Vision and Hearing

Screening Training 2013-2014

Kimberly H Bass, MA, CCC-AEducational AudiologistBibb PEC3600 Brookdale Ave.Macon, GA 31204(478) 779-2771kbass.BrookdaleEL@bibb.k12.ga.us

Meeting Norms Begin and end on time

Active participation and attention

Silence cell phones

Turn devices off (tablets, net books, laptops)

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

Who gets screened? All students in 1st, 3rd, and 5th 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

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

Where? Screenings take place in a quiet, well

lit, low traffic environment

empty classroom closet library conference room

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

Mass Vision & Hearing Screening Form

Failed Hearing Form LetterDate: _____________________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 779-2771 to schedule an appointment.

2. You may take your child, at your own expense, to a private ear specialistwho has a licensed audiologist on staff. Take the attached hearing andvision 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,

RevisedFailed 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,

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

Mass Hearing Screening Process

Initial Hearing Screening

PassResults saved in alpha order byby grade level

FailRe-Screen in 10 days

PassResults saved in

alpha order by grade level

FailRefer for professional hearing evaluation

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

Mass Vision Screening Process

Initial Vision Screening

PassResults saved in alpha order by

grade level

FailRe-Screen in 10 days

PassResults saved in alpha order by

grade level

FailRefer for professional

vision exam

Vision Follow Up Information

Normal Findings

Vision Problem Diagnose

d

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

RTI (initial) Referral ProcessVision

Pass Fail

Results to Rticoordinator

Re-Screen in 10 Days

Pass

Fail

Obtain further

professional evaluation

Results to Rti Coordinator

Hearing

Pass

Fail

Results to Rti coordinator

Re-Screen in 10 Days

Pass

Fail

Obtain further

professional evaluation

Results to Rti Coordinator

Continue Rti process

Continue Rti process

RTI Permission

Vision

Pass

Fail

Results to lead PEC teacher

Re-screen in 10 days

Pass

Fail

Obtain further professional evaluation

Results to lead PEC teacher

Hearing

Pass

Fail

Results to lead PEC teacher

Re-screen in 10 days

Pass

Fail

Obtain further professional evaluation

Results to lead PEC teacher

Results to lead PEC teacher

Continue re-eval process

Results to lead PEC teacher

Continue re-eval process

IEP Re-Evaluation Process

Re-eval/Re-determination

13-14 Vi-HE Screening Log

Distance Vision Screening

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

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

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

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.

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.

What to Record Check Passed or

Failed

Check which test was used

Record distance/acuity (ex: 10/16) for each eye

referrals if needed

VISION – HEARING SCREENING

VISION: PASSED FAILED UNABLE TO TEST HVOT WALL CHART/CARDS PRE-SCHOOL FLASH CARDS TUMBLING E CHART LEA SYMBOLS CHART RIGHT EYE LEFT EYE HEARING: PASSED FAILED UNABLE TO TEST 500 Hz 1000 Hz 2000 Hz 4000 Hz RIGHT EAR LEFT EAR

Administered By:

Date notification of failure to parent Date referred to Eye Doctor

Date professional eval. returned Date referred to Audiologist

SCHOOL: NAME:

DATE OF BIRTH:

NAME:

PARENT’S NAME:

NAME:

ADDRESS:

PHONE NUMBER:

DATE OF TESTING:

TEACHER:

GRADE:

SEX:

KEY Response No Response X

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.

Functional Vision

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 forprofessional eye exam at herdiscretion and expense.

Standard Hearing Screening

What you need Quiet room with an outlet

Audiometer

Recording forms

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.

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

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

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.

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

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, 2000 4000, 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!)

Reminders

You must do these screenings

Only those who completed current (13-14) 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

Good Luck!

http://www.spcs.neu.edu/shi/downloads/Vision_Screening_PP_for_Staff_Ed._12-19-05.pdf