early childhood hearing screening in colorado. screening mandates newborn grades k, 1,2,3,5,7,9...
TRANSCRIPT
Early Childhood Hearing Screening in Colorado
Screening Mandates
• Newborn• Grades K, 1,2,3,5,7,9• Child Find
BUT A GAP STILL EXISTS!
Screening Resources
• Early Childhood Hearing Screening Guidelines– http://www.cde.state.co.us/cdesped/Audiology.asp– http://
www.earlychildhoodconnections.org/index.cfm?fuseaction=service.content&linkid=55
• HCP Regional Audiology Coordinators• Educational Audiologists
Purpose of Screening
• To determine if further testing or medical attention is necessary (REFER)
• To rule out hearing loss as a possible impact on a child’s development (PASS)
Hearing Screening Components
• History• Visual Inspection• Audiometric Screening• Immittance Screening (tympanogram)
(PAGE 5 of Guidelines)
History
• Parent Questionnaire
• Page 32 of guidelines
Visual Inspection
-Structural abnormalities-Drainage
Audiometry
• Conventional pure tone screening– 20dB @ 1000,
2000, 4000 Hz. Frequencies
ALL SOUNDS MUST BE HEARD
IN BOTH EARS TO PASS!
• Non-Conventional OAE screening– As appropriate –
automated pass/refer
Tympanometry
• Way to assess function of outer and middle ear function
Flowchart & Follow - Up
• Page 11 & 12 of guidelines
• All children who do not pass should be rescreened within 2 to 4 weeks unless referred for immediate medical or audiology evaluation
Equipment
• Pure tone audiometer
• Tympanometer
•Otoacoustic emissions (OAEs)
Training Resources
WHO can assist with training?• HCP Regional Audiologist• Educational/School District Audiologist• CDE Audiology Consultant:
– Lisa Cannon ([email protected])
• Previously trained screener
• Screener MUST receive appropriate training
Q & A