|
|
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
| |
Information may include: | Client medical historyReferral letterCorrespondenceConsent formsCurrent standardsInformation for clients |
| |
Environment may include: | Consulting room Acoustically treated assessment room |
| |
Equipment and instruments may include: | Audiometer (clinical, screening and diagnostic)HeadphonesOtoscope (hand held and video)Screening tympanometerRecorded speech sources Sound field audiometer Impedance audiometerComputer |
| |
Equipment checking must include: | Acoustic calibration and integrity check of an audiometerAll parts are correctly assembled |
| |
Personal protective equipment may include: | Gloves MasksEye protection |
| |
Clients may include: | AdultsAged persons |
| |
Informed consent may include: | WrittenVerbal Implied |
| |
Confidentiality of client information may include: | Legal and ethical requirementsSecure location for written recordsTelephone conversationsOffering a private location for discussions Information disclosed to an appropriate person consistent with the responsibility of this positionAdherence to the Privacy Act |
| |
Personal hygiene/infection control procedures may include: | Washing hands Current National Health and Medical Research Council (NHMRC) guidelines for infection control in health care settingsStandard Precautions and Additional Precautions as defined by the NHMRCCurrent Australian StandardsLocal Government ordinancesOther legislative requirements |
| |
Relevant policies and procedures may include: | Organisation Industry standards (state and national)Office of Hearing ServicesContract requirementsrelevant Commonwealth and state/territory privacy legislationResearch organisations e.g. National Acoustic Laboratory (NAL)Relevant state/territory WHS bodiesIndustry professional bodiesRelevant Australian standards |
| |
Abnormalities of the ear canal may include: | Excessive cerumenForeign bodyDischarge from the earSigns of inflammation/infectionAtresiaExostosisCollapsed ear canalsPresence of grommetsOtitis externaPerforated tympanic membrane |
| |
Contraindications for proceeding with further tests include: | Excessive cerumenForeign bodyDischarge from the earSigns of inflammation/infectionAtresiaExostosisCollapsed ear canalsPresence of grommetsOtitis externaPerforated tympanic membrane |
| |
Referral agencies may include: | AudiologistMedical practitionerMedical facilitiesRehabilitation centresSelf help organisations |
| |
Hearing assessments must include: | Pure tone audiometry assessments ie air conduction screening and threshold assessments, threshold air and bone conduction assessments with masking as required, StengerImpedance audiometry assessments ie screening tympanometry and contralteral stapedius reflex recording, stapedial reflex delaySpeech audiometry assessments using at least two levels, one being at least 10dB above PB max ie phonetically balanced monosyllables, AB words, spondees |
| |
Results of hearing assessments may include: | Sensori-neural hearing lossConductive hearing lossMixed hearing lossIdentification of non-organic hearing loss |
| |
Options for client may include: | Fitting of a hearing aid or assistive listening deviceReferral to a general practitionerReferral to a local support group for training in communication strategies |
| |
Indications for medical referral include: | Visible evidence of cerumen accumulation or the presence of a foreign body which precludes assessment or taking an impressionPreviously unreported apparent or confirmed perforationReported pain, discomfort or tenderness in the earAny history of active drainage from the ear during the past 3 months and/or apparent infectionA hearing loss associated with a traumatic insult to the earChronic dizziness or vertigoReported facial numbness, weakness or asymmetrical facial movementsA hearing loss of sudden or recent onsetUnilateral hearing lossUnilateral tinnitusSudden onset of tinnitusReported feeling of blockage or fullness in ear(s)Rapid deterioration in audiometric thresholds |
| |
Indications for audiological referral include: | An air bone gap of 20dB or greater at 500, 1000 or 2000HzAn asymmetrical sensory-neural loss (a difference of >20dB at 500, 1000 or 2000Hz and/or30dB at 3000, 4000 or 6000HZ)A significant difference in speech discrimination scores between earsEvidence of fluctuations in audiometric thresholds |
| |