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Audiologist Template

10 Point Hearing Instrument Maintenance

A professional Audiologist template for healthcare professionals.
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About this template

Need a quick and easy way to document hearing aid maintenance? This 10 Point Hearing Instrument Maintenance template is perfect for audiologists. It provides a structured format to record all the essential steps, from visual inspections and sound checks to cleaning and preventative maintenance. This template helps audiologists efficiently document the care provided, ensuring accurate records of hearing aid servicing. With Heidi, this template can be quickly populated from your visit transcript, saving you time and improving accuracy.

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"10 Point Hearing Instrument Maintenance." "Subjective Analysis:" Patient reports that the hearing aids have been sounding muffled in the past week. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Visual Inspection: Hearing instrument and/or earmold examined for imperfections in casing, earmold, battery contact or individual components such as switches, buttons, speakers, wires, etc." The left hearing aid had a small crack in the casing. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Sound Check: Biological Listening check performed on hearing instrument to ensure clear acoustic signal" Both hearing aids produced a clear acoustic signal during the listening check. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Detailing: Hearing instrument(s) and components including microphones, receivers, switches, buttons, and contacts cleaned with the use of specialized tools to maximize instrument performance." "Current domes, filters, eargrips, etc removed." The patient had size 10 domes on both hearing aids. No eargrips were observed. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Sterilization: Hearing instrument and/or earmold sanitized to prevent infection and provide optimal performance." "Redux: Instrument placed in dryer box to provide optimal performance. Amount of moisture removed" 15 Microliters of moisture removed from the left hearing aid. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Preventative maintenance: Replaceable components of instruments and/or earmolds replaced today" - Replaced size 10 domes on both hearing aids and replaced the wax filters. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Fitting Software:" "Average use" - The software indicates an average use of 8 hours per day. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Battery Health" - Battery health is reported as good. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Firmware" - Firmware was up to date. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Verification: Hearing aids are evaluated in Hearing Aid Test box to assess performance. Speech Map, directional microphone and multicurve testing" - Speech mapping and directional microphone testing were within normal limits. Multicurve testing showed appropriate gain. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Otoscopy - Visual examination of outer ear, ear canal and tympanic membrane structures" - The otoscopy revealed clear ear canals and intact tympanic membranes bilaterally. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Annual audiological testing completed" - Audiological testing completed on 1 November 2024 showed stable hearing thresholds. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Recommendations" Recommend the patient return in 6 months for a follow-up appointment. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
"10 Point Hearing Instrument Maintenance." "Subjective Analysis:" [mention what patient or provider indicated about change in hearing or difficulty with hearing aid/s] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Visual Inspection: Hearing instrument and/or earmold examined for imperfections in casing, earmold, battery contact or individual components such as switches, buttons, speakers, wires, etc." [mention any findings relative to visual inspection of hearing aid/s] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Sound Check: Biological Listening check performed on hearing instrument to ensure clear acoustic signal" [mention any observations of provider regarding listening check of hearing aid/s] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Detailing: Hearing instrument(s) and components including microphones, receivers, switches, buttons, and contacts cleaned with the use of specialized tools to maximize instrument performance." "Current domes, filters, eargrips, etc removed." [mention what size domes were on aids when patient arrived and if eargrips were observed on aid/s] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Sterilization: Hearing instrument and/or earmold sanitized to prevent infection and provide optimal performance." "Redux: Instrument placed in dryer box to provide optimal performance. Amount of moisture removed" [mention amount of moisture removed in Microliters of moisture removed.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Preventative maintenance: Replaceable components of instruments and/or earmolds replaced today" - [mention what size domes and other components replaced on aids, earmolds etc] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Fitting Software:" "Average use" - [mention what provider indicates while reading average use of aids from software] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Battery Health" - [mention battery health as indicated from software reading] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Firmware" - [mention if the firmware was up to date or if firmware was updated and to what version it was updated to] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Verification: Hearing aids are evaluated in Hearing Aid Test box to assess performance. Speech Map, directional microphone and multicurve testing" - [mention findings of test box measurements per provider's findings] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Otoscopy - Visual examination of outer ear, ear canal and tympanic membrane structures" - [mention findings of otoscopy] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Annual audiological testing completed" - [mention findings of audiological testing] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) "Recommendations" [mention any recommendations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)
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Specialty

Audiologist

Used

9 times

Type

Note

Last edited

8/12/2025

Created by

Maura Chippendale

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