[MCOH-EH] STS hearing conservation question

[Lisa Thames Cope]

I am looking for some input regarding STS and  the determination of work related hearing loss.

 We have an HCP in our dept, we conduct the testing, and our OM physician on staff reviews the findings. Because of the multiple variables that may be related to the hearing loss, our Industrial Hygienist wants our dept to get an in-depth medical evaluation for any possible ototoxic medication use or medical illness or condition that may be a cause (which IH feels they should be allowed to have access to all of this information) and then for our dept to make  a definitive determination if the STS is related to work, outside noise, medications or illnesses/medical conditions, which our dept does not feel qualified to determine.

My questions to the group are:
- do you obtain an extensive medical history on every STS and make the determination
- if you don't make the determination regarding if it is or is not r/t work, who or how is it determined ?  Do you refer (employee and or test) out to an audiologist/ or specialist physician for review?

Also, those who use the mobile units, do they evaluate the STS and then make the determination that the STS is r/t work or some other cause.

Any input is greatly appreciated

Thank you

Lisa Cope
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