Pilbara Ear Health Model of Care

Pilbara Ear Health Model of Care

nd Aboriginal Liaison Officer)

OCOL (APPENDIX 2)

dren

in the
mon signs

hearing loss • Referral to a School
or concerns Psychologist may
parents or also be warranted
or behaviour (See list Appendix
. 18), if child
has behaviour
e screening problems.
hool health
AMS or TEACHERS
rovider if not
le in your
(Appendix 4
pendix 5).
o audiology
dix 5 and
ix 6).

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41

best practice workforce guidelines

TEACHERS TEACHERS TEAC

2. Focus on prevention 3. Coordinate Well 4. U se Pr
Appro

Encourage, educate and Understand and follow Suppor
support agreed health agreed referral pathways ENT/Au
care practices to reduce (see previous page)
ear disease • Support
• Discuss with parents or guardians as presc
• See Appendix 11 for Ear Health referrals to screening and parents
promotion information. audiology appointments, after
obtaining consent.
• Support all activities that promote
overall good health. • Use the Pilbara Ear Health
Coordinator for support.
• Implement Breath Blow Cough (Appendix 19).
protocols, and hand washing for
all children. Support agencies and
families to work together
• Introduce songs and games to overcome students
around hygiene and ear health. behaviour issues due to
outside problems
• Include ear health tips in
newsletters for parents. • Refer to School Psychologist
following School protocol for
• Build parents’ understanding referrals (Appendix 18).
about ear health and grow their
confidence to seek help if needed

• Provide information on preventing
noise induced hearing loss.

School performance and
behaviour

• Identify those children exhibiting
poor performance / behavioural
problems (distractive, disruptive,
inattention etc) for possible
hearing issues, discuss with
parents or guardians for
referral to School Health Nurse
or audiology (Appendix 5 and
Appendix 6).

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

CHERS Pilbara Ear Health Model of Care

rimary Health Care TEACHERS
oach
5. Use specialists well

rt care plans (MP/ Support early
udiologist) identification of speech
and language delay
t the taking of medication
cribed, and approved by • Understand normal childhood
or guardians. speech and language development
(Appendix 20).

• Should there be any speech and
language development concerns,
discuss with parents and
guardians and obtain consent to
refer to speech pathology services
(Appendix 18).

School Psychologist first
point of referral at school

• For behavioural issues –
disruptive, distractive, poor
attention, poor attendance and
learning problems – refer to
school psychologist as per the
school protocol, after obtaining
parental consent (Appendix 18).

TEACHERS

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best practice workforce guidelines

TEACHERS TEACHERS TEACH

6. Appropriate access to 7. TS&ES 8. Qualit
hearing aids and sound
field amplification

Have a basic Identify children with Suppor
understanding of hearing educational delay due to evaluat
aids, cochlear implants ear disease and hearing surveill
and sound field operation loss improve

• See Appendix 13 for information • Provide appropriate educational • At enrol
about hearing aids. remediation via Teachers of about ch
the Deaf (See Appendix 17 and hearing
• See Appendix 14 for information Appendix 23).
about cochlear implants. • Obtain a
Understand what therapy, regardin
• See Appendix 15 for information support and educational
about sound field systems. services are available • Ensure
for children with hearing hearing
Understand referral problems or at sch
process to, and services followed
of Australian Hearing • See Appendix 18 for allied health necessa
and School of Special services, and paediatrician
Educational Needs services (Appendix 25) available in
(SSENS) the Pilbara.

• See Appendix 16 and Appendix 17. • Refer to Education Department,
Pilbara for further help and
guidance.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

CHERS Pilbara Ear Health Model of Care

ty Improvement TEACHERS

9. Workforce Planning

rt research, Engage in training
tion and opportunities to keep
lance for quality skills relevant and up to
ement date

lment capture information • Contact the Pilbara Ear Health
hildren’s ear health and Coordinator to arrange training
g support needs. (See Appendix 19 for contact
and record any information details).
ng associated conditions.
all children have had their TEACHERS
g screened either before
hool enrolment and been 10. Specialist Training
d up appropriately (where
ary).

Support and encourage
specialist training

• Be an informal provider of
training.

• Provide mentoring and training to
new staff.

• Engage in Aboriginal cultural
awareness training along with
other relevant PD.

TEACHERS

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best practice workforce guidelines

MEDICAL AND NURSE PRACTITIONERS

1. Target priority populations

Know who is ‘At Risk’ for hearing loss

All Aboriginal children and in particular children 0-4 years; children in child care
referrals from the Pilbara Screening Program; referrals from audiologists; refe
from the newborn hearing screening program who ‘refer’ and require diagnostic
risk’ for late onset or progressive sensorineural hearing loss (eg. TORCH, Famil
children with speech and language delays and or behavior problems.

Children 0-4 years School Aged Child

• Ask if child has passed newborn • Conduct an audiometric hear
hearing screening (NBHS) screening or

• Administer Hearing and • Understand hearing in classr
Communication Milestone common signs (Appendix 22)
Questionnaire (Appendix 3)
• Conduct otoscopy
• Conduct otoscopy
• Conduct tympanometry if tra
• Conduct tympanometry if trained (See Appendix 8)
(See Appendix 8)

Normal findings and Abnormal results or Normal findings and Abnormal
no concerns about concern about the no concerns about concern a
hearing, records show hear­ing. Fail or ‘At hearing. hearing.
child has passed NBHS. Risk’ on NBHS and no
follow up.

