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Hearing Assessment Paediatric

Useful management information

Minimum referral criteria (Does your patient meet the minimum criteria?)

Does your patient meet the minimum referral criteria?

Category 1
(appointment within 30 calendar days)
  • Any requests for hearing assessment associated with ototoxic treatment
  • Healthy Hearing Direct Refer
Category 2
(appointment within 90 calendar days)
  • Unscreened children (who have not been screened under a universal hearing screen at birth)
  • Healthy Hearing Early Targeted Surveillance
  • Refugee screen
  • Suspected Autism Spectrum Disorder
  • Family History of permanent childhood hearing loss
  • Strong medical concern
Category 3
(appointment within 365 calendar days)
  • Healthy Hearing Targeted Surveillance
  • Developmental delays
  • Learning or behavioural difficulties
  • School recommendation
  • Parental concern

If your patient does not meet the minimum referral criteria

  • Assessment and management information can be found on a range of conditions at Brisbane South HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
    • Please note that your referral may not be accepted or may be redirected to another service

Standard referral information (To be included in all referrals)

Reason for request

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • All conservative options that have been pursued unsuccessfully prior to referral
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes, BMI), noting these must be stable and controlled prior to referral
  • Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • A comprehensive capture of information in relation to MSH Referral Criteria

Clinical modifiers

  • The presence of clinical modifiers may impact the categorisation of the patient.
  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living functioning – low/medium/high
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander

Patient's Demographic Details

  • Full name (including aliases)
  • Date and country of birth
  • Residential and postal address including whether patient resides at an aged care facility
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Name of delegate and contact details (Department of Corrective Services)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

 

Essential referral information for Hearing Assessment Paediatric referrals (Referral will be returned without this)

  • Reason why hearing test is being requested

Additional referral information for Hearing Assessment Paediatric referrals

  • Details of current or previous treatments with ototoxic pharmaceutical agents:
    • Aminoglycoside and chemotherapeutic agents can cause permanent bilateral SNHL
    • Loop diuretics, salicylates, and antimalarial agents usually cause temporary bilateral SNHL that returns to normal soon after pharmacological therapy is stopped
  • Details of any change in hearing levels post commencement of pharmaceutical treatment if applicable
  • Details of any otologic symptoms or pre-existing hearing loss if applicable.
  • Any previous hearing assessments if applicable
  • ENT history if applicable
  • Neurology/neurosurgery history if applicable
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Details of any trauma
  • Speech discrimination testing
  • Any previous audiology assessment results
  • Any other health care professionals are currently involved (e.g. other Allied Health Professionals, Health Clinicians).
  • The person's hearing and communication needs at home, at work or in education, and in social situations
  • Psychosocial difficulties related to hearing
  • Details of any otologic symptoms or pre-existing hearing loss if applicable

Emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

Paediatric Hearing loss

  • Sudden loss or deterioration

Paediatric Otitis media

  • Any suspicions Mastoiditis (proptosis of pinna), meningitis or other complication of ASOM
  • Trauma
  • New onset facial nerve palsy

Other referrals to emergency not covered within these conditions (Paediatric)

  • Foreign body
  • ENT conditions with associated neurological signs e.g. facial nerve palsy, profound vertigo and/or sudden deterioration in sensorineural hearing
  • Acute and/or complicated mastoiditis
  • Auricular haematoma
  • Significant head injury
  • Congenital abnormality of the head/neck
  • Meningitis/encephalitis

Out of catchment

Metro South Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Last updated 14 December 2022