Hearing Screening Training Manual - Minnesota Department of Health

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Ages/Grades: Infant through 36 months VISUAL INSPECTION Purpose: To check for signs of ear disease and/or abnormal development Description: A systematic inspection of the external ear canal, surrounding tissue, ear canal, and tympanic membrane Equipment: External inspection – None Internal inspection – Otoscope Facilities: A well-lighted area Procedure: External: Inspect the pinna and the area around it for set (position) of the ears, skin tags or pits, tenderness, redness or edema, signs of drainage or wax build-up in the outer 1/3 of the canal. Internal: With the otoscope, inspect the ear canal and tympanic membrane for: signs of drainage, wax build-up, foreign bodies, redness of the skin or to the ear canal. Also note whether normal landmarks on the tympanic membrane can be seen. If the screener lacks training and experience in using the otoscope, the visual inspection should be limited to the external visual inspection. Pass: Normal appearance of all structures and no complaints of pain when the pinna or the tissue around the ear is being manipulated Rescreen/ Refer: Refer any abnormality for medical examination. If tenderness, sign of drainage or foul smell are present, DO NOT proceed with audiometer screening; this would be an automatic referral. 8
Ages/Grades: All ages PARENT/TEACHER/CHILD OBSERVATION Purpose: To extend the identification of suspected ear problems or hearing losses throughout the year Description: Reporting complaints or observed abnormal listening behaviors Equipment: None Facilities: None Procedure: Child is asked to report any complaint about his/her ears. Parents and/or teachers are asked to report any abnormal listening behaviors. Complaints: • pain in ear • fullness in ear • noise in ears • drainage • cannot hear Behaviors: • tugging at ear • asks to have things repeated • turns side of head toward speaker • inattentive in class discussion • watches teachers' lips • shows strain when listening • difficulty with phonics • frequent mistakes in following directions • day dreaming • tends to isolate • tires easily • talks too loudly or softly • has a speech problem • not working to capacity • tends to be passive Any child with complaints or observed abnormal listening behaviors should be seen by the referral/follow-up professional to determine the appropriate course of evaluation. Note: This list of potential indicators of hearing loss should be given to teachers in the beginning of the school year so they can be alerted to children who should have their hearing checked. 9
Page 1 and 2: Hearing Screening Training Manual H
Page 3: TABLE OF CONTENTS BACKGROUND AND OV
Page 6 and 7: Unidentified hearing impairments in
Page 8 and 9: MINNESOTA DEPARTMENT OF HEALTH HEAR
Page 10 and 11: In addition, the provider will perf
Page 14 and 15: JOINT COMMISSION ON INFANT HEARING
Page 16 and 17: the auditory system develops. Many
Page 18 and 19: Note: The 2007 JCIH Position Statem
Page 20 and 21: FREQUENCY OF SCREENING In the schoo
Page 22 and 23: Ages/Grades: All ages PARENT/TEACHE
Page 24 and 25: PURE TONE SCREENING Ages/Grades: Ag
Page 26 and 27: PURE TONE THRESHOLD SCREENING (OPTI
Page 30 and 31: EARLY CHILDHOOD HEARING SCREENING W
Page 32 and 33: HEARING REFERRAL LETTER Name_______
Page 34 and 35: THE AUDIOMETER An audiometer is a d
Page 36 and 37: ENVIRONMENTAL NOISE LEVEL CHECK Mos
Page 38 and 39: 34 DATE Power On Jacks Seated Earph
Page 40 and 41: Audiometer I.D._______________ Date
Page 42 and 43: Resources for Hearing Screening 38
Page 44 and 45: Screening site general consideratio
Page 46: NOISE INDUCED HEARING LOSS (NIHL) W
Page 49 and 50: HEARING RESOURCES ON THE WEB Hearin
Page 51 and 52: Biologic Check - Doing an audiogram
Page 53 and 54: Outer Ear - The part of the ear fro

Hearing Screening Training Manual - Minnesota Department of Health

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