North Carolina Infant Diagnostic Audiologic Evaluation Sites
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1 North Carolina Infant Diagnostic Audiologic Evaluation Sites NC Location Asheville Asheville Name of Facility Address Telephone Medical Affiliation Asheville Head, Neck 1065 Hendersonville Rd. (828) Mission & Ear Surgeons Asheville, NC Mission Children s Pediatric 11 Vanderbilt Park Drive Asheville, NC Chapel Hill UNC s G0303 Neuroscience 101 Manning Drive Chapel Hill, NC Carolinas Eye, Ear, Nose & Throat Associates, P.A Blythe Boulevard, NC Fairview Road, NC (828) Mission Children s For diagnostics (919) UNC s (704) Levine Children s (704) , Russian, All available upon request by patient. On-site for & sign language; other upon request (multiple locations are available in and surrounding area for follow up after diagnosis) CornerStone Ear, Nose & Throat, PA Novant Health 8035 Providence Road #320, NC Baldwin Avenue Suite 100, NC (704) CMC-Union Edgewater Surgery (704) Novant Health On-site, Chinese, Vietnamese & Sign Lang, phone & video for all
2 Py Hearing and 2711 Randolph Road Communication Suite 307, NC Concord Durham Durham CMC Northeast Duke University Medical NC Eye, Ear, Nose and Throat 1090 NE Gateway Court Concord, NC Trent Drive Clinic 1 I Orange Zone Durham, NC Roxboro Street Durham, NC (704) For diagnostics (704) CMC-Northeast * (919) Duke Children s (919) NC Specialty On-site for, French and Arabic; phone and sign language Phone and sign language Fayetteville Fort Bragg Cape Fear Valley Health System Womack Army Medical (note: Military only) 1638 Owen Drive Fayetteville, NC Reilly Road Stop A Fort Bragg, NC (910) Cape Fear Valley Health System (910) Womack Army Medical as secondary to Tri-Care Goldsboro Greensboro Greenville UNC Ear Nose and Throat at Goldsboro Cone Health Outpatient & East Carolina University Speech Language and Hearing Clinic 2707 Medical Office Place Goldsboro, NC North Church St. Greensboro, NC School of Allied Health Services ECU Health Sciences Bldg Room 1310 Greenville, NC (919) ext. 131 (336) Moses Cone No English only (252) On-site through Brody School of Medicine
3 Greenville Vidant Medical 2100 Stantonsburg Road (252) Vidant Medical Greenville, NC Hickory Kitty Hawk Mooresville Carolina Ear, Nose, and Throat-Head and Neck Surgery Outer Banks Ear Nose and Throat All Generations th Ave NE Hickory, NC N. Croatan Hwy Kitty Hawk, NC East Ave Mooresville, NC (828) (252) Vidant Medical and (704) On-site for, phone for others Interpreter service available, all lang. Monroe Monroe Pinehurst CornerStone Ear, Nose & Throat PA Py Hearing and Communication Pinehurst Surgical ** Duke Otolaryngology of ENT & Associates, PLLC 1107 Reynolds St. Monroe, NC Commerce Drive Suite D Monroe, NC First Village Drive Pinehurst, NC Wake Forest Rd. Suite 404, NC Ed Drive, NC (704) CMC-Union Edgewater Surgery for diagnostics (704) (910) (919) Duke University Medical (919) Blue Ridge Surgery, Rex Interpreter services available, all Capitol Ear, Nose & Throat*** 4600 Lake Boone Trail Suite 100, NC (919) and
4 Wake Med Andrews, 2 nd Fl New Bern Avenue, NC Wilmington Winston- Salem Winston- Salem Norfolk, Virginia Fort Mill, SC Rex ENT Specialists at Wakefield Wilmington Ear, Nose & Throat Associates Forsyth Medical Dept. of Wake Forest Baptist Health Dept. of Children s of the King s Daughters (CHKD) Lakeside Governor Manly Way Suite 301, NC Delaney Avenue Wilmington, NC Silas Creek Blvd. Winston-Salem, NC Medical Boulevard Janeway Tower 4th Floor 601 Children s Lane 2 nd Floor- Norfolk, VA Gold Hill Rd., Suite 104 Fort Mill, SC (919) Wake Med and (919) Rex and (910) (336) Forsyth Medical (336) Wake Forest Baptist Health (Brenner Children s ) (757) CHKD Main and and (803) Interpreter services will be arranged upon request English only phone & video for other Multiple via interpreter system *Northeast will perform infant diagnostic testing, but they do not perform initial amplification fittings. They will also provide hearing aid follow up for patients who are fit by other facilities. **Pinehurst Surgical has other locations available for follow up after diagnosis in Raeford, Rockingham, Sanford and Troy, NC. *** Capital Ear, Nose & Throat has other locations available for follow up after diagnosis in Wake Forest and Garner, NC.
5 North Carolina Infant Diagnostic Audiologic Evaluation Sites Updated April 2013 Infant Audiologic Assessment Early detection and intervention of hearing loss are the keys to successful habilitation of infants and toddlers. Newborn hearing screening has been mandated in North Carolina since October, Based on national averages, it is expected that infants (1-2%) will be referred for infant diagnostic audiologic assessment each year in North Carolina. Infants should be referred for diagnostic audiological evaluation following a refer result on two physiologic hearing screenings (i.e. initial newborn hearing screening and one follow-up re-screening), which should occur before the age of 1 month. Hearing loss should be confirmed by three months of age. The diagnostic audiological evaluation should be completed by a pediatric audiologist. A pediatric audiologist is trained, has the technical expertise, and desire to work with the infant population. The pediatric audiologist is well-versed in developmentally appropriate test techniques, general child development, and parent counseling. The evaluation will consist of a battery of tests including child/family history,documentation of risk indicators for hearing loss, otoscopic inspection, otoacoustic emissions (OAE) assessment, auditory brainstem response (ABR) assessment, middle ear measures, and behavioral response to sound. The North Carolina Early Hearing Detection and Intervention Advisory Board strongly recommends that any audiologist accepting referrals for infant diagnostic audiologic assessment have the equipment and ability to complete the following procedures: Auditory Brainstem Response (ABR,BAER) ABR threshold (click, low and high frequency tone bursts, and bone conduction click) ABR suprathreshold to click stimuli (varied click rate and polarity) Note: If sedation is required, ABR should be conducted in a medical facility where sedation can be administered and monitored. Middle Ear Measures Tympanometry using probe tone of 1000 Hz Acoustic Reflex Threshold Otoacoustic Emissions Behavioral Response (via parent report or directobservation) Otologic Evaluation may occur at a different facility and time The audiologist must report the audiologic evaluation results to the North Carolina Early Hearing Detection and Intervention Program as required by law (10A NCAC 43F.1204). N.C. Department of Health andhuman Services Division ofpublic Health Early Hearing Detection and Intervention Program Approved by EHDI Advisory Board October2012
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