COMPLIANCE WITH THIS DOCUMENT IS MANDATORY

Transcription

1 COVER SHEET NAME OF DOCUMENT TYPE OF DOCUMENT (StEPS) for visual acuity using the Sheridan Gardiner Procedure DOCUMENT NUMBER DATE OF PUBLICATION April 2013 RISK RATING Low LEVEL OF EVIDENCE MoH Policy Directive REVIEW DATE April 2017 FORMER REFERENCE(S) GL 008 EXECUTIVE SPONSOR or EXECUTIVE CLINICAL SPONSOR Helen Gunn Manager Women and Children S Clinical Stream AUTHOR POSITION RESPONSIBLE FOR THE DOCUMENT StEPS Area Coordinator [email protected] StEPS Area Coordinator [email protected] KEY TERMS SUMMARY Vision Surveillance and screening. SGLC; StEPS To provide staff with the knowledge and skills to engage parents and pre-school children in vision surveillance and screening. COMPLIANCE WITH THIS DOCUMENT IS MANDATORY Feedback about this document can be sent to [email protected]

2 1. POLICY STATEMENT This procedure is to communicate to Child and Family nursing staff a safe and appropriate approach to carry out the Vision screening for the StEPS program This work practice involves: Child and Family Health Nurses (CFHN) Child and Family Clinical Nurse Specialist (CFCNS) Child and Family Clinical Nurse Consultants (CFCNC) Child and Family Nurse Unit Managers (CFNUM) 2. BACKGROUND The Statewide Eyesight Preschooler Screening (StEPS) program is an initiative of the NSW Ministry of Health and offers all 4 year old children a free vision screening assessment (Maternity, Children and Young People s Health, PD2012_001). It is highly recommended all 4 year old children participate in the vision screening program as many vision problems remain undetected unless a child s vision is screened by a trained vision screener. All parents/carers of children who have their vision screened through the StEPS program will be informed of the results of their child s vision screening assessment. Should a vision problem be detected, parents/carers will receive a letter asking them to have their child s vision fully tested by an eye health professional 3. RESPONSIBILITIES 3.1 Child and Family Nurses are responsible for carrying out the procedure correctly. 3.2 Line Managers are responsible for supporting staff in the implementation of Vision surveillance and screening by ensuring equipment is available to carry out the procedure. 4. PROCEDURE Wash your hands. Set up chart at a comfortable height for the examiner. Keep the chart covered prior to testing so that child cannot memorise letters. Measure accurate test distance from chart to child s eyes (back of chair) Measure the distance using your length of string provided for this purpose-6m or 3m Have the child seated as it maintains an accurate distance and limits movement. Practice letter matching with child to make sure they understand the test Test one eye at a time beginning with the RIGHT eye & cover the LEFT eye. Cover chart between testing the 1 st and 2 nd eye so that child cannot memorise letters. Place a tissue under the eye patch to eliminate peeking and for hygiene Watch for peeking, moving the chair forward or looking side-ways Start at the top of the SGL Chart pointing to the letter from below (from underneath) Revision 1 Trim No. T13/2665 Date: April 2013 Page 1 of 4

3 Select one letter from each line until you reach the 6/9 line Avoid letters on the end of the line as they are easier to see Point to every letter on the 6/9 line in random order. This is the line required for a 4-6 year old child Record vision immediately to avoid confusing results between both eyes. Results are to be recorded in the child s blue book as well as on the clinic notes. Vision is recorded as a ratio Test distance / Letter size Once right eye result is recorded, change the patch to cover the right eye and then test the left eye. After completing the test, discard the tissue under the patch. Wash hands again for infection control. 5. DOCUMENTATION Referrals for designated Steps clinics are to be forwarded to the Steps Coordinator after completing each vision assessment via the Steps referral form (Appendix 1). The definitions for appropriate referrals are documented in the Statewide Eyesight Preschooler Screening (Steps) program policy directive 2012 (listed under references). Before the end of each month complete a StEPS monitoring form (Appendix 2) and mail, fax or monthly statistics/data to: StEPS Office, Education Block, (Lower Level) Garrawarra Centre, Old Princes Hwy WATERFALL, NSW 2233 FAX: Steps Office for Clinic Bookings: Office mobile: Coordinator Mobile: StEPS [email protected] 6. AUDIT Annual File audit 7. REFERENCES Rose.K., Younan, C., Morgan, I. & Mitchell, P. (2003). Prevalence of undetected ocular conditions in a plot sample of school children. Clinical & Experimental Ophthalmology, 31 (3), StEPS Vision StEPS Vision training 2008 Statewide Eyesight Preschooler Screening (Steps) program policy directive PD2012_001 (2012) Revision 1 Trim No. T13/2665 Date: April 2013 Page 2 of 4

4 8. REVISION AND APPROVAL HISTORY Date Revision No. Author and Approval June 2009 Draft StEPS Coordinator. CNC in Child & Family Health SHN February E.Cooper CNC in Child & Family Health SHN December Michael Cosstick, Orthoptist, SES LHD, Emer Cooper, CNC, ISLHD. April Approved Helen Gunn Manager Women and Children s Clinical Stream Revision 1 Trim No. T13/2665 Date: April 2013 Page 3 of 4

5 APPENDIX 1 StEPS CLINIC REFERRAL FORM To: StEPS Coordinator From: Fax: Date: Interpreter Required: No Yes Child s Name: Gender: M / F Date of Birth: Address: Parent s Name: Parent s Contact Number: Referred by: Date: Would you like a report? No Yes, if so please provide address below Comments: Revision 1 Trim No. T13/2665 Date: April 2013 Page 4 of 4

6 (StEPS) for visual acuity using the Sheridan Gardiner APPENDIX 2 StEPS MONTHLY STATS FORM CLINIC: MONTH: DATE DECLINE NOT SCREENED - ALREADY TESTED PASS BORDERLINE PASS GENERAL REFER HIGH PRIORITY REFFERAL UNABLE TO BE TESTED ABORIGINAL TORRES STRAIT ISLANDER BOTH ABORIGINAL & TORRES STRAIT ISLANDER TOTAL *** FAX: or to StEPS Program [email protected] at the end of each month*** Revision 1 Trim No. T13/2665 Date: April 2013 Page 1 of 1 LOCAL DOCUMENT CONTROL PROCEDURES