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Audiologist Checklist

COMMUNICATION *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Obtain culturally sensitive and pertinent case history effectively, accurately, and with minimal expenditure of time.
Interpret test data accurately to the level of comprehension of the client.
Effectively counsel parent/guardian regarding child's hearing disorder; including education, social, and speech-language development.
Effectively counsel patients regarding hearing disorders and implications for management.
Effectively counsel patients regarding balance issues and fall prevention.
Complete control of marketing, testing, fitting, follow-up, inventory, and customer service.
COMMUNICATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Obtain culturally sensitive and pertinent case history effectively, accurately, and with minimal expenditure of time.
Interpret test data accurately to the level of comprehension of the client.
Effectively counsel parent/guardian regarding child's hearing disorder; including education, social, and speech-language development.
Effectively counsel patients regarding hearing disorders and implications for management.
Effectively counsel patients regarding balance issues and fall prevention.
Complete control of marketing, testing, fitting, follow-up, inventory, and customer service.
DUTIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Examine patients who have hearing, balance, or related ear problems.
Assess the results of the examination and diagnose problems.
Determine and administer treatment to meet patients' goals.
Provide treatment for tinnitus, a condition that causes ringing in the ear.
Fit and dispense hearing aids.
Counsel patients and their families on ways to listen and communicate, such as lip reading or through technology.
Evaluate patients regularly to check on hearing and balance and to continue or change treatment plans.
Record patient progress.
Research the causes and treatment of hearing and balance disorders.
Educate patients on ways to prevent hearing loss.
DUTIES * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Examine patients who have hearing, balance, or related ear problems.
Assess the results of the examination and diagnose problems.
Determine and administer treatment to meet patients' goals.
Provide treatment for tinnitus, a condition that causes ringing in the ear.
Fit and dispense hearing aids.
Counsel patients and their families on ways to listen and communicate, such as lip reading or through technology.
Evaluate patients regularly to check on hearing and balance and to continue or change treatment plans.
Record patient progress.
Research the causes and treatment of hearing and balance disorders.
Educate patients on ways to prevent hearing loss.
PATIENT CARE * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Collaborated with other staff audiologists, hearing aid dispensers, and administrative staff to ensure complete patient care.
Involved in the writing and administration of patient care records and clinical reports.
Networked with physicians, nursing, and rehab staff regarding patient care.
Prepared written reports of diagnostic test results and recommendations and referred to the appropriate professionals regarding patient care and management.
Coordinated with physicians, other audiologists, and state and national organizations to provide appropriate patient care and follow-up.
Maintained premium patient care at all times and earned the highest possible rating of exemplary on performance review.
PATIENT CARE *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Collaborated with other staff audiologists, hearing aid dispensers, and administrative staff to ensure complete patient care.
Involved in the writing and administration of patient care records and clinical reports.
Networked with physicians, nursing, and rehab staff regarding patient care.
Prepared written reports of diagnostic test results and recommendations and referred to the appropriate professionals regarding patient care and management.
Coordinated with physicians, other audiologists, and state and national organizations to provide appropriate patient care and follow-up.
Maintained premium patient care at all times and earned the highest possible rating of exemplary on performance review.
PROCEDURES/SKILLS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Pure tone air conduction
Pure tone bone conduction
Masking for air conduction
Speech Recognition Threshold (SRT)
Masking for SRT
Word Recognition testing (quiet, noise)
Masking for word recognition testing
Tympanometry (multi-frequency & gradient)
Acoustic reflexes (ipsilateral and contralateral)
Otoacoustic emissions
Earmold impressions
Selection of appropriate earmold (style and acoustics)
Outcome measures: COW (Children Outcome Worksheet)
Outcome Measures: COSI (Client Oriented Scale of Improvement)
Electroacoustic analysis
Hearing instrument troubleshooting
Hearing instrument/earmold maintenance
PROCEDURES/SKILLS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Pure tone air conduction
Pure tone bone conduction
Masking for air conduction
Speech Recognition Threshold (SRT)
Masking for SRT
Word Recognition testing (quiet, noise)
Masking for word recognition testing
Tympanometry (multi-frequency & gradient)
Acoustic reflexes (ipsilateral and contralateral)
Otoacoustic emissions
Earmold impressions
Selection of appropriate earmold (style and acoustics)
Outcome measures: COW (Children Outcome Worksheet)
Outcome Measures: COSI (Client Oriented Scale of Improvement)
Electroacoustic analysis
Hearing instrument troubleshooting
Hearing instrument/earmold maintenance
PERFORMANCE OF AUDIOMETRIC TESTS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Most comfortable loudness level
Loudness discomfort levels
PERFORMANCE OF AUDIOMETRIC TESTS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Most comfortable loudness level
Loudness discomfort levels
SELECTION OF APPROPRIATE AMPLIFICATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Technology
Style
Microphone array
Other features
Use of fitting software
SELECTION OF APPROPRIATE AMPLIFICATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Technology
Style
Microphone array
Other features
Use of fitting software
HEARING AID EVALUATION: BEHAVIORAL ASSESSMENT *SKI

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Speech audiometry
Functional gain
Assessment of directional microphone
HEARING AID EVALUATION: BEHAVIORAL ASSESSMENT *FRE

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Speech audiometry
Functional gain
Assessment of directional microphone
HEARING AID EVALUATION: REAL EAR MEASUREMENTS *SKI

