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Occupational hearing conservation

Tamizaje auditivo ocupacional (audiometría laboral de monitoreo

Rastreo audiométrico

El tamizaje auditivo ocupacional es una evaluación de la audición de los trabajadores que están expuestos a niveles peligrosos de ruido en el trabajo. El objetivo del tamizaje auditivo ocupacional es detectar precozmente los trastornos auditivos en los trabajadores y tomar medidas para proteger su salud auditiva.

El tamizaje auditivo ocupacional se lleva a cabo mediante la realización de una audiometría. La prueba de audición se realiza en un ambiente tranquilo y controlado y consiste en presentar a los trabajadores una serie de tonos puros a diferentes intensidades y frecuencias para evaluar su capacidad para escuchar y entender los sonidos.

Los resultados del tamizaje auditivo ocupacional se comparan con unos límites máximos de exposición al ruido establecidos por la OSHA (Occupational Safety and Health Administration) y se utilizan para determinar si los trabajadores tienen una pérdida auditiva y en qué grado. Si los resultados indican que un trabajador tiene una pérdida auditiva, se le debe proporcionar un equipo de protección auditiva y se deben tomar medidas para controlar los niveles de ruido en el lugar de trabajo.

Es importante realizar tamizajes auditivos ocupacionales de forma regular para garantizar que los trabajadores que están expuestos a niveles peligrosos de ruido reciben la protección adecuada y para detectar precozmente cualquier trastorno auditivo.  En el ámbito costarricense la audiometría de tamizaje ocupacional es comúnmente conocida como audiometría de rastreo o screening. 

¿Qué es un audiómetro?

Audiómetro
Audiometría

Un audiómetro es un dispositivo electrónico utilizado por los audiólogos y otros profesionales de la salud auditiva para medir la audición de una persona. Los audiómetros se utilizan para evaluar la capacidad de una persona para escuchar y comprender los sonidos del habla a diferentes tonos y volúmenes.

Los audiómetros suelen tener una serie de auriculares y una pantalla o un panel de control. El audiólogo o el profesional de la salud auditiva selecciona diferentes tonos y volúmenes de sonido y los reproduce a través de los auriculares. El paciente señala cuándo escucha el sonido y el audiómetro registra los resultados.

Los resultados de la prueba de audiometría se presentan en un gráfico llamado audiograma, que muestra la capacidad de audición del paciente en cada tono y volumen. El audiólogo o el profesional de la salud auditiva analiza los resultados del audímetro para determinar el tipo y el grado de pérdida auditiva que tiene el paciente.

Los audiómetros se utilizan para evaluar la audición de personas de todas las edades, desde bebés hasta adultos mayores. También se utilizan para evaluar la audición de personas que han tenido una pérdida auditiva previa y para determinar si necesitan audífonos o prótesis auditivas. Los audiómetros son una herramienta importante para el diagnóstico y el tratamiento de la pérdida auditiva.

¿Qué tipos de audiómetros existen según OSHA?

La norma ANSI S3.6-2017 establece los requisitos mínimos para la calidad, precisión y desempeño de los audiómetros. Según esta norma, existen tres tipos de audiómetros:

·         Audiómetros manuales: Estos audiómetros requieren que el operador maneje manualmente el control de tono y volumen y proporcione la retroalimentación al paciente. Son ideales para evaluaciones de audición en entornos médicos y para realizar pruebas de audición en personas con discapacidad intelectual o en niños pequeños.

·         Audiómetros automáticos: Estos audiómetros tienen un sistema automático que controla el tono y el volumen y proporciona la retroalimentación al paciente. Son ideales para evaluaciones de audición en entornos médicos y para realizar pruebas de audición en personas con discapacidad intelectual o en niños pequeños.

·         Audiómetros computarizados: Estos audiómetros utilizan una computadora para controlar el tono y el volumen y proporcionar la retroalimentación al paciente. Son ideales para evaluaciones de audición en entornos médicos y para realizar pruebas de audición en personas con discapacidad intelectual o en niños pequeños.

 

Los audiómetros manuales, automáticos y computarizados deben cumplir con los requisitos mínimos de precisión y desempeño establecidos por la norma ANSI S3.6-2017. Los audiómetros deben ser calibrados regularmente para garantizar que proporcionen resultados precisos y consistentes.

¿Qué es un Audiograma?

Gráfico audiométrico

El gráfico que muestra los resultados de la prueba de audiometría se llama audiograma. Un audiograma es un gráfico que muestra la capacidad de audición de una persona en decibelios (dB) a diferentes tonos y frecuencias (Hz). Los audiogramas suelen tener dos ejes: el eje vertical representa el volumen o el nivel de sonido, y el eje horizontal representa la frecuencia o el tono del sonido.