Recommend • Treat acute Recommend • Treat ac
surveillance in 6 conditions then surveillance in 6 conditio
months for those ‘At refer to audiology months for those ‘At refer to
Risk’ and on request (Appendix 5 and Risk’ and on request (Append
for others. Appendix 6). for others. Append

• Refer non-acute • Refer no
cases to audiology cases to
(Appendix 5 and (Append
Appendix 6). Append

• Refer urgent cases to • Refer ur
ENT (Appendix 24). ENT (Ap

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Pilbara Ear Health Model of Care

e centres; Aboriginal adults; adults over 50 years of age;
errals from specialists and allied health staff; Infants
c follow up and those who pass the screening but are ‘at
ly History of Hearing Loss, Syndromes, See Appendix 1);

dren Adults over 50 years

ring • Conduct an audiometric hearing
room and screening (Appendix 9) or administer
Adult Hearing Questionnaire
ained (Appendix 10)

• Conduct otoscopy
• Conduct tympanometry if trained

l results or Normal findings and Abnormal results or MEDICAL AND NURSE PRACTITIONERS
bout the no concerns about concern about the
hearing. hearing.

cute Surveillance in 12 • Treat acute
ons then months for those ‘At conditions then
Risk’ and on request refer to audiology
audiology for others. (Appendix 5 and
dix 5 and Appendix 6).
dix 6).
on-acute • Refer non-acute
o audiology cases to audiology
dix 5 and (Appendix 5 and
dix 6). Appendix 6).
rgent cases to
ppendix 24). • Refer urgent cases to
ENT (Appendix 24).

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best practice workforce guidelines

MEDICAL AND NURSE PRACTITIONERS

Guidelines for direct ENT Referral

• Report from Audiologist suggesting referral to ENT is warranted.
• Patient report of sudden loss of hearing and no physical signs of ear disease.
• Patient report of unilateral hearing loss and no physical signs of ear disease.
• Patient report of sudden onset of tinnitus and/or vertigo and no physical signs
• Patient report of having 6 or more middle ear infections in a 12 month period.
• Chronically discharging ears despite treatment.
• Patient report of a smelly ear with associated hearing loss and no obvious phy

ENT Surgeon

(Appendix 24)

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Pilbara Ear Health Model of Care

s of ear disease.
ysical signs of ear disease.

MEDICAL AND NURSE PRACTITIONERS

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46

best practice workforce guidelines

MPs and NPs MPs and NPs MPs a

2. Focus on prevention 3. Coordinate Well 4. Use P
Appro

Be a significant provider Work together to ensure Suppor
of agreed prevention no duplication of services ENT/Au
education information – right care, right patient,
right time, right team, • Be able
• See Appendix 11 for Ear Health right place investig
promotion information. identific
• Support the coordination of
• Support all activities that promote visiting services. • Follow N
overall good health. treatme
• Maintain records to help facilitate and CSO
Be a mentor for parents, information sharing and reduce recurre
grandparents, and anyone service duplication.
who wants to help out • Use in c
with prevention • Send reports back to referrers identify
to facilitate good client care and
• Target mothers and carers support MP/NP care plans. • Provide
especially those with children other he
0-5 yrs. Understand and follow
agreed referral pathways • Support
• Include children 5 years plus to (as above) • Refer ap
encourage self-responsibility and
future role models. • Refer patients to audiologists for the p
(Appendix 5 and Appendix 6) and / cochlea
• Use materials and support or ENT specialists (Appendix 24). amplific
programs that are culturally and App
relevant and community-driven. • Refer to other specialists as
appropriate (Paediatricians,
• Coordinate with other public Appendix 25).
health prevention programs to
address diseases with similar • Refer to other Allied Health
epidemiology and aetiology. Specialists (Appendix 18), as
warranted.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

and NPs Pilbara Ear Health Model of Care

Primary Health Care MPs and NPs
oach
5. Use specialists well

rt care plans (MP/ Refer all patients
udiologist) suspected of hearing
loss to an audiologist,
to conduct in clinic especially those less than
gations to support early 4 years of age
cation of ear disease.
National protocols for the • Know when ear health and hearing
ent of OM, Recurrent OM services are visiting the Pilbara.
OM. Monitor children with Use the Pilbara Ear Health
ent acute OM (Appendix 26). Coordinator for support (see
clinic hearing checklists to Appendix 19).

patients with hearing loss. Make appropriate referral
care plans for parents and of patients to ENTs and
ealth workers. other specialist
t ENT care plans.
ppropriately to Audiology • Utilise web based, telehealth and
provision of hearing aids, online resources and therapy (see
ar implants and sound field Appendix 12).
cation (See Appendix 5
pendix 6). • Encourage all visiting specialists
to leave behind easy to follow care
plans. MEDICAL AND NURSE PRACTITIONERS

• Work with ENTs to manage patient
care plans.

• Work to have ENT surgery in safe
environments as close to home as
possible.

Hearing Best Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA. 

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best practice workforce guidelines

MPs and NPs MPs and NPs MPs a

6. Appropriate access to 7. TS&ES 8. Qualit
hearing aids and sound
field amplification

Understand the eligibility Understand and follow Suppor
criteria for patients agreed referral pathways evaluat
to access hearing aid for therapy, support and surveill
services in the Pilbara education services improve
and make appropriate
referrals • Identify children with speech and • Obtain c
language delay (Appendix 20) and required
• See Appendix 5, Appendix 6, make appropriate referrals to
Appendix16 and Appendix 21. speech pathologists (Appendix 18). • Use agr
• Engage
MPs and NPs • Refer to Occupational Therapy
and other services by following the effe
10. Specialist Training the required referral guidelines screenin
(Appendix 18). program
Support and encourage • Provide
specialist training • Work with local and visiting Ear Hea
Paediatricians (Appendix 25) 19) abou
• Support other health workers and other specialists for early services
such as the NP, AHW. identification of other factors • Use the
impacting on general delay. future p
• Engage in up skilling of health investm
workers and locum MPs and self. • Identify adults with hearing loss • Set up p
and make appropriate referrals collectio
(Appendix 5, Appendix 10 and
Appendix 21).

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

and NPs Pilbara Ear Health Model of Care

ty Improvement MPs and NPs

9. Workforce Planning

rt research, Contribute where MEDICAL AND NURSE PRACTITIONERS
tion and possible to a workforce
lance for quality plan for the Pilbara for
vement ear health

consents and collect • Work with Medicare Locals, the
d data. tertiary education sector and
reed common consent form. specialist colleges to develop a
in practices that evaluate workforce plan to build an otitis
ctiveness of prevention, media primary care workforce
ng and treatment and ensure adequate supply of
ms. specialists.
e feedback to the Pilbara
alth coordinator (Appendix • The plan should include
ut gaps and duplications in investment in training primary
s. care Nurse Practitioners who can
data collected to guide diagnose and prescribe treatment
program planning and for otitis media, strategies
ment. to ensure access to Medical
practices that allow for the Practitioners (MPs) and training
on of prevalence data. of MPs, ENT specialists and
audiologists.

