Back Submodule: SPS220c5

Adult Audiological and Vestibular Assessment

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 2 Competency

Formulate a consultation plan relevant to audiological and vestibular assessment

 Action View
# 2 Learning outcome 1,2 Competency

Control infection risks in accordance with departmental protocols

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# 3 Learning outcome 1,2 Competency

Minimise risks and hazards in compliance with health and safety policies

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# 4 Learning outcome 1 Competency

Undertake and document Stage A and Stage B calibration checks of all necessary audiovestibular equipment and preparation of facilities for the consultation

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# 5 Learning outcome 1,2 Competency

Prepare the clinic environment for audiological and vestibular investigation

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# 6 Learning outcome 1,2 Competency

Obtain a suitably completed referral form/letter, greet and introduce yourself to patient, and check patient details

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# 7 Learning outcome 3 Competency

Explain the full procedure to the patient and address any questions they may have relating to the procedure

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# 8 Learning outcome 3,4 Competency

Document all aspects of patient contact in accordance with record keeping procedures for your training department

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# 9 Learning outcome 3 Competency

Obtain a clinical history as appropriate for each investigation

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# 10 Learning outcome 4 Competency

Perform test that may include as standard investigations:

  • otoscopy
  • bedside testing
  • pure tone audiometry
  • videonystagmography (VNG) or electronystagmography (ENG)

Optional investigations

  • Speech testing
  • Otoacoustic emissions (OAE) and tympanometry
  • Auditory evoked potentials (AEP)
  • Vestibular evoked myogenic potentials (VEMP)
  • Dix Hallpike
  • Body and neck positional testing
  • Caloric testing
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# 11 Learning outcome 5 Competency

Interpret individual test results, taking into account accuracy, patient’s  response/co-operation

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# 12 Learning outcome 5 Competency

Use available information to formulate an initial diagnosis unless results support an inconclusive outcome

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# 13 Learning outcome 3,6 Competency

Debrief patient/carer regarding the assessment outcome and management options available

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# 14 Learning outcome 6,7 Competency

Agree and document individual management plan

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# 15 Learning outcome 7 Competency

Write a report of results to all appropriate professionals

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Assessments

You must complete:

  • 3 case-based discussion(s)
  • 2 of the following DOPS/ OCEs:
Perform stage A calibration checks DOPS
Perform stage B calibration checks DOPS
Prepare a consultation plan DOPS
Perform a non masked audiogram DOPS
Perform a masked audiogram DOPS
Perform a Tympanograms DOPS
Perform an OAE DOPS
Perform a full bedside examination for vestibular assessment DOPS
Perform a full bedside examination for vestibular assessment using VNG DOPS
Perform a full bedside examination for vestibular assessment using ENG DOPS
Interpret the results of a vestibular assessment DOPS
Prepare a detailed report of an audio-vestibular assessment for the referring consultant DOPS
Set up clinical room appropriately for the patient activity OCE
Review patient notes and referral letter to obtain all relevant information OCE
Introduction of clinician and set appointment time/goals/answer any relevant patient concerns OCE
Take a detailed and relevant patient history OCE
Interview a variety of adult patients with symptoms of imbalance and vertigo OCE
Inform patient/carers of procedures using appropriate language OCE
Obtain patient/carer consent for procedures OCE
Practice safe hygiene and probe placement for tympanometry and OAE testing OCE
Effective time/clinical management OCE
Consent, explanation and demonstration of vestibular bedside and objective investigations OCE
Take a patient consent for the procedure (s) OCE
Give patient/carer results of tests and discuss in relation to patient issues OCE
Agree an individual management plan with patient/carer OCE
Discuss the results of the procedure with a patient and the implications for their treatment OCE

Learning outcomes

  1. Perform daily calibration and checks of the equipment and environment following local procedures, to ensure patient safety and quality of facilities
  2. Formulate, prior to patient contact, a consultation plan and plan appropriate clinical testing, utilising the relevant information available
  3. Interview a variety of different patients, overcoming any communication barriers
  4. Perform subjective and objective hearing and balance tests in a safe and effective manner, adapting as required to ensure information is efficiently gained within the time available
  5. Interpret test results and consolidate these in relation to all other relevant information obtained and make informed decisions concerning the diagnosis and management options
  6. Present information regarding results, advice and recommendation for follow-up actions/interventions to patients and carers, using appropriate language and communication strategies, and formulate individual management plan
  7. Write reports/letters regarding test results and management, including appropriate onward referrals
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