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Vision and Hearing Screening Training 2013-2014 . Kimberly H Bass, MA, CCC-A Educational Audiologist Bibb PEC 3600 Brookdale Ave. Macon, GA 31204 (478) 779-2771 kbass.BrookdaleEL@bibb.k12.ga.us. Meeting Norms. Begin and end on time Active participation and attention Silence cell phones - PowerPoint PPT Presentation
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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
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