I listened to a video of Dr. Cliff’s on his best practice of using a Test Box to test the functionality of HAs once they come into the office and prior to the first visit with the individual receiving them. Then the individual is fitted using Real Ear Measurements (REM) in the office… Is this process best practice? Or are there other equally valid ways of testing for functionality of the device from the manufacturer and using REM to get the best fitting for the HA per individual.
The Costco HIS advised though they have a TEST Box they don’t use it. Instead they rely on REM’s - and only if there is an issue do they use the test box. They assume the HA is functioning properly from the get go. However they do use a REM test during the fitting for the individual and do put the “nodes” (sorry not sure of proper word here) in the person’s ear during the first appointment.
The audiologist I saw today doesn’t use a test box either. Instead their process is to use REM WITHOUT the individual present and set HA’s to the audiology test.They never use the REM with the individual because they said that it was difficult to insert the "node"in the ear and position them properly so they don’t give erroneous readings.
Are either of the above processes proper ways of going about this? And/or how “should” this process work?