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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
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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
Pure tone audiometer Tympanometer Equipment • Otoacoustic emissions (OAEs)
Training Resources WHO can assist with training? • HCP Regional Audiologist • Educational/School District Audiologist • CDE Audiology Consultant: • Lisa Cannon (Lisa_Cannon@dpsk12.org) • Previously trained screener • Screener MUST receive appropriate training