• Provide advice to student nurse
practitioners.

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best practice workforce guidelines

AUDIOLOGISTS

1. Target priority populations

Know who is ‘At Risk’ for hearing loss

All Aboriginal children and in particular children 0-4 years; children in child care
age; referrals from the Pilbara Screening Program; referrals from specialists an
screening program who ‘refer’ and require diagnostic follow up and those who p
progressive sensorineural hearing loss. Children with speech and language, and

Referral to Audiol

Normal findings and Normal findings and Abnormal findings
no concerns about no concerns about due to ear disease
hearing. hearing but speech condition that
Recommend and language or other requires MP/NP or
surveillance in 6 developmental delay. ENT treatment.
months for those
‘At Risk’ and on Refer to appropriate Refer to MP/NP and if
request for others. provider. appropriate suggest
referral to ENT.

Recommend Review until condition
surveillance in resolves and hearing
6 months for those returns to normal.
‘At Risk’ and on
request for others.

Report to referrer with results and recom
©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Pilbara Ear Health Model of Care

e centres; Aboriginal adults; adults over 50 years of
nd allied health staff; Infants from the newborn hearing
pass the screening but are ‘at risk’ for late onset or
d or educational delays, and or behavior problems.

logy Abnormal findings AUDIOLOGISTS
due to permanent
Abnormal findings nerve deafness and
due to permanent asymmetry.
nerve deafness and Refer to MP/NP and
no asymmetry. suggest referral to
Provide hearing aid, ENT (See Appendix 26).
cochlear implant or Provide hearing aid,
assistive listening cochlear implant or
device or refer to assistive listening
another audiology device or refer to
provider (eg. AH). another audiology
provider (eg. AH) once
mmendations. ENT clearance is
obtained.

Hearing Best Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA. 

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best practice workforce guidelines

AUDIOLOGISTS AUDIOLOGISTS AUDIO

2. Focus on prevention 3. Coordinate Well 4. Use P
Appro

Distribute agreed Work together to ensure Suppor
prevention education no duplication of services NP/ENT
information at each – right care, right patient,
client contact where right time, right team, • Ensure
appropriate right place timely a
to suppo
• See Appendix 11 for Ear Health • Support the sharing of information decision
promotion information. about visiting services.
• Support
• Support all activities that promote • Maintain records to help facilitate managin
overall good health. information sharing and reduce
service duplication. • Provide
triage to
• Send reports back to referrers
to facilitate good client care and
support MP/NP/ENT care plans.

Provide an explanation to
stakeholders of services
provided by Australian
Hearing and other
Audiology providers

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

OLOGISTS Pilbara Ear Health Model of Care

Primary Health Care AUDIOLOGISTS
oach
5. Use specialists well

rt care plans (MP/ Ensure ENTs have high
T) quality results to support
Pilbara ENT clinics
MPs/NPs and ENTs have
and high quality reports Make appropriate
ort medical intervention referrals to other
ns. specialists
t medical care plans by
ng reviews well. • See Appendix 18 and Appendix 25.

services to support ENT
o reduce waitlists.

AUDIOLOGISTS

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best practice workforce guidelines

AUDIOLOGISTS AUDIOLOGISTS AUDIO

6. Appropriate access to 7. TS&ES 8. Qualit
hearing aids and sound
field amplification

Prescribe and fit Understand and follow Suppor
appropriate amplification agreed referral pathways evaluat
based on client needs for therapy, support and surveill
educational services improve
• Ensure all relevant persons have
adequate training and information • Make appropriate referral of • Obtain c
to manage the amplification clients requiring specialist required
devices and systems. remediation services.
• Use agr
AUDIOLOGISTS form.

10. Specialist Training • Engage
the effe
Support and encourage screenin
specialist training program

• Provide mentoring and support for • Provide
all screeners to ensure adherence Ear Hea
to agreed screening protocols and 19) abou
early diagnosis of hearing loss and services
detection of ear disease.
• Use the
• Review protocols, offer regular future p
refresher course and training to investm
the professionals involved in ear
health program. • Set up p
collectio
• Support other health workers.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

OLOGISTS Pilbara Ear Health Model of Care

ty Improvement AUDIOLOGISTS

9. Workforce Planning

rt research, Contribute where
tion and possible to a workforce
lance for quality plan for the Pilbara for
vement ear health

consents and collect • Work with Medicare Locals, the
d data. tertiary education sector and
reed common consent specialist colleges to develop a
workforce plan to build an otitis
in practices that evaluate media primary care workforce
ctiveness of prevention, and ensure adequate supply of
ng and treatment specialists.
ms.
e feedback to the Pilbara • The plan should include
alth coordinator (Appendix investment in training primary
ut gaps and duplications in care Nurse Practitioners who can
s. diagnose and prescribe treatment
data collected to guide for otitis media, strategies
program planning and to ensure access to Medical
ment. Practitioners (MPs) and training
practices that allow for the of MPs, ENT specialists and
on of prevalence data. audiologists.

AUDIOLOGISTS

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best practice workforce guidelines

EAR NOSE AND THROAT SURGEONS

1. Target priority populations

Know who is ‘At Risk’ for hearing loss

All Aboriginal children and in particular children 0-4 years; children in child care
Infants from the newborn hearing screening program who ‘refer’ and require dia
are ‘at risk’ for late onset or progressive sensorineural hearing loss. Children w
or behavior problems.

Referral to ENT

Normal findings and Abnormal findings Abnormal findings
no concerns about due to ear disease due to ear disease
hearing. condition that condition that
Recommend requires treatment. requires surgery.
surveillance in Provide patient with
6 months for those treatment. Book and carry out
‘At Risk’ and on Review until condition surgery.
request for others. resolves and hearing Review until condition
returns to normal resolves or refer back
or refer back to MP/ to MP/NP with care
NP with care plan for plan for ongoing after
ongoing treatment. care.

