Early detection of permanent hearing loss is vital for children’s access to spoken language and learning. School nurses play a key role in screening and follow-up. This article compares two evidence-based methods—pure tone audiometry and otoacoustic emissions, addressing emerging opportunities for school nurses to reconsider the methods being used by highlighting the strengths, limitations, and suitability of methods based on developmental, logistical, and equity considerations. Guidance is provided to help school professionals select and implement the best-fit method for their setting, ensuring timely identification and referral for children at risk.
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