Mandatory Screening of Newborn Infants for Inborn Errors of Metabolism.