Report to referrer with results and recommendat
©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Pilbara Ear Health Model of Care

e centres; Aboriginal adults; adults over 50 years of age;
agnostic follow up and those who pass the screening but
with speech and language, and or educational delays, and

T No abnormality found. EAR NOSE AND THROAT SURGEONS
Refer for hearing aid
Abnormal findings fitting (Appendix 5,
due to permanent Appendix 6,
nerve deafness and Appendix 16 and
asymmetry. Appendix 21).
Refer for investigation
of asymmetry.
Abnormality found
requiring surgery.

tions and or care plan.
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best practice workforce guidelines

ENTs ENTs ENTs

2. Focus on prevention 3. Coordinate Well 4. Use P
Appro

Distribute agreed Work together to ensure Provide
prevention education no duplication of services and sur
information at each – right care, right patient,
client contact where right time, right team, • Make re
appropriate right place NP for c
medical
• See Appendix 11 for Ear Health • Support the sharing of information
promotion information. about visiting services. • Provide
under G
• Support all activities that promote • Maintain records to help facilitate myringo
overall good health. information sharing and reduce gromme
service duplication. tympano
Adenoid
• Send reports back to referrers (Some o
to facilitate good client care and require
support care plans. Hospita
services
Provide care plans for for Abor
MP/NP/Audiologists to
support patient after care

• Provide adequate notice of visit
dates and locations.

• Work with Audiology services to
triage ENT waitlists.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Primary Health Care Pilbara Ear Health Model of Care
oach
ENTs

5. Use specialists well

e expert medical Make appropriate
rgical services referrals to other
specialist
ecommendation to MP/
continuing or alternate • See Appendix 18 and Appendix 25.
l management.

surgical intervention
GA including –
otomy, insertion of
ets, myringoplasty,

oplasty, mastoidectomy.
dectomy and tonsillectomy
of the procedures may
travel to Perth – Tertiary
ls but preference is for
s close to home, especially
riginal families).

EAR NOSE AND THROAT SURGEONS

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best practice workforce guidelines

ENTs ENTs ENTs

6. Appropriate access to 7. TS&ES 8. Qualit
hearing aids and sound
field amplification

Understand the eligibility Provide care plans to Suppor
criteria for patients be followed by patients, evaluat
to access hearing aid MP/NP, audiologists and surveill
services in the Pilbara health workers improve
and make appropriate
referrals • Provide post – operative care and • Obtain c
management plans to local MP/ required
• See Appendix 5, Appendix 6, NP, Audiologists and families and
Appendix 16 and Appendix 21. health workers. • Use agr
form.
ENTs • Make appropriate referrals
for clients requiring specialist • Engage
10. Specialist Training remediation services. the effe
screenin
Support and encourage program
specialist training
• Provide
• Provide advice and training. Ear Hea
• Support medical and other health 19) abou
services
workers such as the NP, AHW.
• Support upskilling of MPs and • Use the
future p
NPs. investm
• Support the training of ENTs in
• Set up p
WA. collectio

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

ty Improvement Pilbara Ear Health Model of Care

ENTs

9. Workforce Planning

rt research, Contribute where
tion and possible to a workforce
lance for quality plan for the Pilbara for
vement ear health

consents and collect • Work with local PHNs, the tertiary
d data. education sector and specialist
reed common consent ENT colleges to develop a
workforce plan to build an otitis
in practices that evaluate media primary care workforce
ectiveness of prevention, and ensure adequate supply of
ng and treatment specialists.
ms.
e feedback to the Pilbara • The plan should include
alth Coordinator (Appendix investment in training primary
ut gaps and duplications in care Nurse Practitioners who can
s. diagnose and prescribe treatment
for otitis media, strategies
data collected to guide to ensure access to Medical
program planning and Pactitioners (MPs) and training
ment. of MPs, ENT specialists and
practices that allow for the audiologists.
on of prevalence data.
EAR NOSE AND THROAT SURGEONS

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best practice workforce guidelines

OTHER SPECIALIST SERVICES – Paediatricians, Psych

1. Target priority populations

KNOW WHO IS ‘AT RISK’ FOR HEARING LOSS
All Aboriginal children and in particular children 0-4 years
Children in child care centres
Aboriginal adults
Adults over 50 years of age

ADHERE TO AGREED HEARING SCREENING PROTOCOLS (APPENDIX 2)

Children 0-4 years School Aged Child

• Administer Hearing and • Understand hearing loss in th
Communication Milestones Screening classroom and common signs
Questionnaire (Appendix 3) (Appendix 22)

No concerns about Possible hearing No concerns about Possible h
hearing identified loss identified on hearing identified loss identi
on Questionnaire or Questionnaire or on Questionnaire or Questionn
raised by parents concerns raised by raised by parents concerns r
or guardian and no parents or guardian or guardian and no parents or
behaviour issues. or behaviour behaviour issues. or behavio
problems. problems.

Recommend Refer to audiology Recommend Refer to au
surveillance in 6 (see list Appendix 5 surveillance in 6 (see list Ap
months for those ‘At and Appendix 6). months for those ‘At and Appen
Risk’ (Appendix 1) and Risk’ (Appendix 1) and
on request for others. on request for others.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Pilbara Ear Health Model of Care

hologists, Other Health Professionals

dren Adults over 50 years OTHER SPECIALIST SERVICES – Paediatricians, Psychologists, Other Health Professionals

he • Administer Adult Hearing
s Questionnaire (Appendix 10)

hearing No concerns about Possible hearing
ified on hearing identified loss identified on
naire or on Questionnaire or Questionnaire or
raised by raised by family or concerns raised by
r guardian carer. family or carer.
our
.

udiology Recommend Refer to audiology
ppendix 5 surveillance in 6 (Appendix 5,
ndix 6). months for those ‘At Appendix 16 and
Risk’ and on request Appendix 21).
for others.

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best practice workforce guidelines

OTHER OTHER OTHE
SPECIALISTS SPECIALISTS
SPECI
2. Focus on prevention 3. Coordinate Well
4. Use P
Appro

Be a significant provider Work together to ensure Suppor
of agreed prevention no duplication of services Health
education information – right care, right patient,
right time, right team, • Be able
• See Appendix 11 for Ear Health right place possible
promotion information. disease
• Support the sharing of information
• Support all activities that promote about visiting services. • Refer al
overall good health. hearing
• Maintain records to help facilitate especia
Be a mentor for parents, information sharing and reduce age (App
grandparents, teacher’s service duplication.
aids and anyone who • Make ap
wants to help out with • Send reports back to referrers MPs and
prevention to facilitate good client care and Appendi
support care plans.
• Target mothers and carers • Adminis
especially those with children 0-5 • Provide adequate notice of visit Commu
yrs. dates and locations. Question

• Include children 5 years plus to Understand and follow • Raise an
encourage self-responsibility and agreed referral pathways hearing
future role models. (see previous page) languag
parents
• Use materials and support appropr
programs that are culturally
relevant and community-driven.

