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Evidence Guide: HLTAUD001 - Assess hearing

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTAUD001 - Assess hearing

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare for hearing assessments

  1. Ensure information, including required forms, is accessible and ready for use
  2. Achieve required ambient noise levels in preparation of testing environment
  3. Prepare, calibrate and check equipment and instruments
  4. Ensure personal protective equipment is available and used
Ensure information, including required forms, is accessible and ready for use

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Achieve required ambient noise levels in preparation of testing environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare, calibrate and check equipment and instruments

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure personal protective equipment is available and used

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Establish a positive relationship with the client

  1. Take client case history and explain practice/hearing service administrative procedures
  2. Determine client’s expectations through questioning and active listening
  3. Gain consent from clients where applicable
  4. Give client the opportunity to ask questions and discuss concerns
  5. Identify and respond to special needs of client
  6. Maintain confidentiality of client information
Take client case history and explain practice/hearing service administrative procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine client’s expectations through questioning and active listening

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Gain consent from clients where applicable

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Give client the opportunity to ask questions and discuss concerns

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to special needs of client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain confidentiality of client information

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct otoscopy

  1. Follow personal hygiene and infection control procedures
  2. Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures
  3. Identify and respond to any abnormalities of the ear canal
  4. Identify contra-indications for proceeding with further hearing assessments
  5. Make referralto appropriate agency for further assessment and treatment if required
Follow personal hygiene and infection control procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to any abnormalities of the ear canal

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify contra-indications for proceeding with further hearing assessments

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make referralto appropriate agency for further assessment and treatment if required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Test hearing

  1. Explain procedure to client using language the client understands
  2. Identify significant features of client history
  3. Select and conduct appropriate hearing tests following procedures for correct use of equipment
  4. Produce valid, reliable and accurate results in accordance with relevant policy and procedures
  5. Identify unreliable results and complete re-test according to standard protocols
  6. Use results to identify specific hearing loss and/or any abnormal functions
  7. Record results in accordance with relevant policy and procedures
  8. Clean and store equipment in accordance with manufacturers’ requirements and infection control procedures
Explain procedure to client using language the client understands

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify significant features of client history

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select and conduct appropriate hearing tests following procedures for correct use of equipment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Produce valid, reliable and accurate results in accordance with relevant policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify unreliable results and complete re-test according to standard protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use results to identify specific hearing loss and/or any abnormal functions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record results in accordance with relevant policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean and store equipment in accordance with manufacturers’ requirements and infection control procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Interpret results

  1. Accurately interpret data from individual test results
  2. Integrate and interpret interrelationships between test battery results to establish a comprehensive clinical picture
  3. Validate results for consistency across the test battery
Accurately interpret data from individual test results

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Integrate and interpret interrelationships between test battery results to establish a comprehensive clinical picture

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Validate results for consistency across the test battery

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review assessment results with client

  1. Communicate results of assessments clearly and simply to the client
  2. Determine and discuss options to support client
  3. Negotiate and establish realistic goals for the client
  4. Document and file results in accordance with relevant policies and procedures
  5. Determine recommendations for further assessment or referral to an appropriate facility or hearing aid fitting
Communicate results of assessments clearly and simply to the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine and discuss options to support client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Negotiate and establish realistic goals for the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document and file results in accordance with relevant policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine recommendations for further assessment or referral to an appropriate facility or hearing aid fitting

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

  1. Write report using language and format that suits target audience according to organisation standards
  2. Include clear, concise and relevant information of tests performed
  3. Include summary, recommendations and any further action required
  4. Read and edit report for spelling and grammatical correctness
Write report using language and format that suits target audience according to organisation standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Include clear, concise and relevant information of tests performed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Include summary, recommendations and any further action required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Read and edit report for spelling and grammatical correctness

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Complete report

  1. Write report using language and format that suits target audience according to organisation standards
  2. Include clear, concise and relevant information of tests performed
  3. Include summary, recommendations and any further action required
  4. Read and edit report for spelling and grammatical correctness
Write report using language and format that suits target audience according to organisation standards

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Include clear, concise and relevant information of tests performed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Include summary, recommendations and any further action required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Read and edit report for spelling and grammatical correctness

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare for hearing assessments

1.1 Ensure information, including required forms, is accessible and ready for use

1.2 Achieve required ambient noise levels in preparation of testing environment

1.3 Prepare, calibrate and check equipment and instruments

1.4 Ensure personal protective equipment is available and used

2. Establish a positive relationship with the client

2.1 Take client case history and explain practice/hearing service administrative procedures

2.2 Determine client’s expectations through questioning and active listening

2.3 Gain consent from clients where applicable

2.4 Give client the opportunity to ask questions and discuss concerns

2.5 Identify and respond to special needs of client

2.6 Maintain confidentiality of client information

3. Conduct otoscopy

3.1 Follow personal hygiene and infection control procedures

3.2 Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures

3.3 Identify and respond to any abnormalities of the ear canal

3.4 Identify contra-indications for proceeding with further hearing assessments

3.5 Make referralto appropriate agency for further assessment and treatment if required

4. Test hearing

4.1 Explain procedure to client using language the client understands

4.2 Identify significant features of client history

4.3 Select and conduct appropriate hearing tests following procedures for correct use of equipment

4.4 Produce valid, reliable and accurate results in accordance with relevant policy and procedures

4.5 Identify unreliable results and complete re-test according to standard protocols

4.6 Use results to identify specific hearing loss and/or any abnormal functions

4.7 Record results in accordance with relevant policy and procedures

4.8 Clean and store equipment in accordance with manufacturers’ requirements and infection control procedures

5. Interpret results

5.1 Accurately interpret data from individual test results

5.2 Integrate and interpret interrelationships between test battery results to establish a comprehensive clinical picture

