Occupational Audiology What s In It For You?
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1 Occupational Audiology What s In It For You? Christine Harrison, B.A., M.Sc., RAUD, CHSC Manager, Certification Services Worker and Employer Services Division WorkSafeBC Richmond British Columbia, Canada christine.harrison@worksafebc.com Occupational and Environmental Medical Association of Canada Annual Scientific Conference, Vancouver British Columbia, Canada What is Occupational Audiology? Audiologists are hearing health professionals who identify, diagnose and manage individuals with peripheral or central hearing loss, tinnitus and balance disorders. * Key words: assessment, intervention, education, consultation, research, administration, collaboration, supervision, management, policy development Applied in occupational setting *from Scope of Practice for Audiology, 2011, CASLPA 2 Christine Harrison, WorkSafeBC 1
2 Occupational Hearing Conservation 1. Noise exposure surveys 2. Engineered noise control 3. Posting of hazardous areas 4. Hearing protection devices 5. Serial audiometry Medical referral criteria 6. Education and training 7. Record keeping 3 Role of an Occupational Audiologist Manage audiometric evaluations Train audiometric technicians Review audiograms Manage medical referrals Review/report company statistics Assess occupational fitness, RTW (D, HOH, BI) Evaluate amplification Evaluate acoustic environment Determine technology requirements 4 Christine Harrison, WorkSafeBC 2
3 Role of an Occupational Audiologist continued Review hearing loss claims Assist in diagnosis Assist in determining causality Review noise history Conduct noise exposure surveys Provide counseling, education & training Workers, health and safety committees Evaluate hearing protection devices Suitability, fit, use, care, maintenance 5 Occupational Hearing Conservation in Canada Jurisdictional Variations 1. Action levels (all dba Lex): 80 SK, MB, NB: conduct noise exposure survey; YT: conduct audiometry if workplace >85 dba Lex 82 BC: conduct noise exposure survey 84 Federal: conduct noise exposure survey 85 BC, SK, MB, NB, YT, AB, ON, PE, NL, NU: implement program 87 Federal: implement program 90 QC: implement program 6 Christine Harrison, WorkSafeBC 3
4 Occupational Hearing Conservation in Canada--Jurisdictional Variations 2. Noise exposure limits: 85 dba BC, AB, SK, MB, ON, NB, NS, PE, NL, YT, NT, NU 87 dba Federal 90 dba QC 3. Serial audiometry: YES BC, AB, SK, MB, PE, NL, YT NO ON, QC, NB, NT, NU, Federal Unclear NS (per ACGIH) 7 Occupational Hearing Loss Compensation in Canada Federal and all provinces/territories Acute ( traumatic ) Single incident Acoustic, head injury, barotrauma Chronic ( noise induced ) [Chemical exposure Alone or synergy with noise exposure Solvents, asphyxiants, heavy metals] 8 Christine Harrison, WorkSafeBC 4
5 Occupational Noise Induced Hearing Loss ( ONIHL ) Generally Sensorineural (peripheral; cochlea) Progressive Cumulative effect of noise exposure Hz loss initially Extends to lower frequencies eventually, Higher frequencies maintain greater loss Bilateral Symmetrical 9 Mean Hearing Levels: y.o. Males Frequency in khz Significant improvements at 3, 4, 6 khz, p<.001 on two-tailed test Typical NIHL 10 Christine Harrison, WorkSafeBC 5
6 Diagnosis of ONIHL Cause and effect: 1. Evidence of occupational noise exposure Actual measurement Deduction, or inference 2. Audiometric data Serial, pattern Multiple etiology? Presbycusis, head injury, congenital, Meniere s, chronic otitis media, cochlear otosclerosis 11 Criteria for Claims Eligibility* Compensation provided in all jurisdictions Noise exposure 85 or 90 dba Lex 2 or 5 years minimum duration (10) Audiometry averaged over 3 or 4 frequencies 500, 1000, 2000 (10) Plus 3000 (8) or 4000 (1) Low fence for $$ range: decibel *Caveat: this information is presented to illustrate the variation in criteria across Canada. The author provides no warranty for the accuracy of any of these criteria. Consult the appropriate jurisdiction s compensation body. 12 Christine Harrison, WorkSafeBC 6
Subject Noise-Induced Hearing Loss, On/After January 2, 1990
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