Los audiogramas se utilizan para evaluar la audición de personas de todas las edades, desde bebés hasta adultos mayores. También se utilizan para evaluar la audición de personas que han tenido una pérdida auditiva previa y para determinar si necesitan audífonos o prótesis auditivas. Los audiogramas son una herramienta importante para el diagnóstico y el tratamiento de la pérdida auditiva.

Audiometría laboral
Audiometría de tamizaje

What is a Hearing Conservation Plan according to OSHA, and what are its parts?

 

A Hearing Conservation Plan (HCP) is a set of measures and actions designed to protect the auditory health of workers exposed to dangerous noise levels in the workplace. According to OSHA (Occupational Safety and Health Administration), HCPs are an important part of any workplace hearing health program and must be in place in any workplace where workers are exposed to dangerous noise levels.

An HCP should include the following elements:

  • Evaluation of workplace noise levels: You must assess noise levels in the workplace to determine if there is a risk of damaging workers' hearing health. This can be done by taking noise measurements and comparing the results to the maximum noise exposure limits established by OSHA.

  • Identification of workers exposed to dangerous noise levels: You must identify workers who are exposed to dangerous noise levels to take steps to protect their hearing health.

  • Evaluation of hearing health hazards: You must evaluate the hearing health hazards to determine which control measures are necessary to protect workers' hearing health.

  • Determination of necessary control measures: You must determine which control measures are necessary to protect the hearing health of workers exposed to dangerous noise levels. This may include using hearing protection equipment, implementing safe work procedures, soundproofing work areas, and training workers on the proper use of hearing protection.

  • Action plan to control noise levels: You must have an action plan to control noise levels in the workplace and protect workers' hearing health. This plan should include a description of the control measures that have been implemented and how these measures will be applied and monitored.

 

What are Dangerous Noise Levels according to OSHA?

 

According to OSHA (Occupational Safety and Health Administration), dangerous noise levels are those that can damage workers' hearing. OSHA sets maximum exposure limits (MELs) to protect the hearing health of workers.

The MELs are set based on exposure time and noise level. OSHA sets a MEL of 90 decibels (dB) for eight hours of noise exposure. If a worker is exposed to noise levels above 90 dB for eight hours, they are considered to be exposed to dangerous noise levels and must use hearing protection.

Workers who are exposed to dangerous noise levels must use appropriate hearing protection to protect their hearing health. Employers must provide adequate hearing protection to workers who are exposed to dangerous noise levels and must provide instructions on how to use the hearing protection correctly.

It's important to note that dangerous noise levels depend not only on the noise level but also on the exposure time. For example, a worker who is exposed to a noise level of 95 dB for only one hour would not be exposed to dangerous noise levels, while a worker who is exposed to a noise level of 95 dB for eight hours would be. Therefore, it is important to consider both the noise level and the time of noise exposure when evaluating whether a worker is exposed to dangerous noise levels and if they need hearing protection.

OSHA also sets maximum noise exposure limits for different shorter time periods. For example, the MEL for a 15-minute exposure is 115 dB, and the MEL for a 30-minute exposure is 110 dB. If a worker is exposed to noise levels above these limits for a shorter period, they are also considered to be exposed to dangerous noise levels and must use hearing protection.

 

What is Occupational Hearing Screening or Annual Monitoring Audiometry?

 

Occupational hearing screening is a hearing evaluation for workers who are exposed to dangerous noise levels at work. The goal of occupational hearing screening is to detect hearing disorders in workers early and take steps to protect their auditory health.

Occupational hearing screening is carried out by performing an audiometry. The hearing test is performed in a quiet, controlled environment and consists of presenting workers with a series of pure tones at different intensities and frequencies to evaluate their ability to hear and understand sounds.

The results of the occupational hearing screening are compared with maximum noise exposure limits established by OSHA (Occupational Safety and Health Administration) and are used to determine if workers have hearing loss and to what degree. If the results indicate that a worker has hearing loss, they should be provided with hearing protection equipment, and measures should be taken to control noise levels in the workplace.

It is important to perform occupational hearing screenings regularly to ensure that workers who are exposed to dangerous noise levels receive adequate protection and to detect any hearing disorders early.

 

What is an Audiometer?

 

An audiometer is an electronic device used by audiologists and other hearing health professionals to measure a person's hearing. Audiometers are used to evaluate a person's ability to hear and understand speech sounds at different tones and volumes.

Audiometers typically have a series of headphones and a screen or control panel. The audiologist or hearing health professional selects different tones and volumes of sound and plays them through the headphones. The patient indicates when they hear the sound, and the audiometer records the results.

The results of the audiometry test are presented in a graph called an audiogram, which shows the patient's hearing ability at each tone and volume. The audiologist or hearing health professional analyzes the audiometer's results to determine the type and degree of hearing loss the patient has.

Audiometers are used to evaluate the hearing of people of all ages, from infants to older adults. They are also used to evaluate the hearing of people who have had previous hearing loss and to determine if they need hearing aids or prosthetic devices. Audiometers are an important tool for diagnosing and treating hearing loss.

