psle the hearing screening. hearing screening follow directions on the language test cabinet in the...

PSLEPSLEThe Hearing ScreeningThe Hearing Screening

Hearing ScreeningHearing Screening

Follow directions on the Language Test Follow directions on the Language Test Cabinet in the materials room on the Cabinet in the materials room on the correct protocol for screening hearing.correct protocol for screening hearing.

The directions are also on the The directions are also on the audiometers.audiometers.

Make your own record sheet.Make your own record sheet.


For children between 2 and 3 years:For children between 2 and 3 years:

It is difficult for us to do a screening with the It is difficult for us to do a screening with the audiometer. audiometer.

We can try to do conditioned play audiometry We can try to do conditioned play audiometry (child is trained to place blocks in a container (child is trained to place blocks in a container every time they hear the beep)every time they hear the beep)

Training the child to the task is crucial and can Training the child to the task is crucial and can take a lot of time.take a lot of time.


For children between 3 – 4 years:For children between 3 – 4 years:

Children should be able to participate in the Children should be able to participate in the screening (if not, we have concerns about screening (if not, we have concerns about cognition).cognition).

Use play audiometry (child places blocks in a Use play audiometry (child places blocks in a container every time they hear the beep).container every time they hear the beep).

Training the child to the task is crucial and can Training the child to the task is crucial and can take a lot of time.take a lot of time.


For children 4 years and up:For children 4 years and up:

Children should be able to easily participate Children should be able to easily participate in the screening.in the screening.

You can probably just ask the child to raise You can probably just ask the child to raise his/her hand when s/he hears the beep.his/her hand when s/he hears the beep.

Training the child to the task is still crucial.Training the child to the task is still crucial.


Set up and test your Set up and test your equipment BEFORE the equipment BEFORE the

child comes into the roomchild comes into the room

Hearing ScreeningHearing ScreeningUsing Conditioned Play Using Conditioned Play

Audiometric Screening for the Audiometric Screening for the very young childvery young child

Step 1. Prepare your materialsStep 1. Prepare your materials

Have prepared the following:Have prepared the following:

a chair for the child facing the wall (so child can’t a chair for the child facing the wall (so child can’t watch you in mirror) with a picture to look atwatch you in mirror) with a picture to look at

a container (i.e., box or bucket)a container (i.e., box or bucket)

at least 8 bean bags or blocks or some other small at least 8 bean bags or blocks or some other small objects that the child can easily throw in the objects that the child can easily throw in the bucketbucket

Step 2. Train the childStep 2. Train the child

Talk to the child about playing “The Pilot Talk to the child about playing “The Pilot Game”Game”

Have the child sit in the seat.Have the child sit in the seat.

Start your training with “voice beeps.”Start your training with “voice beeps.”

““Every time you hear a ‘beep’, you throw Every time you hear a ‘beep’, you throw the X in the bucket.”the X in the bucket.”


Give the child a block, and you or your Give the child a block, and you or your assistant also holds a block/beanbag.assistant also holds a block/beanbag.

““Let’s do it together. BeepLet’s do it together. Beep” ”

You/assistant throws in block/beanbag You/assistant throws in block/beanbag and child throws in block/beanbag.and child throws in block/beanbag.


Celebrate success!Celebrate success!

““Yay! You put the block/beanbag in when Yay! You put the block/beanbag in when you heard the ‘beep’. Let’s try it again.you heard the ‘beep’. Let’s try it again.” ”


Repeat this a couple of times, gradually Repeat this a couple of times, gradually letting the child become more independent letting the child become more independent in throwing the block in.in throwing the block in.

So the clinician can wait until the child So the clinician can wait until the child throws his/her block in first, then the throws his/her block in first, then the clinician throw his/hers in. Finally, you stop clinician throw his/hers in. Finally, you stop throwing the block/beanbag at all.throwing the block/beanbag at all.


The child should be able to throw the The child should be able to throw the block/beanbag in independently to a voice block/beanbag in independently to a voice “beep” before you put the head phones on.“beep” before you put the head phones on.

