1. Early Childhood Hearing Screening in Colorado

2. Screening Mandates Newborn Grades K, 1,2,3,5,7,9 Child Find BUT A GAP STILL EXISTS!

3. Screening Resources Early Childhood Hearing Screening Guidelines –http://www.cde.state.co.us/cdesped/Audiology.asphttp://www.cde.state.co.us/cdesped/Audiology.asp –http://www.earlychildhoodconnections.org/index.cfm?fuse action=service.content&linkid=55http://www.earlychildhoodconnections.org/index.cfm?fuse action=service.content&linkid=55 HCP Regional Audiology Coordinators Educational Audiologists

4. 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)

5. Hearing Screening Components History Visual Inspection Audiometric Screening Immittance Screening (tympanogram) (PAGE 5 of Guidelines)

6. History Parent Questionnaire Page 32 of guidelines

7. Visual Inspection -Structural abnormalities -Drainage

8. 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

9. Tympanometry Way to assess function of outer and middle ear function

10. 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

11. Equipment Pure tone audiometerTympanometer Otoacoustic emissions (OAEs)

12. Training Resources WHO can assist with training? HCP Regional Audiologist Educational/School District Audiologist CDE Audiology Consultant: –Lisa Cannon (Lisa_Cannon@dpsk12.org)Lisa_Cannon@dpsk12.org Previously trained screener Screener MUST receive appropriate training

13. Q & A