QTP4N1X1X-D4 — Otolaryngology Surgical Specialty

QTP4N1X1X-D4 governs Air Force training procedures for air-conduction hearing tests, tympanometry, and ear mold impressions.

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  • Publication number: QTP4N1X1X-D4
  • Title: OTOLARYNGOLOGY SURGICAL SPECIALTY
  • Date: 2022-07-13

View QTP4N1X1X-D4 on armypubs.army.mil


It contains performance checklists for audiology procedures, including patient preparation, ear examination, testing, results, and ear mold follow-up. Evaluation requires completion of all task parts without assistance and documentation of competency after satisfactory completion.

Applies to: This qualification training package (QTP) was developed to make a training aid available that will assist Otolaryngology Surgical Technicians to develop technical skills essential to performing specialized tasks.

Topics covered

  • Air-conduction hearing tests
  • Impedance audiometry and tympanometry
  • Ear mold impressions
  • Audiometer calibration
  • Canal dam insertion
  • Ear mold shipment preparation

Questions and answers

What happens if the audiology procedure may compromise patient safety?

The evaluator will STOP the procedure immediately and correct the trainee if performance may compromise patient safety. (paragraph 2)

What standard applies to trainee performance during evaluation?

The trainee must satisfactorily perform all parts of the task with 100% accuracy, without assistance. (paragraph 3)

What should be recorded if test results cannot be printed?

If unable to print results, record the ear canal volume, peak amplitude of the tympanogram, and pressure point of peak. (paragraph 5)

What should happen if the patient experiences pain or bleeding?

If the patient experiences pain or bleeding, evaluation by the credentialed provider is indicated. (paragraph 4)

Where should the test results be provided?

Provide the test results to the referring physician or audiologist. (paragraph 4)

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