• Coordinate with other public
health prevention programs to
address diseases with similar
epidemiology and aetiology.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

ER Pilbara Ear Health Model of Care OTHER SPECIALIST SERVICES – Paediatricians, Psychologists, Other Health Professionals
IALISTS
OTHER
Primary Health Care SPECIALISTS
oach
5. Use specialists well
rt the Pilbara Ear
Model of care Support early
identification of speech
to identify persons with and language delay
e hearing loss or ear
. • Understand normal childhood
ll persons suspected of speech and language development
g loss to an audiologist, (See Appendix 20).
lly those under 4 years of
pendix 5 and Appendix 6). • Should there be any speech and
ppropriate referrals to language development concerns,
d ENTs (Appendix 4 and discuss with parents and
ix 24). guardians and obtain consent to
ster Hearing and refer to speech pathology services
unication Milestone (See Appendix 18).
nnaires (Appendix 3).
ny concerns regarding Support early
g and /or speech & identification of other
ge development with the developmental delay
s or guardians and make
riate referrals. • Make appropriate referrals.

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58

best practice workforce guidelines

OTHER OTHER OTHE
SPECIALISTS SPECI
SPECIALISTS
7. TS&ES 8. Qualit
6. Appropriate access to
hearing aids and sound
field amplification

Understand the eligibility Understand and follow Suppor
criteria for patients/ agreed referral pathways evaluat
clients to access hearing for therapy, support and surveill
aid services in the Pilbara educational services improve
and make appropriate
referrals • Refer to Speech Pathology, • Obtain c
Occupational Therapy (Appendix required
• See Appendix 5, Appendix 6, 18) by following the required
Appendix 16 and Appendix 21. referral guidelines. • Use agr
form.

• Provide
Ear Hea
and dup
Appendi

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

ER Pilbara Ear Health Model of Care
IALISTS
OTHER
ty Improvement SPECIALISTS

9. Workforce Planning

rt research, Engage in training OTHER SPECIALIST SERVICES – Paediatricians, Psychologists, Other Health Professionals
tion and opportunities to keep
lance for quality skills relevant and up
ement to date

consents and collect • Contact Pilbara Ear Health
d data. coordinator to arrange training
reed common consent (See Appendix 19 for contact
details).
feedback to the Pilbara
alth coordinator about gaps OTHER
plications in services (See SPECIALISTS
ix 19 for contact details).
10. Specialist Training

Support and encourage
specialist training

• Be an informal provider of
training.

• Provide mentoring and training to
new staff.

• Engage in Aboriginal cultural
awareness training along with
other relevant PD.

Hearing Best Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA. 

59

best practice workforce guidelines

REMEDIATION PROVIDERS – Teachers of the Deaf, AV
Occupational Therapists, Psychologists

1. Target priority populations

KNOW WHO IS ‘AT RISK’ FOR HEARING LOSS
All Aboriginal children and in particular children 0-4 years
Children in child care centres
Aboriginal Adults
Adults over 50 years of age

MONITOR ADHERENCE TO AGREED HEARING SCREENING PROTOCOLS (APPEN

Children 0-4 years School Aged Child

• If no audiological information • Refer to ‘Hearing Loss in the
available administer Hearing and Classroom’ (Appendix 22)
Communication Milestones Screening
Questionnaire (Appendix 3)

No concerns about Possible hearing No concerns about Possible h
hearing identified loss identified on hearing identified loss identi
on Questionnaire or Questionnaire or on Questionnaire or Questionn
raised by parents concerns raised by raised by parents concerns r
or guardian and no parents or guardian or guardian and no parents or
behaviour issues. or behaviour behaviour issues. or behavio
problems. problems.

Recommend Refer to audiology Recommend Refer to au
surveillance in 6 (see list Appendix 5 surveillance in 6 (see list Ap
months for those ‘At and Appendix 6). months for those ‘At and Appen
Risk’ (Appendix 1) and Risk’ (Appendix 1) and
on request for others. on request for others.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Pilbara Ear Health Model of Care

Therapists, Speech Pathologists,

NDIX 2) Adults over 50 years REMEDIATION PROVIDERS – Teachers of the Deaf, AV Therapists, Speech Pathologists,
Occupational Therapists, Psychologists
dren • If no audiological information
available administer Adult Hearing
Questionnaire (Appendix 10)

hearing No concerns about Possible hearing
ified on hearing identified loss identified on
naire or on Questionnaire or Questionnaire or
raised by raised by family or concerns raised by
r guardian carer. family or carer.
our
.

udiology Recommend Refer to audiology
ppendix 5 surveillance in 6 (see list
ndix 6). months for those ‘At Appendix 5,
Risk’ and on request Appendix 16 and
for others. Appendix 21).

Hearing Best Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA. 

61

best practice workforce guidelines

REMEDIATION REMEDIATION REME
PROVIDERS PROVIDERS
PROV
2. Focus on prevention 3. Coordinate Well
4. Use P
Appro

Be a significant provider Work together to ensure Identify
of agreed prevention no duplication of services speech
education information – right care, right patient, educati
right time, right team,
• See Appendix 11 for Ear Health right place • Provide
promotion information. • Work wi
• Support the sharing of information
• Support all activities that promote about visiting services. health s
overall good health.
• Maintain records to help facilitate Identify
Be a mentor for parents, information sharing and reduce hearing
grandparents, teacher’s service duplication.
aids and anyone who • Refer fo
wants to help out with • Send reports back to referrers Appendi
prevention to facilitate good client care and
support education and care plans. • Provide
• Target mothers and carers impacts
especially those with children • Provide adequate notice of visit
0-5 yrs. dates and locations.