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Verification for linear amplifications (NAL-Revised/NAL-R)
Verification for non-linear amplification (Desired Sensation Level/DSL)
Real ear-to-coupler measurements
Loudness discomfort levels
PERFORMANCE OF TEST *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Masking Level Difference (MLD)
Performance Intensity - Synthetic Sentence Identification/PI-SSI function
Staggered Spondee Word (SSW)
Pitch Pattern Sequence and Duration Pattern Sequence
Auditory Continuous Performance Test (ACPT)
Non-organic test procedures: Stenger
PERFORMANCE OF TEST *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Masking Level Difference (MLD)
Performance Intensity - Synthetic Sentence Identification/PI-SSI function
Staggered Spondee Word (SSW)
Pitch Pattern Sequence and Duration Pattern Sequence
Auditory Continuous Performance Test (ACPT)
Non-organic test procedures: Stenger
SYNTHETIC SENTENCE IDENTIFICATION/SSI *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Ipsilateral Competing Message (ICM)
Chronic Care Model (CCM)
SYNTHETIC SENTENCE IDENTIFICATION/SSI *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Ipsilateral Competing Message (ICM)
Chronic Care Model (CCM)
DICHOTIC TEST PROCEDURES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Dichotic digits
Dichotic Sentence Identification (DSI)
DICHOTIC TEST PROCEDURES * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Dichotic digits
Dichotic Sentence Identification (DSI)
PERFORMANCE OF TEST: SCAN *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Tests for Auditory Processing in Adolescents and Adults (SCAN-A)
Tests for Auditory Processing in Children (SCAN-C)
PERFORMANCE OF TEST: SCAN *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Tests for Auditory Processing in Adolescents and Adults (SCAN-A)
Tests for Auditory Processing in Children (SCAN-C)
PEDIATRIC AUDIOMETRY *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Pediatric test protocol
Conditioned play audiometry
Conditioned Orientation Reflex Audiometry (CORA)
Behavioral Observation Audiometry (BOA)
Northwestern University - Children's Perception of Speech (NU-CHIPS); Word Intelligibility by Picture Identification (WIPI)
Pediatric Speech Intelligibility (PSI): Ipsilateral Competing Message (ICM)
Pediatric Speech Intelligibility (PSI): Chronic Care Model (CCM)
PEDIATRIC AUDIOMETRY *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Pediatric test protocol
Conditioned play audiometry
Conditioned Orientation Reflex Audiometry (CORA)
Behavioral Observation Audiometry (BOA)
Northwestern University - Children's Perception of Speech (NU-CHIPS); Word Intelligibility by Picture Identification (WIPI)
Pediatric Speech Intelligibility (PSI): Ipsilateral Competing Message (ICM)
Pediatric Speech Intelligibility (PSI): Chronic Care Model (CCM)
PERFORMANCE OF SITE OF LESION AUDIOMETRIC TESTS *S

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Performance intensity function for phonetically balanced words (PI/PB function)
Tone decay
Acoustic reflex decay
PERFORMANCE OF SITE OF LESION AUDIOMETRIC TESTS* F

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Performance intensity function for phonetically balanced words (PI/PB function)
Tone decay
Acoustic reflex decay
PHYSIOLOGICAL TEST PERFORMANCE *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Auditory Brainstem Response (ABR): Neurological procedure
Auditory Brainstem Response (ABR): Latency-intensity function
Auditory Brainstem Response (ABR): Tone bursts
Auditory Brainstem Response (ABR): Bone conduction
Electronystagmography (ENG): Videonystagmography (VNG): Ocular motor tests
Electronystagmography (ENG): Videonystagmography (VNG): Positional tests
Electronystagmography (ENG): Videonystagmography (VNG): Dix - Hallpike maneuver
Electronystagmography (ENG): Videonystagmography (VNG): Bithermal calorics
PHYSIOLOGICAL TEST PERFORMANCE *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Auditory Brainstem Response (ABR): Neurological procedure
Auditory Brainstem Response (ABR): Latency-intensity function
Auditory Brainstem Response (ABR): Tone bursts
Auditory Brainstem Response (ABR): Bone conduction
Electronystagmography (ENG): Videonystagmography (VNG): Ocular motor tests
Electronystagmography (ENG): Videonystagmography (VNG): Positional tests
Electronystagmography (ENG): Videonystagmography (VNG): Dix - Hallpike maneuver
Electronystagmography (ENG): Videonystagmography (VNG): Bithermal calorics
KNOWLEDGE * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bone conduction ABR
Auditory Steady State Response
Electrocochleography/ECochG
Functional vestibular assessment
INSTRUMENT/TOOLS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Audiometers
Hearing aids
Otoscopes
Cochlear implants
Ear wax removal system
Curettes
Cerumen forceps
Earmold impression supplies
Laptop with Audiometry and Hearing Aid software
Aural Microsuction
Water Irrigation kit
INSTRUMENT/TOOLS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Audiometers
Hearing aids
Ear wax removal system
Curettes
Cerumen forceps
Earmold impression supplies
Laptop with Audiometry and Hearing Aid software
Aural Microsuction
Water Irrigation kit
CLINICAL INFECTION CONTROL PROCEDURES *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Hand Hygiene
Personal Protective Equipment (PPE)
Respiratory Hygiene/Cough Etiquette
Sterilization and Disinfection of Patient-Care Items and Devices
Environmental Infection Prevention and Control
CLINICAL INFECTION CONTROL PROCEDURES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Hand Hygiene
Personal Protective Equipment (PPE)
Respiratory Hygiene/Cough Etiquette
Sterilization and Disinfection of Patient-Care Items and Devices
Environmental Infection Prevention and Control
ELECTRONIC DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
ELECTRONIC DOCUMENTATION * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
AGE SPECIFIC COMPETENCIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)
AGE SPECIFIC COMPETENCIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)