In-Service Training from SmartStep Hearing is a great way to help your caregivers build authentic trust with your residents through hearing health. Our standard list of training topics is open to customization based on your unique needs and staff composition.

Understanding Hearing Loss

  • Prevalence of Hearing Loss in your Community
  • The Impacts of Hearing Loss – physical & social-emotional.
  • How existing conditions impact hearing loss i.e. Diabetes, Smoking, Heart & Kidney Disease
  • How hearing loss impacts Dementia & Alzheimer’s
  • Warning Signs – when to refer to a physician
  • The Importance of Annual Hearing Tests
  • Understanding the Audiogram
  • Tinnitus and related therapy options
  • Types and Degrees of Hearing Loss
  • Primary Causes of Hearing Loss
  • Case Studies – the impact on patients & families with Hearing Loss
  • The impacts of Auditory Deprivation, how auditory processing can impact hearing abilities

Hearing Aid Technology

  • Which ear for which aid? The red and blue coding system
  • Batteries – types, use and disposal
  • Styles of Hearing Instruments – in-the-ear versus behind-the-ear, etc.
  • Basic Hearing Aid Functions & Controls – microphones, volume controls, push buttons, etc.
  • Technology to help residents with hearing loss today – wireless connectivity to their cell phone or TV, programming to their specific loss, rechargeable batteries, remote controls, custom listening programs, tinnitus therapy, data logging
  • National statistics on patient satisfaction and dis-satisfaction with hearing aids
  • Assisted Listening Devices
  • TDAP – the state program for providing amplified telephones as no cost
  • Medicaid – how the OHP and Medicaid can help

Hearing Aid Care and Service

  • Service and Care – cleaning, ear molds, tubing, domes, filters, batteries
  • Lost or damaged aids
  • Safe Storage techniques
  • Hearing Aid insertion & removal – lets practice how to put them on and take them off
  • The importance of on-going care and service – annual evaluations, verification, follow-up care

Common Patient Concerns

  • Most Common Concerns Expressed by Patients – too much background noise, “everyone mumbles,” “I can hear, but I can’t understand,” “challenges hearing in the dining room or party rooms,” television, phone, etc.
  • Solutions to the Most Common Problems: whistling sounds, ear wax, batteries, uncomfortable, poor sound quality, sharp sounds, TV volume,
  • How to help your patients hear better on the TV and Telephone
  • Ear Wax

Marketing your Hearing Care Program

  • How a more robust hearing care program can help you market your facility
  • Providing “Monthly Hearing Tips or Educational Articles” in your Newsletters
  • The unique value of having Care Givers trained in Hearing Health
  • Hearing education lectures

New Patient Assessments, Care Plans, & Reporting

  • How to read an Audiogram
  • Examples of Outside Agency Chart Notes
  • Should hearing tests be a baseline test for new residents?
  • Questions related to hearing for your new resident move-in assessments

Hearing Care Programs

  • Tips for building a stronger hearing care program
  • Billing for hearing health services
  • The limitations of only providing Monthly Clean and Check Days or Service Days
  • The value of comprehensive Hearing Evaluations
  • Hearing Aid Verification techniques
  • Educational seminars for your residents
  • Are you liable for lost or damaged hearing instruments

Communication Strategies

  • Strategies for communicating more effectively with those that suffer from Hearing Loss
  • Demonstration of how background noise can impact hearing ability
  • Aural Rehabilitation programs


A brief 12-question quiz is provided as required documentation per the State of Oregon Administrative Rules (OR Admin 411.054.000) in order to provide CEUs.

Format: Lecture & Hands-on Practical Training
Duration: 1 Hour
CEUs: up to 1 hour for caregivers and/or ALF and administrators
State Compliance: Course agendas can be submitted to DHS for administrator-approved CEUs