Archive for August, 2017

On-Site Audiometric Testing

Wednesday, August 23rd, 2017

On-Site Audiometric Testing

Hearing Safety Audiometric Testing
OSHA Compliant

Audiometric Testing is required by OSHA & MSHA annually to all employees who are exposed to noise levels equal or greater than 85dBA

Workers in the oil, gas, mining, construction and many other fields can be exposed to harmful noise levels during equipment operation. If you’re an employer who’s industry exposes your employees to occupational noise levels higher than OSHA or MSHA mandates you’ll need to offer Audiometric testing. This process will start by determining the noise exposure level within the workplace environment. Areas where occupational noise level testing exceeds the federal maximum standards employers must offer audiometric hearing evaluations on an annual basis.

Our service areas include: Tennessee, Alabama, Virginia, West Virginia, Kentucky, Louisiana, Mississippi, Georgia, Florida, Tennessee, South Carolina, & Texas. If your state is not listed please call 615-426-9556 to see if we service your area.

Let KSA Hearing Conservation bring Audiometric Testing to your location(s) according to your schedule. We offer a professionally trained staff and fully equipped units to provide all of the required audiometric testing and reporting for the following:

  • Baseline and Annual Audiometric Testing
  • Review and interpretation of each test
  • Analysis, recommendations, summary report and notification
  • Meets OSHA and MSHA regulations

All of our medical staff and health technicians are licensed or certified in their fields of expertise. Our screening services are federal standard compliant and clinically sound. Health tests are professionally reviewed by our physicians or audiologists, as applicable, giving your employees reliable recommendations. Call 615-426-9556 for more information.

By: Dr. Michael Tigges

Are My Standard Threshold Shifts (STS’s) Recordable?

Wednesday, August 23rd, 2017

Determining Recordability and Work Relatedness

Hearing Safety Audiometric Testing
OSHA Compliant

A STS (standard threshold shift) tells us that an employee’s hearing has worsened compared to baseline test results, but does not tell us why it has worsened. Since OSHA considers most STS’s to be work-related unless determined otherwise by an appropriate professional, you may simply record all the STS’s on the OSHA 300 Log.

 DID YOU KNOW, however, that you can have an audiologist or a physician make a determination regarding the work-relatedness of your STS’s?

You may, of course, utilize the services of local audiologists or physicians, but an excellent first choice would be the audiologist or Physician who provides professional oversight of your hearing conservation program and audiometric testing.

OSHA considers most STS’s to be work-related unless determined otherwise by an appropriate professional.

The determination process is straightforward. You will most likely be asked to submit a questionnaire indicating the employee’s 8-hour TWA (time-weighted average) noise exposure and the NRR (noise reduction rating) of his or her hearing protection. Earplug or earmuff NRR’s are determined by the manufacturer and can be found on the product packaging material. Time weighted average noise exposure is best measured by personal dosimetry, although a sound level meter can be used. If the employee works an extended shift, it will be important to provide values normalized to an 8-hour shift as OSHA requires that this information be furnished to the audiogram reviewer. You will also be asked to provide information about non-work noise exposure and any health conditions that may possibly be affecting hearing.

The reviewing professional will check to see if the hearing protection worn by the employee is adequate for the reported noise exposure. The employee’s audiometric history will also be examined in conjunction with information you have provided in the questionnaire to include medical history that may affect or cause a shift along with potential outside activities such as chainsaw use, target shooting and other activities that may have an affect on a shift and determining if it is work-related.

Certain audiometric configurations may suggest conductive hearing loss and, especially in combination with information suggesting a current cold sinus condition or a history of outer or middle ear problem, may be determined “not work-related.” Most cases, however, are not so straightforward. More often, it is the additional information provided in the questionnaire regarding health conditions or non-work noise exposure that is critical. Make sure you are provided the questionnaire and if not contact me directly for information in this regard as this is an important factor with any Potential STS that may occur during testing.

Many audiometric configurations will show high frequency hearing losses, which suggest the sensorineural losses caused by both noise and aging. Of help in distinguishing these two common causes of sensorineural loss is the employee’s pure tone threshold at 8000 Hz. OSHA does not require testing at this frequency, but it is strongly recommended that you include it in your testing program. While both noise and age result in high frequency hearing losses, the pure tone configurations typically differ in that noise induced hearing loss will often show an improvement at 8000 Hz while age-related hearing loss will not.

If the pure tone configuration suggests noise-induced hearing loss, is that loss due to workplace noise or recreational noise, a medical condition, medications, or a combination of both? What about power tools or firearm use? What about family history of hearing loss? Is there a history of diabetes? High blood pressure, medications. Without additional information, the reviewer may be unable to make a determination as to whether or not the STS is work-related.

Remember that OSHA considers most STS’s to be work-related, However, OSHA does give you the option, however, of having an audiologist or a physician review each of your STS’s for work-relatedness. Make sure your company is providing a  WORK-RELATEDNESS DETERMINATION QUESTIONNAIRE

 This questionnaire must be completed if a retest of an annual hearing test reveals a CONFIRMED OSHA STS. While such review does not guarantee that a given STS will be determined “not work-related,” it will almost certainly reduce the overall number of cases you need to record on the OSHA 300 Log.

Questions, call us today at KSA Hearing Conservation.

Michael Tigges DC, CME, COHC

Nationally Registered Certified Medical Examiner

Certified Occupational Hearing Conservationist

Director Scheduler

Hearing Testing and Evaluations

Monday, August 14th, 2017

Hearing Testing and Evaluations   

At the start of the hearing tests & evaluation process, the patient’s medical history is reviewed with questions regarding general health and gathering specific information regarding the patient’s hearing history.The patient will also be asked to describe any concerns they may have about their hearing.

Following the case history, an ear exam called an Otoscopy will be performed. We will look into your ears using an otoscope. This will check for anything in the ear canal that might affect the hearing test results such as ear wax in the ears or any anatomical problems like a hole in the eardrum. Finally, the audiologist will conduct a series of hearing tests to assess whether hearing loss is present and what type of hearing loss it is.

The various hearing tests that may be performed to identify and diagnose a hearing loss include: Pure Tone Air testing and speech testing.

During pure tone testing, the patient will be asked to press a button when they hear a beep. The test is looking for the softest level the patient is able to hear the beeps at different frequencies or pitches. During speech testing the patient will be asked to repeat words. The test will search for the softest level the patient is able to accurately repeat words as well as determine speech understanding ability at a comfortable volume. All of your results will be recorded in an audiogram. This will help the determine the degree and type of hearing loss.

Once the hearing testing is completed, we will determine whether a hearing loss exists, what type and degree of hearing loss is present, and make recommendations regarding the patient’s treatment options. Recommendations may include medical evaluation referral and treatment for hearing loss.

If you think you may have hearing loss problems, get your hearing tested today at KSA HEARING CONSERVATION LLC. Contact Us and make an appointment at one of our two convenient locations in Gallatin and Murfressboro, Tennessee.

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