School Nurse Procedure Manual - The School District of Philadelphia

SCHOOL DISTRICT OF PHILADELPHIASCHOOL NURSE PROCEDURE MANUAL5. Screen the RIGHT ear first as below:Decibel Level Frequency Hears The Tone55 1000 once40 1000 once25 1000 2 out of 325 2000 2 out of 325 4000 2 out of 325 1000 once25 500 2 out of 325 250 2 out of 36. Screen the LEFT ear.Decibel Level Frequency Hears The Tone25 1000 2 out of 325 2000 2 out of 325 4000 2 out of 325 1000 once25 500 2 out of 325 250 2 out of 350 1000 Return machine to red ear.Note: Always screen the right ear first.7. Record the test results on the HIS, Main Menu #2, Health Inquiry andMaintenance, screen H4. Where HIS is unavailable, use the MEH-3.a. Pass is the ability to hear all or all except one frequency at 25 decibels.b. Fail is:1). Failure to hear two (2) or more frequencies at 25 decibels.2). Failure to hear the same frequency in both ears.8. A student who fails requires further assessment by the school nurse.a. A student who fails should receive a second Sweep Test within one (1)month.b. Failure of the second sweep test will result in a Threshold Test that sameday.September 1, 2002 Page 9