Hearing loss, please help

Nurses Disabilities

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I have an extensive history with hearing loss that began in early childhood. Related to chronic infections, scar tissue, surgery, failed tubes, on and on. My right here had been ok. Left ear is "troubled". Most of my life it has just presented as a challenge to know which direction sounds are coming from.

When I started nursing school in 2015 I kept my hearing troubles to myself, but did have some concerns. I sought out a hearing test from an audiologist as I had not had one in more than a decade (nursing was a second career for me, I'm 36 now) The results wetter upsetting but confirmed what I basically already knew. The hearing loss in my left is moderate at some tones and "profound" in others. Right ear had some mild loss now but nothing really concerning. I was told that I would benefit from a hearing aid in the left.

I went home and looked into hearing aids only to discover that insurance doesn't cover them, and the kind I would like (in ear, discreet) as a young professional were about $7k. I pushed it all to the side and made it through nursing school. I constantly feared being "found out". BUT I had been a medical assistant for more than a decade and felt confident in my ability to hear blood pressures, etc... And did well in school.

Anyway, I now have my LPN. I work in an urgent care setting and have for over a year. Last month one of the providers I work with retook a bp that I had taken, not because he questioned my vitals but because he was trying to rule out a vascular dissection and wanted bps on both arms. His reading was about twenty points off from my original, so he took it on the side I had done as well and got a different result. We talked it over briefly, even had another provider go in and take it (that poor patient!) who got a reading somewhere in between ours. I thought it was odd but chalked it up to change in patient (nerves, positions, etc) and felt pretty confident in my reading.

Then today I had a similar instance at work. I got a reading of 152/90. Doctor rechecked at end of visit to see I'd ur hag come down and it was 188/98. Did it change that much in that time frame? Probably not. The conversation that ensued between the doctor and I was incredibly awkward and made me feel like absolute garbage.

I did what I had to at work for the next hour, and then when there was a quiet moment called the audiologist to schedule another hearing test and a hearing aid consult. Then I went into the bathroom and cried. And cried. And cried. Like... SOBBED..I am a new nurse with imposter syndrome as it is. Terribly. Finding confidence has been just an excruciating process. This just completely set me off.

I eventually pulled myself together and finished out my day. I've been tearful off and on but made it. I have a 14 hour shift tomorrow and then an 8 hour shift on Saturday. I just have this pit in my stomach and feel this horrible mixture of shame, mortification and fear.

Any advice at all??

Don't tell anyone about your hearing loss. Try to get it fixed. Your role as a nurse will be questioned. You could lose your job. They will think you can't assess properly, when it comes to sounds. The time to have spoken up, was when you were hired.

Specializes in Dialysis.
In any Urgent Care I have worked at they have always done BP manually. No room for machines and more accurate readings (in my opinion).

only as accurate as the persons hearing. I'm hearing impaired at some tone ranges

Specializes in Care Coordination, MDS, med-surg, Peds.

I obtained an amplified stethoscope thru Vocational Rehabilitation. No charge. There should be a voc rehab in most towns or in one nearby. I went, filled out paperwork and it was approved.

1 Votes

I'm legally deaf, have been since childhood. Profound in my right, mild-severe sloping loss in my left (as in, it's a mild loss at some frequencies and severe in others) and I wear a hearing aid on my left, and my right ear is too deaf to be aided. I use an electronic amplified stethoscope. I am 100% oral with some lipreading, and do not sign.

I am also an RN, have been for 8 years, and I am currently in L&D, and am in school to be a FNP. It is possible to be in the medical field with a hearing loss. I definitely think you should get in with an audiologist and at least consider an amplified stethoscope, since that seems to be the only area where you seem to struggle. I use a Littmann 3100 stethoscope and it is LOUD. It has 10 volume settings and I use it at level 4-6 depending on the day (level 1 is like 2x amplification). It costs $300-400 depending on where you purchase it from. Much less expensive than a hearing aid.

However, Costco has very good hearing aids for a very good price if that is something that you need. I do recommend you check your insurance closely. Mine actually covers my hearing aid up to a certain price.

I also recommend hooking up with your local vocational rehab. They can help you with the costs of any equipment you need to do your job.

Please don't feel like a hearing loss is the end of the world. It really isn't. There are many accommodations that can be made, through your job, vocational rehab, or even your health insurance. And please don't be ashamed. That implies that hearing loss is shameful, and it's not. The completely-in-canal (CIC) super discreet ones are very expensive and honestly, don't work all that well. I had one for years and honestly, didn't notice a difference when I was wearing it vs not. My mini behind the ear (BTE) works very well and is very discreet. The BTE part is hidden by the pinna of my ear and my hair, and it just has a little wire going into my ear canal, not a big tube. Most people don't know I have it.

1 Votes
On 8/11/2018 at 5:00 PM, Workitinurfava said:

Don't tell anyone about your hearing loss. Try to get it fixed. Your role as a nurse will be questioned. You could lose your job. They will think you can't assess properly, when it comes to sounds. The time to have spoken up, was when you were hired.

I realize this is an old thread, but is your response meant as a joke? If not, this is incredibly unprofessional and unhelpful "advice".

To the OP: I recently returned to nursing after a five-year lapse with a "new" hearing loss and hearing aids to boot. I was up front about my hearing loss and hearing aids, and honestly, nobody was all that concerned. The doctor I worked with had a very quiet voice and learned quickly to speak up a bit when talking to me. I, in turn, learned to face him when he approached so I would know when he was speaking. He was a very quiet speaker according to the other staff, and they also had trouble hearing him at times. But I still had to take responsibility for my part in being able to hear him, regardless of whether or not he had a quiet voice.

Yes, it's true that the time to have spoken up should have been when you were hired, but you technically can't lose your job if you choose to disclose your disability now. If I were you, I would start letting people know about your hearing loss as soon as possible. Then they will understand why you are making mistakes, or fumbling rather than just think you're not "getting it" all the time. I'd rather people know I'm hard-of-hearing than think I'm stupid. It's far more professional to treat your hearing loss than it is to ignore it and jeopardize your patients' well-being and your license.

3 Votes
Specializes in Care Coordination, MDS, med-surg, Peds.

Buy an electronic stethoscope so you will have easier time when auscultations heart or lung sounds.

Some can also accommodate using with heating aids.

1 Votes

Thank you all so much for the great advice!!!

I am returning to nursing school after 10 years out of the field, I haven't had confirmed hearing loss, but when I was in my early 20's (I'm 33 now) I had some issues with my hearing that initially I was told I had hearing loss at the very high frequency sounds, but then upon treating my ear for what seemed to be a skin infection in my ear if I remember the details correct, they did another test and my hearing was fine. I went to nursing school shortly after this and I remember struggling to hear sounds and even having a clinical instructor scold me as I struggled with hearing a newborn heart rate. In looking back at this, I think part of it may have been more of an auditory processing issue/dealing with stress and lack of confidence and not so much of a hearing issue. As I contemplate going back to nursing school, these negative memories have been popping up and making me question if things will be different this time and I'm intrigued by the electronic stethoscope, is it noticeably different than a regular stethoscope? As I move forward I will definitely look into getting my hearing checked, but I think some of my issue before was due to being overly nervous about hearing things right that I wasn't listening fully.

FuturePN, how are you doing? Did you end up buying an electronic stethoscope? I would love to read an update from you when you get a chance.

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