• Include children 5 years plus to Understand and follow
encourage self-responsibility and agreed referral pathways
future role models. (see previous page)

• Use materials and support
programs that are culturally
relevant and community-driven.

• Coordinate with other public
health prevention programs to
address diseases with similar
epidemiology and aetiology.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Pilbara Ear Health Model of Care

EDIATION REMEDIATION
PROVIDERS
VIDERS
5. Use specialists well
Primary Health Care
oach

y children with Ensure all children REMEDIATION PROVIDERS – Teachers of the Deaf, AV Therapists, Speech Pathologists,
h and language and receiving remediation Occupational Therapists, Psychologists
ional delay services have a recent full
audiological assessment
remediation services.
ith local education and • Ensure aided results are
staff to support children. considered when providing
remediation services.
y adults with
g loss • Ensure ongoing audiological
monitoring of children with
or hearing aids (Appendix 5, recurrent ear disease.
ix 16 and Appendix 21).
services to address the • Utilise a multidisciplinary
s of hearing loss. approach to service provision.

Support early
identification of other
developmental delay

• Make appropriate referrals.

Identify adults with
hearing loss

• Refer for hearing aids (Appendix 5,
Appendix 16 and Appendix 21).

• Provide services to address the
impacts of hearing loss.

Hearing Best Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA. 

62

best practice workforce guidelines

REMEDIATION REMEDIATION REME
PROVIDERS PROV
PROVIDERS
7. TS&ES 8. Qualit
6. Appropriate access to
hearing aids and sound field
amplification

Have a good Support parents and Suppor
understanding of hearing class teachers to evaluat
aids, cochlear implants be partners in the surveill
and sound field systems remediation process improve

• See Appendix 13 for information Identify adults with • Obtain c
about hearing aids. hearing loss required

• See Appendix 14 for information • Refer for hearing aids (Appendix 5, • Use agr
about cochlear implants. Appendix 16 and Appendix 21). form.

• See Appendix 15 for information • Provide services to address the • Provide
about sound field systems. impacts of hearing loss. Ear Hea
and dup
Understand referral Appendi
process to, and services
of Australian Hearing
and School of Special
Educational Needs
(SSENS)

• See Appendix 16 and Appendix 17.

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

EDIATION Pilbara Ear Health Model of Care
VIDERS
REMEDIATION
ty Improvement PROVIDERS

9. Workforce Planning

rt research, Provide up skilling REMEDIATION PROVIDERS – Teachers of the Deaf, AV Therapists, Speech Pathologists,
tion and opportunities for other Occupational Therapists, Psychologists
lance for quality providers in the Pilbara
ement
• Contact Pilbara Ear Health
consents and collect Coordinator to offer training
d data. opportunities (See Appendix 19 for
reed common consent contact details).

feedback to the Pilbara REMEDIATION
alth Coordinator about gaps PROVIDERS
plications in services (See
ix 19 for contact details). 10. Specialist Training

Support and encourage
specialist training

• Be a provider of training to
relevant staff.

• Provide mentoring and training to
new staff.

• Engage in Aboriginal cultural
awareness training along with
other relevant PD.

Hearing Best Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA. 

63

References Pilbara Ear Health Model of Care

References

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Crain, S. (2014). Hearing disorders and brain plasticity. Paper presented at the XXXII World
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Daniero, J. J., Clary, M. S., & O’Reilly, R. C. (2012). Complication of otitis media. Infectious
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Douglas, L. B., & Flexer, C. (2012). Hearing is the foundation of listening – and listening is the
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Durieux-Smith, A., Fitzpatrick, E., & Whittingham, J. (2008). Universal newborn hearing
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Fitzpatrick, E. M., Whittingham, J., & Durieux-Smith, A. (2014). Mild Bilateral and Unilateral
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Lehmann, D., Arumugaswamy, A., Elsbury, D., Finucane, J., Stokes, A., Monck, R., . . . Stanley,
F. J. (2008). The Kalgoorlie otitis media research project: rationale, methods, population
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Lehmann, D., Weeks, S., Jacoby, P., Elsbury, D., Finucane, J., Stokes, A., . . . Kalgoorlie Otitis
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Leidwinger, L. (2013). A report on hearing health. Pilbara Health Network.

Lin, F. R., & Albert, M. (2014). Hearing loss and dementia – who is listening? Aging & Mental
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Workforce Guidelines. Telethon Speech & Hearing, Perth WA. 

67

Pilbara Ear Health

Model of Care

Appendices

References Pilbara Ear Health Model of Care

Appendices

Appendices

Appendix 1: Risk Factors for Late Onset or Progressive Hearing Loss��������������������������������������� 70
Appendix 2: Pilbara Hearing Screening Protocol��������������������������������������������������������������������������� 71
Appendix 3: Hearing and Communication Milestones Screening Questionnaire������������������������ 72
Appendix 4: Pilbara Medical Services���������������������������������������������������������������������������������������������� 75
Appendix 5: Pilbara Audiology Services������������������������������������������������������������������������������������������ 77
Appendix 6: Pilbara Population Health Audiology Referral Form������������������������������������������������ 78
Appendix 7: Audiometry Testing Protocol���������������������������������������������������������������������������������������� 80
Appendix 8: Tympanometry Testing Protocol���������������������������������������������������������������������������������� 87
Appendix 9: Audiometric Hearing Screening Protocol������������������������������������������������������������������� 95
Appendix 10: Adult Hearing Questionnaire�������������������������������������������������������������������������������������� 97
Appendix 11-1: Chevron Ear Health Program Education Resources Pack

Health Professionals�������������������������������������������������������������������������������������������������������������������� 98
Appendix 11-2: Chevron Ear Health Program Education Resources Pack Teachers�����������������111
Appendix 11-3: Chevron Ear Health Program Education Resources Pack

