Vision and Hearing Screening Training

Transcription

1 Vision and Hearing Screening Training Kimberly H Bass, MA, CCC-A Educational Audiologist Bibb PEC 3600 Brookdale Ave. Macon, GA (478) [email protected]

2 Meeting Norms Begin and end on time Active participation and attention Silence cell phones Turn devices off (tablets, net books, laptops)

3 Objectives Identify students with vision and hearing problems Ensure that student s vision and hearing are adequate to access the curriculum Make timely, appropriate referrals to specialists for evaluation and follow-up Facilitate educational programming

4 Who gets screened? All students in 1 st, 3 rd, and 5 th grades will participate in State DHR mass screenings Initial RTI referral Special Education (IEP) Re-Evaluations Any student suspected of vision or hearing problems No students with hearing aids are screened

5 When? Mass vi-he screenings are scheduled through elementary building principals and do not require signed permission from parent RTI and IEP re-eval vi-he screenings are time sensitive and require signed permission from the parent

6 Where? Screenings take place in a quiet, well lit, low traffic environment empty classroom closet library conference room

7 Mass Vision and Hearing Screenings Once a year: Grades 1, 3 and 5 Screening dates to be determined by building administration avoid standardized testing avoid FTE counting periods avoid cold and allergy season Select screening location that has an electrical outlet Set up audiometer on a table Place eye chart on wall Screen hearing Screen vision Save results by class by grade level

8 Vision & Hearing Screening Form VISION HEARING SCREENING NAME: DATE OF BIRTH: PARENT S NAME: ADDRESS: PHONE NUMBER: SCHOOL: DATE OF TESTING: TEACHER: GRADE: SEX: VISION: PASSED FAILED UNABLE TO TEST HVOT WALL CHART/CARDS FUNCTIONAL VISION LEA SYMBOLS CHART RIGHT EYE 10/ LEFT EYE 10/ Does child have glasses? Yes No If so, are they regularly worn? Yes No Were they worn during current screening? Yes No HEARING: PASSED FAILED UNABLE TO TEST RIGHT EAR 500 Hz 1000 Hz 2000 Hz 4000 Hz LEFT EAR Does child have hearing aids? Yes No See attached audiogram and report Screen at 25 db Response No Response X Administered By: Date notification of failure to parent Date referred to Eye Doctor Date professional eval. returned Date referred to Audiologist

9 Failed Hearing Form Letter Date: To the Parent or Guardian of: Your child did not pass the hearing screening which was recently completed at his/her school. It is recommended that he/she have a complete hearing evaluation to see if there is a hearing problem which may need medical attention. You may obtain a hearing test in one of the following ways: 1. A referral has been made to the Bibb County Public Schools Audiology office. This evaluation is free of charge. Please contact Audiology Services at to schedule an appointment. 2. You may take your child, at your own expense, to a private ear specialist who has a licensed audiologist on staff. Take the attached hearing and vision screening report with you and give it to the audiologist. Please provide the school with a copy of the evaluation results. The ability to hear is very important to your child s academic progress. Thank you for your cooperation. Sincerely,

10 Revised Failed Vision Form Letter Date: To the Parent or Guardian of: Your child did not pass the vision screening which was recently completed at his/her school. It is recommended that he/she have a complete eye evaluation to see if there is a vision problem which may need medical attention. You may obtain an eye evaluation in one of the following ways: 1. You may take your child, at your own expense, to a private eye specialist. Please take the attached hearing and vision screening form with you and give it to the eye specialist. Please provide the school with a copy of the examination results. 2. You may contact your child s primary care physician for a referral to an optometrist or ophthalmologist. Please take the attached hearing and vision screening form with you and give it to the eye specialist. Please provide the school with a copy of the examination results. The ability to see is very important to your child s academic progress. Thank you for your cooperation. Sincerely,

11 Failed Vision and Hearing Screening Forms and Letters Print forms on school letterhead Keep copies of completed screening forms and letters in alpha order by grade level by school year Send all forms and letters to parent

12 Mass Hearing Screening Process Initial Hearing Screening Pass Results saved in alpha order by by grade level Fail Re-Screen in 10 days Pass Results saved in alpha order by grade level Fail Refer for professional hearing evaluation

13 Hearing Follow Up Information Normal Findings Hearing Loss Diagnosed Professional Services Not Obtained Evaluation Completed Letter Not Returned Letter returned to school indicating normal evaluation Letter returned to Audiology Services indicating abnormal findings Additional efforts by the school must be made to ensure student is evaluated Additional efforts by the school must be made to obtain follow-up information

14 Mass Vision Screening Process Initial Vision Screening Pass Results saved in alpha order by grade level Fail Re-Screen in 10 days Pass Results saved in alpha order by grade level Fail Refer for professional vision exam

15 Vision Follow Up Information Normal Findings Vision Problem Diagnosed Professional Services Not Obtained Evaluation Completed Letter Not Returned Letter returned to school indicating normal evaluation Letter returned to school indicating abnormal findings Additional efforts by the school must be made to obtain evaluation Additional efforts by the school must be made to obtain documentation of evaluation

16 RTI (initial) Referral Process Vision Hearing Pass Fail Pass Fail Results to Rti coordinator Re-Screen in 10 Days Results to Rti coordinator Re-Screen in 10 Days Continue Rti process Pass Fail Pass Fail Obtain further professional evaluation Continue Rti process Obtain further professional evaluation Results to Rti Coordinator Results to Rti Coordinator

17 RTI Permission

18 IEP Re-Evaluation Process Vision Hearing Pass Fail Pass Fail Results to lead PEC teacher Re-screen in 10 days Results to lead PEC teacher Re-screen in 10 days Pass Fail Pass Fail Results to lead PEC teacher Obtain further professional evaluation Results to lead PEC teacher Obtain further professional evaluation Continue reeval process Results to lead PEC teacher Continue reeval process Results to lead PEC teacher