5.3 Validate results for consistency across the test battery

6. Review assessment results with client

6.1 Communicate results of assessments clearly and simply to the client

6.2 Determine and discuss options to support client

6.3 Negotiate and establish realistic goals for the client

6.4 Document and file results in accordance with relevant policies and procedures

6.5 Determine recommendations for further assessment or referral to an appropriate facility or hearing aid fitting

7. Complete report

7.1 Write report using language and format that suits target audience according to organisation standards

7.2 Include clear, concise and relevant information of tests performed

7.3 Include summary, recommendations and any further action required

7.4 Read and edit report for spelling and grammatical correctness

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare for hearing assessments

1.1 Ensure information, including required forms, is accessible and ready for use

1.2 Achieve required ambient noise levels in preparation of testing environment

1.3 Prepare, calibrate and check equipment and instruments

1.4 Ensure personal protective equipment is available and used

2. Establish a positive relationship with the client

2.1 Take client case history and explain practice/hearing service administrative procedures

2.2 Determine client’s expectations through questioning and active listening

2.3 Gain consent from clients where applicable

2.4 Give client the opportunity to ask questions and discuss concerns

2.5 Identify and respond to special needs of client

2.6 Maintain confidentiality of client information

3. Conduct otoscopy

3.1 Follow personal hygiene and infection control procedures

3.2 Conduct otoscopy in a non-threatening manner and produce valid, reliable and accurate results in accordance with relevant policy and procedures

3.3 Identify and respond to any abnormalities of the ear canal

3.4 Identify contra-indications for proceeding with further hearing assessments

3.5 Make referralto appropriate agency for further assessment and treatment if required

4. Test hearing

4.1 Explain procedure to client using language the client understands

4.2 Identify significant features of client history

4.3 Select and conduct appropriate hearing tests following procedures for correct use of equipment

4.4 Produce valid, reliable and accurate results in accordance with relevant policy and procedures

4.5 Identify unreliable results and complete re-test according to standard protocols

4.6 Use results to identify specific hearing loss and/or any abnormal functions

4.7 Record results in accordance with relevant policy and procedures

4.8 Clean and store equipment in accordance with manufacturers’ requirements and infection control procedures

5. Interpret results

5.1 Accurately interpret data from individual test results

5.2 Integrate and interpret interrelationships between test battery results to establish a comprehensive clinical picture

5.3 Validate results for consistency across the test battery

6. Review assessment results with client

6.1 Communicate results of assessments clearly and simply to the client

6.2 Determine and discuss options to support client

6.3 Negotiate and establish realistic goals for the client

6.4 Document and file results in accordance with relevant policies and procedures

6.5 Determine recommendations for further assessment or referral to an appropriate facility or hearing aid fitting

7. Complete report

7.1 Write report using language and format that suits target audience according to organisation standards

7.2 Include clear, concise and relevant information of tests performed

7.3 Include summary, recommendations and any further action required

7.4 Read and edit report for spelling and grammatical correctness

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

followed established procedures and protocols to independently conduct full hearing assessments for at least 20 different adult clients presenting with different hearing capacity, including males and females of diverse age, cultural and linguistic range, and seniors:

selected the hearing tests appropriate to client needs

accurately tested and recorded pure tone audiometry (AC/BC masking) speech audiometry (performance intensity (PI) function, speech reception threshold (SRT), masking) and impedance audiometry test results (tympanometry, ipsi and contralateral reflexes, reflex decay)

integrated and validated results across the test battery

determined type of hearing loss from test results

recognised and responded appropriately when a client is not giving true thresholds

communicated effectively with clients using a client centred approach

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national and state/territory) for conduct of hearing assessments:

contractual obligations

duty of care

informed consent

privacy, confidentiality and disclosure

records management

work role boundaries – responsibilities and limitations:

boundaries of audiometrist role

generalist and specialist functions

relationship between audiometry and other health professionals

indicators for referral

Australian and international standards that apply to the conduct of a hearing assessment:

maximum ambient noise levels for assessments

equipment calibrations

standard infection control precautions

anatomy of the ear, including:

peripheral and central auditory system

potential physical abnormalities

hearing assessment battery elements:

taking case history

otoscopy

air

bone

speech discrimination (PI function)

SRT

masking (pure tone, speech)

tympanometry

ipsi/contralateral reflexes

reflex decay

causes and types of hearing loss

contraindications for hearing assessments

physical environment requirements for audiometric assessments – booths versus quiet rooms

equipment calibration both annual and biological

characteristics of hearing tests, including:

types

purpose of different tests

materials that can be used

suitability of tests for different clients

reliability/validity of particular tests

transducers (headphones, insert earphones, bone conductor, free field)

stimuli (pure tone, warble, pulsed, narrow band noise, broad band noises, speech)