Parents/Guardians��������������������������������������������������������������������������������������������������������������������� 123
Appendix 12: Telehealth Services��������������������������������������������������������������������������������������������������� 135
Appendix 13: Understanding of Hearing Aids�������������������������������������������������������������������������������� 136
Appendix 14: Cochlear Implant Information�����������������������������������������������������������������������������������149
Appendix 15: Understanding of Soundfield Systems�������������������������������������������������������������������� 150
Appendix 16: About Australian Hearing����������������������������������������������������������������������������������������� 157
Appendix 17: About School of Special Educational Needs – Sensory����������������������������������������� 160
Appendix 18. Pilbara Community Health, Allied Health and Mental Health Services ��������������167
Appendix 19: Pilbara Ear Health Coordinator������������������������������������������������������������������������������� 170
Appendix 20: Speech and Language Milestones����������������������������������������������������������������������������171
Appendix 21: Hearing Services for Older Australians and Concession Card Holders�������������� 183
Appendix 22: Hearing Loss in the Classroom�������������������������������������������������������������������������������� 185
Appendix 23: Telethon Speech & Hearing Programs�������������������������������������������������������������������� 187
Appendix 24: Pilbara ENTs�������������������������������������������������������������������������������������������������������������� 189
Appendix 25: Pilbara Paediatricians���������������������������������������������������������������������������������������������� 190
Appendix 26: Australian Government, Revised Recommendations for

Clinical Care Guidelines on the Management of Otitis Media (Middle Ear Infection)
in Aboriginal and Torres Strait Islander Populations�������������������������������������������������������������191

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References Pilbara Ear Health Model of Care

Appendix 1: Risk Factors for Late Onset or
Progressive Hearing Loss

With some rare conditions, a baby’s hearing may be normal at birth but gradually worsen over
time. A few rare cases of hearing loss are not picked up by the standard hearing screen.

Children with any risk factors listed below should be reviewed by an audiologist at the age of 8 –
12 months and at least annually until school age:

1. Either parent or any sibling (or two close blood relatives) has had permanent hearing loss from
a young age requiring hearing aids and/or cochlear implant.

(Note: Temporary hearing loss, “glue ear” or any hearing loss cured by an operation such
as grommets in a relative is NOT a risk for your baby.)

2. Mother suffered from any of the following infections (TORCH) during pregnancy:
Toxoplasmosis, Rubella, cytomegalovirus (CMV), Genital Herpes.

3. Some syndromes, such as Down, Usher, Waardenburg, Alport and Pendred (ask your MP for
further information).

Taken from © Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and Hearing Best
Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA.

70

References

Appendix 2: Pilbara Hearing Screening P

Children 0-4 years School aged childr

• Ask if child has passed newborn hearing screening • Conduct an audiometric hearing screenin
(NBHS) [Make sure that infants from the NBHS program (See Appendix 7 for testing protocol)
who have a recorded ‘refer’, have had the required
audiology diagnostic follow up. Make sure infants that • Complete school entry assessment
have a recorded pass, but are ‘at risk’ for late onset or
progressive sensorineural hearing loss, have a follow • Conduct otoscopy
up audiology assessment (Appendix 1).]
• Conduct tympanometry (if trained and ha
• Administer Hearing and Communication Milestones equipment)
Screening Questionnaire (Appendix 3)

• Conduct otoscopy

• Conduct tympanometry (if trained and have the
equipment)

Normal findings and no • Abnormal otoscopy; Normal findings and no • Abnorma
concerns about hearing • Questionnaires concerns about hearing. • Fail audio
or speech & language
development found in show concern about screening
questionnaire. the hearing and/or • Teacher/
speech & language
development; report co
• Type B tymp; the heari
• Type C tymp at speech &
-200daPa or any developm
greater negative • Type B ty
pressure; or • Type C ty
• Parental concern -200daPa
about the hearing. greater n
pressure
• Reported
problems

Surveillance Acute Non Acute Surveillance Acute N
in 6 months condition: Condition: in 6 months condition: C
for those ‘At Signs of No signs of for those ‘At Signs of N
Risk’ and on infection or infection Risk’ and on infection or i
request for discharging or recent request for discharging o
others. ear. Refer discharge, others. ear. Refer d
to MP/NP or dry to MP/NP o
or AMS perforation. or AMS p
(Appendix 4). Refer to (Appendix 4). R
Audiology A
(Appendix 5 & (
Appendix 6). A

©Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and H

Protocol Pilbara Ear Health Model of Care

ren Adults over 50 years

ng • Conduct an audiometric hearing screening
ve the (See Appendix 9 for testing protocol) or administer
Adult Hearing Questionnaire (Appendix 10)

• Conduct otoscopy (If trained and have the equipment)

• Conduct tympanometry (if trained and have the
equipment)

al otoscopy; Normal findings and no • Abnormal otoscopy;
ometry concerns about hearing. • Fail audiometry
g test;
/parent screening test;
oncern about • Questionnaire shows
ing and/or
& language concern for the
ment; hearing;
ymp; • Type B tymp;
ymp at • Type C tymp at
a or any -200daPa or any
negative greater negative
e; or pressure; or
d behavior • Client or their family
s. report hearing
problems.

Non Acute Surveillance Acute Non Acute
Condition: in 12 months condition: Condition:
No signs of for those Signs of No signs of
infection ‘At Risk’ and infection or infection
or recent on request discharging or recent
discharge, for others. ear. Refer discharge,
or dry to MP/NP or dry
perforation. or AMS perforation.
Refer to (Appendix 4). Refer to
Audiology Audiology
(Appendix 5 & (Appendix 5).
Appendix 6).

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References Pilbara Ear Health Model of Care

Appendix 3: Hearing and Communication
Milestones Screening Questionnaire

This questionnaire is extracted from the Chevron Ear Health Program Education Resources Pack.

Taken from © Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and Hearing Best
Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA.

72

References Pilbara Ear Health Model of Care

CHECK LIST SHEET

Hearing and
Communication
Milestones Screening
Questionnaire

The following questionnaire is designed to be used as a guide only, and is suitable for both parents and health workers. If you are
answering “no” to any of the following questions about your child (for the relevant age bracket), it is recommended you talk to your
GP about booking your child in for a full hearing test with an audiologist.

For children of 0 to 6 months YES / NO
YES / NO
Does your baby startle or wake up in response to loud sounds?
Does your baby move their gaze to follow sounds? YES / NO
Do you notice any change in their cry when they want different things? (Such as when they are tired
versus when they want a feed?)