19 Re-eval/Re-determination

20 14-15 Vi-HE Screening Log

21 Distance Vision Screening

22 What you need : HOTV wall chart or Lea symbols card Small cards for pre-testing with single, large letters or Lea symbols Functional Vision Screening form for low functioning/no English students

23 Getting Ready Be sure that the student is 10 feet (3 meters) from the wall chart or from where the cards will be presented Select the set of cards or the line on the wall chart that is appropriate for the age of the student to be screened Ensure that the there is good room illumination so that the letters or symbols are well lit when held in the proper testing position If the student is wearing distance glasses, or is supposed to wear glasses for distance, leave them on during screening

24 Test Procedure Stand student on feet at 10 ft from the wall chart Use the palm of his/her hand to completely cover the eye. No peeking! Children under 4 years read the 10/20 line (Lea symbols or HOTV letters) Children over 4 years read the 10/15 line Repeat on the other eye

25 Results The student must correctly name half plus one of the number of symbols on the line to pass. (Ex: Lea symbols card 10/20 line has 5 symbols, must name 3 correctly to pass; HOTV wall chart line 10/15 has 6 symbols, must name 4 correctly to pass) If the student is unable to correctly name or match the correct number of symbols for each eye, the student needs to be referred for a comprehensive eye examination by an ophthalmologist or optometrist.

26 Tell the child Keep encouraging the student to respond to your questions. Urge the student to keep naming or matching the letters/symbols even if the student must guess. Provide positive comments about the student s performance, regardless of whether the student identifies the letter/symbols correctly or incorrectly. Remind the student to look straight ahead at the cards or the wall chart. Repeat the instruction to keep the eye covered.

27 What to Record Check Passed or Failed VISION HEARING SCREENING NAME: DATE OF BIRTH: SCHOOL: DATE OF TESTING: Check which test was used PARENT S NAME: TEACHER: ADDRESS: GRADE: PHONE NUMBER: SEX: VISION: PASSED FAILED UNABLE TO TEST HVOT WALL CHART/CARDS PRE-SCHOOL FLASH CARDS TUMBLING E CHART LEA SYMBOLS CHART RIGHT EYE LEFT EYE Record distance/acuity (ex: 10/16) for each eye HEARING: PASSED FAILED UNABLE TO TEST 500 Hz 1000 Hz 2000 Hz 4000 Hz RIGHT EAR LEFT EAR KEY Response Administered By: No X Response Date notification of failure to parent Date referred to Eye Doctor Date professional eval. returned Date referred to Audiologist referrals if needed

28 Tips Maintain the distance during the test. Be diligent to ensure that the eye is effectively and completely covered. Be very careful not to cover any of the surrounding letters/symbols when pointing. If using the Lea symbols, other names for the symbols are acceptable as long as the student uses them consistently. If a student gives a response while not paying attention to the task, that response should be ignored. Clean the lap card with antibacterial wipe as needed.

29 Functional Vision

30 Functional Vision screening For students who can not perform a standard vision screening Yes/no check list Functional vision screening completed for (mass/rti/iep). Parent may choose to go for professional eye exam at her discretion and expense.

31 Standard Hearing Screening

32 What you need Quiet room with an outlet Audiometer Recording forms

33 Getting Ready Prepare the student for the screening. Seat the student so that his face is visible to you, but so that he faces away from you and the audiometer. Place the head phones over both ears. Red-Right Blue-Left Start with the right ear. Set attenuator for Hearing Loss Dial volume at 25 db.

34 Test Procedure Present a 5 second pulsed tone at each frequency in this order: 1000, 2000, 4000, 500 Hz. Give the student sufficient time to respond to each tone Record an X on the form if the student DID NOT respond at the corresponding test frequency Record a check-mark a if the student DID respond at the corresponding test frequency

35 Results Student must respond to each tone in both ears at 1000, 2000, 4000, 500 Hz to pass the screening After screening both ears, if the student missed even one tone, he/she does not pass the screening Re-screen in 10 days If still no pass, notify parent and refer to Audiology Services

36 Tell the student Get ready for a listening game. Raise your hand when you hear the birdies/bells/beeps. The birdies/bells/beeps will be very quiet, use your very best listening ears. Encourage the student to keep listening. Never tell the student he/she failed.

37 What to Record Record an X on the form if the student DID NOT respond at the corresponding test frequency Record a check-mark a if the DID respond at the corresponding test frequency Fill out the vi/he screening form entirely with complete address and phone #s

38 Hearing Screening Do s and Don ts Do s Check the audiometer before you start screening. Only use an audiometer which has been calibrated within the past year. Choose the quietest room possible that has an outlet. Prepare the student for the screening. Seat the student so that his face is visible to you, but so that he faces away from you and the audiometer. Start with the right ear. Red-Right Blue-Left Set attenuator for Hearing Loss Dial volume at 25 db. Sweep along the frequencies: 1000, , 500 Hz. Don ts Don t look up from the audiometer each time you present the tone. Don t make deliberate and rhythmical movements when testing. Don t let the students play with the audiometer or ear-phones-they are not toys. Don t talk too much and don t show anxiety when speaking with the student. Don t say, Do you hear it now? Don t tell any student they failed!! (Remember this is only a screening!)

39 Reminders You must do these screenings Only those who completed current (14-15) training can administer screenings Follow up occurs at the building level YOU MUST TURN IN ALL SCREENING MATERIALS TO BROOKDALE RM #300 AT THE END OF THE SCHOOL YEAR

40 Good Luck!