 

What is an Audiogram?

 

The graph that shows the results of the audiometry test is called an audiogram. An audiogram is a graph that shows a person's hearing ability in decibels (dB) at different tones and frequencies (Hz). Audiograms typically have two axes: the vertical axis represents the volume or sound level, and the horizontal axis represents the frequency or tone of the sound.

Audiograms are used to evaluate the hearing of people of all ages, from infants to older adults. They are also used to evaluate the hearing of people who have had previous hearing loss and to determine if they need hearing aids or prosthetic devices. Audiograms are an important tool for diagnosing and treating hearing loss.

 

What Types of Audiometers Exist According to ANSI?

 

The ANSI S3.6-2017 standard establishes the minimum requirements for the quality, accuracy, and performance of audiometers. According to this standard, there are three types of audiometers:

  • Manual Audiometers: These audiometers require the operator to manually handle the tone and volume controls and provide feedback to the patient. They are ideal for hearing evaluations in medical settings and for performing hearing tests on people with intellectual disabilities or young children.

  • Automatic Audiometers: These audiometers have an automatic system that controls the tone and volume and provides feedback to the patient. They are ideal for hearing evaluations in medical settings and for performing hearing tests on people with intellectual disabilities or young children.

  • Computerized Audiometers: These audiometers use a computer to control the tone and volume and provide feedback to the patient. They are ideal for hearing evaluations in medical settings and for performing hearing tests on people with intellectual disabilities or young children.

Manual, automatic, and computerized audiometers must meet the minimum accuracy and performance requirements established by the ANSI S3.6-2017 standard. Audiometers must be calibrated regularly to ensure they provide accurate and consistent results.

 

What is Occupational Audiometry?

 

Occupational or workplace audiometry is a type of hearing test performed in the workplace to evaluate a worker's ability to hear and understand speech sounds at different tones and volumes. Occupational audiometry is used to determine if a worker has hearing loss that may affect their ability to perform their job effectively and safely.

Occupational audiometry is performed using an audiometer, an electronic device that measures a person's hearing through a series of sound tones and volumes. The test results are presented in a graph called an audiogram, which shows the worker's hearing ability at each tone and volume.

Occupational audiometry is an important tool for protecting the hearing health of workers and for preventing exposure to dangerous noise levels at work. It is also useful for determining if a worker needs hearing aids or prosthetic devices to improve their ability to hear and understand speech at work.

 

What is a Baseline Audiometry?

 

Baseline audiometry is a type of hearing test performed to determine a worker's hearing level before they are exposed to dangerous noise levels at work. According to OSHA (Occupational Safety and Health Administration), baseline audiometry is an important tool for protecting the hearing health of workers and for preventing exposure to dangerous noise levels at work.

Baseline audiometry is performed using an audiometer, an electronic device that measures a person's hearing through a series of sound tones and volumes. The test results are presented in a graph called an audiogram, which shows the worker's hearing ability at each tone and volume.

Baseline audiometry is performed in a controlled test environment with no noise exposure. This allows for an accurate measure of a worker's hearing level before they begin working in a noisy environment. Baseline audiometry is generally performed when a worker joins a company or when they change jobs and are expected to be exposed to dangerous noise levels.

Baseline audiometry is an important part of a workplace hearing health program and is necessary to establish a baseline for a worker's hearing. This allows for the detection of any hearing loss that may occur as the worker is exposed to dangerous noise levels at work.

Frecuencias que deben evaluarse según OSHA y CAOHC en audiometría laboral

Audiometría laboral

De acuerdo con la norma de Conservación Auditiva de OSHA (29 CFR 1910.95), las audiometrías laborales deben evaluar las siguientes frecuencias de tonos puros por vía aérea en cada oído de forma individual:

  • 500 Hz

  • 1000 Hz

  • 2000 Hz

  • 3000 Hz

  • 4000 Hz

  • 6000 Hz

  • 8000 Hz (opcional, pero se recomienda)

Además, aunque no son obligatorias para la definición de un Descenso Estándar del Umbral Auditivo (STS), algunas audiometrías también evalúan la frecuencia de 8000 Hz, ya que esta, junto con la de 6000 Hz, suele ser una de las primeras en mostrar afectación por la exposición a ruido.

El propósito principal de evaluar estas frecuencias es detectar cualquier cambio en el umbral auditivo del trabajador, especialmente en las frecuencias de 2000, 3000 y 4000 Hz, que son las más sensibles al daño por ruido y las que se utilizan para calcular el STS.

La realización de una audiometría de referencia inicial y audiometrías anuales subsiguientes en estas frecuencias permite al empleador y al audiólogo monitorear la salud auditiva del trabajador y tomar medidas preventivas si se detecta un cambio significativo.

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The baseline audiogram is the first valid audiometry that the collaborator performs.

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