For children of 6 to 12 months YES / NO
YES / NO
Does your baby turn their head to loud sounds? YES / NO
Does your baby appear to enjoy music and singing?
Does your baby respond to you calling their name? YES / NO
YES / NO
For children of 1 to 2 years of age YES / NO
YES / NO
Does your child babble or copy speech sounds that you make?
Can your child point to familiar items upon request?
Does your child look around in response to loud sounds?
Does your child look around when called from across the room?

For more details, please visit www.tsh.org.au

Taken from © Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and Hearing Best
Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA.

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References Pilbara Ear Health Model of Care

CHECK LIST SHEET

For children of 2 to 3 years of age YES / NO
YES / NO
Does your child copy words that you say? YES / NO
Can your child label familiar items upon request? YES / NO
Is your child’s speech understood by unfamiliar people at least 50% of the time? YES / NO
Does your child respond to simple instructions when asked? YES / NO
Does your child look around in response to loud sounds?
Does your child come when called from across the room?

For children of 3 to 4 years of age YES / NO
YES / NO
Is your child speaking in sentences, using connector words such as ‘and’? YES / NO
Does your child enjoy telling stories about their activities? YES / NO
Does your child role play conversation? YES / NO
Is your child’s speech understood by unfamiliar people most of the time? YES / NO
Does your child enjoy reading books? YES / NO
Can your child watch television without turning the volume up too loud?
Does your child often hear questions clearly the first time you ask, without you having to repeat them?

For more details, please visit www.tsh.org.au

Taken from © Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and Hearing Best
Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA.

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References Pilbara Ear Health Model of Care

Appendix 4: Pilbara Medical Services

AMS (Aboriginal Medical Services)

Mawarnkarra Health Service Puntukurnu Aboriginal Wirraka Maya Aboriginal
Aboriginal Corporation Medical Service Health Service
20 Sholl Street, 15 Iron Ore Parade, 17 Hamilton Road,
Roebourne WA 6718 Newman WA 6753 South Hedland WA 6722
08 9182 0851 08 9177 8307 08 9172 0400

Medical Practices

Services Locations Contacts
Karratha Medical 5 Sharpe Ave,
Centre Karratha WA 6714 08 9185 3555
karratha@primaryhealthcare.
Paraburdoo Medical Paraburdoo District Hospital, com.au
Centre Paraburdoo WA 6754
Pilbara Health Unit 2/ 2609 Sharpe Ave, 08 9189 5069
Network Karratha, WA 6714
Port Hedland Medical 7 Edgar St, 08 9185 6662
Centre Port Hedland WA 6721 http://www.phn.org.au/

Port Hedland Family Shop 5 Port Hedland Boulevard, 08 9173 3733
Practice Port Hedland WA 6721 reception@porthdlandmedical.
Sonic HealthPlus 7/28 DeGray Place, com.au
Karratha East Karratha WA 6714
08 9174 7600
Sonic HealthPlus 54 Mindarra Drive,
Newman Newman, WA, 6753 08 9159 1800
karratheast@sonichealthplus.
Sonic HealthPlus 200 Pannawonica Drive, com.au
Pannawonica Pannawonica WA 6716
08 9175 1231
Sonic HealthPlus 10 Hedditch Street, [email protected].
South Hedland South Hedland WA 6722 au

Tom Price Medical Lot 854 Central Rd, 08 9184 1586
Centre Tom Price WA 6751 Pannawonica@sonichealthplus.
Wickham Primary 1 Mulga Way, com.au
Health Care Centre Wickham WA 6720
08 9172 5911
southhedland@sonichealthplus.
com.au

08 9189 1901

08 9187 1015
[email protected]

Taken from © Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and Hearing Best
Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA.

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References Pilbara Ear Health Model of Care

Hospitals and Nursing Posts

Hospitals Locations Phones/Fax
Hedland Health Campus
Nickol Bay Hospital Colebatch Way, 08 9174 1000
Onslow Hospital South Hedland WA 6722 Fax 9174 1036
Newman Hospital
Dampier Road, 08 9143 2333
Karratha WA 6714 Fax 9143 2387

Second Avenue, 08 9184 3200
Onslow WA 6710 9184 3222

Mindarra Drive, 08 9175 8333
Newman WA 6753 Fax 9175 8260
Newman Population Health
Roebourne Hospital 42-44 Hampton Street, 08 9175 9380
Paraburdoo Hospital Roebourne WA 6718
Marble Bar Nursing Post 08 9182 0200
Tom Price Hospital Rocklea Road, Fax 9182 0237
Wickham Health Centre Paraburdoo WA 6754
Nullagine Nursing Post 08 9159 8222
Yandeyarra Nursing Post Station Street, Fax 9159 8255
Marble Bar WA 6760
08 9176 1090
Mine Road, Fax 9176 1109
Tom Price WA 6751
08 9159 5222
Mulga Way, Fax 9159 5241
Wickham WA 6720
08 9187 1015
Cook St, Nullagine WA 6758 Fax 9187 3241

Yandeyarra 08 9176 2010

08 9174 1321

Visiting Specialists

http://wacountry.health.wa.gov.au/?id=436

• Hedland Health Campus, Wirraka Maya, Yandeyarra, Warralong, Marble Bar and Nullagine
– see: http://www.wacountry.health.wa.gov.au/fileadmin/sections/pilbara_health/VS_-_
Hedland_Wirraka_Yandeyarra_April_2016.pdf for updated lists.

• Nickol Bay Hospital, Onslow and Roebourne – see: http://wacountry.health.wa.gov.au/
fileadmin/sections/pilbara_health/VS_-_Nickol_Bay_Onslow_Roebourne.pdf for updated lists.

• Newman Hospital – see: http://wacountry.health.wa.gov.au/fileadmin/sections/pilbara_health/
VS_-_Newman_April_2016.pdf for updated lists.

• Jigalong, Punmu and Kunawarritji, Tom Price, Paraburdoo and Cotton Creek – see:
http://wacountr y.health.wa.gov.au/fileadmin/sections/pilbara _health/ VS _-_ Jigalong _Punmu_
April_2016.pdf for updated lists.

Taken from © Monley, P., & Krishnaswamy, J. (Eds.). (2015). Pilbara Ear Health Model of Care including Pilbara Ear Health and Hearing Best
Practice Workforce Guidelines. Telethon Speech & Hearing, Perth WA.

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