Hearing Screening Overview 2016/2017

Preschool / 5 to 17.11 years / 18 to 64.11 years / 65 years and up
Typical Screening Site / Center/school / School / Health Fair / Health Fair
Room Requirements / Quiet enough based on SLM measures OR NH listener able to hear screen tone levels on screen date; confidential, electrical outlet, table and chairs / Quiet enough based on SLM measures OR NH listener able to hear screen tone levels on screen date, confidential, electrical outlet, table and chairs / Quiet enough based on SLM measures OR NH listener able to hear screen tone levels on screen date, confidential, electrical outlet, table and chairs / Quiet enough based on SLM measures OR NH listener able to hear screen tone levels on screen date, confidential, electrical outlet, table and chairs
Dress & Conduct / Site supervisor decides exact screen protocol, Wear clinic dress, take clock hour sheet, take initiative to review equipment use & forms prior to start of screening / Site supervisor decides exact screen protocol, Wear clinic dress, take clock hour sheet, take initiative to review equipment use & formsprior to start of screening / Site supervisor decides exact screen protocol, Wear clinic dress, take clock hour sheet take initiative to review equipment use & formsprior to start of screening / Site supervisor decides exact screen protocol, Wear clinic dress, take clock hour sheet take initiative to review equipment use & formsprior to start of screening
Equipment/Materials / Portable audiometer, forms, pens, blocks for conditioned play response
Otoscope &/or tympanometer if audiologist is present / Portable audiometer, forms, pens
Otoscope &/or tympanometer if audiologist is present / Portable audiometer, forms, pens,
Otoscope &/or other screening forms (hearing handicap, tinnitus handicap, dizziness handicap) if audiologist is present / Portable audiometer, forms, pens
Otoscope &/or other screening formss (hearing handicap, tinnitus handicap, dizziness handicap) if audiologist is present
Infection Control / Wipes for earphones, hand sanitizer / Wipes for earphones, hand sanitizer / Wipes for earphones, hand sanitizer / Wipes for earphones, hand sanitizer
Instructions / Raise hand, when you hear “birdie”, “beep” / Raise hand when you hear “beep” / Raise hand when you hear “beep” / Raise hand when you hear “beep”
Screen tones/levels / 1000, 2000, 4000 Hz at 20 OR 25 dB HL as determined by site supervisor / 1000, 2000, 4000 Hz at 20 OR 25 dB HL as determined by site supervisor / 1000, 2000, 4000 Hz at 20 OR 25 dB HL as determined by site supervisor / 1000, 2000, 4000 Hz at 25 OR *40 dB HL as determined by site supervisor
*Pass suggests no more than mild loss
Preschool / 5 to 17.11 years / 18 to 64.11 years / 65 years and up
Earphone placement / Screener places & no mention of “hurt”, diaphragm over ear canal opening / Screener places & no mention of “hurt” ”, diaphragm over ear canal opening / Screener places & no mention of “hurt” ”, diaphragm over ear canal opening / Screener places & no mention of “hurt” ”, diaphragm over ear canal opening
Tone presentations / Out of line of sight, 1 second, not in pattern / Out of line of sight, 1 second, not in pattern / Out of line of sight, 1 second, not in pattern / Out of line of sight, 1 second, not in pattern
Pass criteria / 2/3 time locked responses / 2/3 time locked responses / Time-locked responses / Time-locked responses
Advisement / “Great job” to child; parent letter / “Great job” to child; parent letter / Pass suggests normal hearing; Refer suggests need for hearing evaluation / Pass suggests normal hearing; Refer suggests need for hearing evaluation

Dr. Deb Culbertson 10.1.2012