Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 4 - MATERNAL AND CHILD HEALTH › Section 28-4-604 - Responsibilities of medical care facility's hearing screening manager or coordinator

Current through Register Vol. 43, No. 28, July 11,
			 2024
Each manager or coordinator shall be responsible for the
				following:
(a) Writing and
			 implementing a medical care facility policy for the newborn hearing screening
			 program in consultation with the facility's medical director, staff audiologist
			 or consulting audiologist, obstetrics nurse manager, and nursery nurse manager,
			 and with the hearing screening state program coordinator;
(b) providing for the maintenance and
			 accurate operation of the hearing screening equipment;
(c) developing a back-up hearing screening
			 plan to ensure continuation of hearing screening if the equipment malfunctions
			 or when there is a change in personnel administering the hearing screening;
(d) ensuring that the hearing
			 screening is performed by appropriately trained and supervised personnel, as
			 specified in K.A.R. 28-4-608;
(e)
			 overseeing data management and reporting to the department, as specified in
			 K.A.R. 28-4-605; and
(f) ensuring
			 that the following requirements of the hearing screening program are met:
(1) Coordinating the supervision of or
			 supervising the personnel who provide hearing screening, including the ongoing
			 monitoring of their competency and retraining;
(2) monitoring the results of the screening
			 program, including the number of newborns discharged before screening and the
			 referral rates;
(3) before the
			 newborn's or infant's discharge, informing the parent of the results of the
			 hearing screening and providing a copy of the results;
(4) before or upon discharge of any newborn
			 or infant who has passed the hearing screening, providing the child's parent
			 with written information describing the following:
(A) The purpose, benefits, and limitations of
			 hearing screening;
(B) the
			 procedures used for hearing screening;
(C) the risk indicators for delayed-onset,
			 progressive, and acquired hearing loss; and
(D) normal infant developmental milestones
			 regarding hearing, speech, and language;
(5) before or upon discharge of any newborn
			 or infant who has not passed the hearing screening, providing the child's
			 parent with written information describing the following:
(A) The purpose, benefits, and limitations of
			 hearing screening;
(B) the
			 procedures used for hearing screening;
(C) the factors that could result in a
			 referral for further hearing screening, including debris in the ear canal and
			 fluid in the middle ear;
(D) the
			 effects of hearing loss on infant development, including speech and language
			 development;
(E) the risk
			 indicators for delayed-onset, progressive, and acquired hearing loss;
(F) the recommendation for
			 follow-up hearing screening;
(G) a
			 list of options of personnel or sites that provide follow-up hearing screening;
			 and
(H) a timeline for follow-up
			 hearing screening in accordance with accepted medical practices;
(6) before or upon discharge,
			 informing the newborn's or infant's primary medical care provider of the
			 results of the hearing screening and the recommendations made to the child's
			 parent;
(7) retaining the hearing
			 screening results in the newborn's or infant's medical record; and
(8) if a newborn or infant is discharged
			 before hearing screening or if a newborn or infant needs additional procedures
			 to complete the hearing screening, ensuring that the following requirements are
			 met:
(A) Informing the parent of the need for
			 hearing screening;
(B) providing a
			 mechanism by which hearing screening can occur at no additional cost to the
			 family;
(C) making a reasonable
			 effort to ensure that the newborn has a hearing screening before the child is
			 30 days old. To be considered a reasonable effort, the manager or coordinator
			 shall document at least two attempts to contact the newborn's parent by mail or
			 phone. If necessary, the manager or coordinator shall use information available
			 from the facility's own records, the newborn's primary medical care provider,
			 the local public health office, or other agencies; and
(D) notifying the newborn's primary medical
			 care provider after two unsuccessful attempts to contact the newborn's parent.