Transcript Early Childhood Hearing Screening in Colorado

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?fuse
action=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
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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
• Screener MUST receive appropriate training
WHO can assist with training?
• HCP Regional Audiologist
• Educational/School District Audiologist
• CDE Audiology Consultant:
– Lisa Cannon ([email protected])
• Previously trained screener
Q&A