Vision and Hearing Screening Training 2013-2014

1. 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

2. Meeting Norms • Begin and end on time • Active participation and attention • Silence cell phones • Turn devices off (tablets, net books, laptops)

3. 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

4. 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

5. 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

6. Where? • Screenings take place in a quiet, well lit, low traffic environment • empty classroom • closet • library • conference room

7. 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

8. Mass Vision & Hearing Screening Form

9. Failed Hearing Form Letter Date: _____________________ 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 specialist who has a licensed audiologist on staff. Take the attached hearing and vision 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,

10. 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: 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. 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, RevisedFailed Vision Form Letter

11. 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

12. Initial Hearing Screening Fail Re-Screen in 10 days Pass Results saved in alpha order by by grade level Pass Results saved in alpha order by grade level Fail Refer for professional hearing evaluation Mass Hearing Screening Process

13. 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

14. Initial Vision Screening Fail Re-Screen in 10 days Pass Results saved in alpha order by grade level Fail Refer for professional vision exam Pass Results saved in alpha order by grade level Mass Vision Screening Process

15. Vision Follow Up Information Normal Findings Vision Problem Diagnosed 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

16. Vision Hearing Pass Pass Fail Fail Results to Rti coordinator Re-Screen in 10 Days Re-Screen in 10 Days Results to Rti coordinator Pass Fail Pass Fail Obtain further professional evaluation Obtain further professional evaluation Results to Rti Coordinator Results to Rti Coordinator RTI (initial) Referral Process Continue Rti process Continue Rti process

17. RTI Permission

18. Vision Hearing Fail Pass Pass Fail Results to lead PEC teacher Re-screen in 10 days Results to lead PEC teacher Re-screen in 10 days Pass Fail Pass Fail Obtain further professional evaluation Results to lead PEC teacher Results to lead PEC teacher Obtain further professional evaluation Results to lead PEC teacher Results to lead PEC teacher Continue re-eval process Continue re-eval process IEP Re-Evaluation Process

19. Re-eval/Re-determination

20. 13-14 Vi-HE Screening Log

21. Distance Vision Screening

22. 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

23. 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

24. 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

25. 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.

26. 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.

27. What to Record • Check Passed or Failed • Check which test was used • Record distance/acuity (ex: 10/16) for each eye • referrals if needed

28. 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.

29. Functional Vision

30. 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 for professional eye exam at her discretion and expense.

31. Standard Hearing Screening

32. What you need • Quiet room with an outlet • Audiometer • Recording forms

33. 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.

34. 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

35. 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

36. 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.

37. 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

38. 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!)

39. 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 Reminders

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