Step 3. Introduce the HeadphonesStep 3. Introduce the Headphones

Introduce the headphones, turn the dB up Introduce the headphones, turn the dB up to 80 or 90: to 80 or 90:

““These are headphones, just like what pilots These are headphones, just like what pilots wear. We’re going to listen for beeps out wear. We’re going to listen for beeps out of these. The beeps will be very quiet. of these. The beeps will be very quiet. Let’s listen together and see if you can put Let’s listen together and see if you can put your block in when you hear the beep.”your block in when you hear the beep.”


Give the child a block and hold the Give the child a block and hold the earphone between yours and the child’s earphone between yours and the child’s ear:ear:

““Did you hear the beep? Throw the block in.”Did you hear the beep? Throw the block in.”


NOTE:NOTE:

The child should be able to throw the The child should be able to throw the block/beanbag in independently in response block/beanbag in independently in response

to the loud headphone “beep” before you to the loud headphone “beep” before you put the headphones on.put the headphones on.

Step 4. Put the Headphones OnStep 4. Put the Headphones On

Make sure the headphones are on the Make sure the headphones are on the correct ear.correct ear.

If the child resists having them put on, If the child resists having them put on, your assistant can just hold the earphone your assistant can just hold the earphone on the child’s ear.on the child’s ear.


ImportantImportant

Make sure that you have turned the dB back Make sure that you have turned the dB back down to the screening level 25 dB.down to the screening level 25 dB.

Step 4. Conduct the ScreeningStep 4. Conduct the Screening

The assistant gives The assistant gives just 1 just 1 block/beanbag block/beanbag to the child at a time.to the child at a time.

Present the tones starting at 1000HzPresent the tones starting at 1000Hz

Then, move up and down the other Then, move up and down the other frequencies as appropriate.frequencies as appropriate.

Step 5. Trouble ShootingStep 5. Trouble Shooting

Assistant watches child’s face.Assistant watches child’s face.

If the child does not throw the block in, If the child does not throw the block in, assistant can ask, “Did you hear the assistant can ask, “Did you hear the beep?”beep?”

If the child nods “Yes,” remind him/her If the child nods “Yes,” remind him/her “Throw the block in.”“Throw the block in.”

Re-present the tone until you get a reliable Re-present the tone until you get a reliable response or you must increase the dB.response or you must increase the dB.

Hearing ScreeningHearing ScreeningUsing the Hand Raise Response Using the Hand Raise Response

for the older childfor the older child

Step 1. Prepare your materialsStep 1. Prepare your materials

You will need:You will need:

Audiometer (set up and tested)Audiometer (set up and tested)

Chair facing away from you and from Chair facing away from you and from the mirrorthe mirror


Tell the child:Tell the child:

““Every time you hear the beep, raise your Every time you hear the beep, raise your hand. Let’s practice. Beep”hand. Let’s practice. Beep”

Make sure the child understands the task!Make sure the child understands the task!


Warn the child that you will be placing the Warn the child that you will be placing the headphones on and that the s/he will hear headphones on and that the s/he will hear beeps.beeps.


Make sure you put the correct headphone Make sure you put the correct headphone on the correct ear.on the correct ear.

Step 4. Conduct the ScreeningStep 4. Conduct the Screening

Remind the child to “raise your hand when Remind the child to “raise your hand when you hear the beep.”you hear the beep.”

Present the tones starting at 1000HzPresent the tones starting at 1000Hz

Then, move up and down the other Then, move up and down the other frequencies as appropriate.frequencies as appropriate.

Step 5. Trouble ShootingStep 5. Trouble Shooting

Assistant watches child’s face.Assistant watches child’s face.

If the child does not raise a hand, assistant If the child does not raise a hand, assistant can ask, “Did you hear the beep?”can ask, “Did you hear the beep?”

If the child nods “Yes,” remind him/her If the child nods “Yes,” remind him/her “Raise your hand.”“Raise your hand.”

Re-present the tone until you get a reliable Re-present the tone until you get a reliable response or you must increase the dB.response or you must increase the dB.

Final WordsFinal Words

To get good at anything you must practice, To get good at anything you must practice, practice, practice!practice, practice!

Take the time to practice doing hearing Take the time to practice doing hearing screenings (both Conditioned Play screenings (both Conditioned Play Audiometry and the Hand Raising Audiometry and the Hand Raising Response) several times with your Response) several times with your teammates before you do it on an actual teammates before you do it on an actual client.client.

psle the hearing screening. hearing screening follow directions on the language test cabinet in the...

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