PSLE

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PSLE

• The Hearing Screening

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Hearing Screening

• Follow directions on the Language Test Cabinet in
  the materials room on the correct protocol for
  screening hearing.
• The directions are also on the audiometers.
• Make your own record sheet.

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Hearing Screening

• For children between 2 and 3 years
• It is difficult for us to do a screening with the
  audiometer.
• We can try to do conditioned play audiometry
  (child is trained to place blocks in a container
  every time they hear the beep)
• Training the child to the task is crucial and can
  take a lot of time.

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Hearing Screening

• For children between 3 4 years
• Children should be able to participate in the
  screening (if not, we have concerns about
  cognition).
• Use play audiometry (child places blocks in a
  container every time they hear the beep).
• Training the child to the task is crucial and can
  take a lot of time.

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Hearing Screening

• For children 4 years and up
• Children should be able to easily participate in
  the screening.
• You can probably just ask the child to raise
  his/her hand when s/he hears the beep.
• Training the child to the task is still crucial.

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Hearing Screening

• Set up and test your equipment BEFORE the child
  comes into the room

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Hearing Screening

• Using Conditioned Play Audiometric Screening for
  the very young child

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Step 1. Prepare your materials

• Have prepared the following
• a chair for the child facing the wall (so child
  cant watch you in mirror) with a picture to look
  at
• a container (i.e., box or bucket)
• at least 8 bean bags or blocks or some other
  small objects that the child can easily throw in
  the bucket

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Step 2. Train the child

• Talk to the child about playing The Pilot Game
• Have the child sit in the seat.
• Start your training with voice beeps.
• Every time you hear a beep, you throw the X
  in the bucket.

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Step 2. Train the child

• Give the child a block, and you or your assistant
  also holds a block/beanbag.
• Lets do it together. Beep
• You/assistant throws in block/beanbag and child
  throws in block/beanbag.

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Step 2. Train the child

• Celebrate success!
• Yay! You put the block/beanbag in when you heard
  the beep. Lets try it again.

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Step 2. Train the child

• Repeat this a couple of times, gradually letting
  the child become more independent in throwing the
  block in.
• So the clinician can wait until the child throws
  his/her block in first, then the clinician throw
  his/hers in. Finally, you stop throwing the
  block/beanbag at all.

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Step 2. Train the child

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

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Step 3. Introduce the Headphones

• Introduce the headphones, turn the dB up to 80 or
  90
• These are headphones, just like what pilots
  wear. Were going to listen for beeps out of
  these. The beeps will be very quiet. Lets listen
  together and see if you can put your block in
  when you hear the beep.

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Step 3. Introduce the Headphones

• Give the child a block and hold the earphone
  between yours and the childs ear
• Did you hear the beep? Throw the block in.

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Step 3. Introduce the Headphones

• NOTE
• The child should be able to throw the
  block/beanbag in independently in response to the
  loud headphone beep before you put the
  headphones on.

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Step 4. Put the Headphones On

• Make sure the headphones are on the correct ear.
• If the child resists having them put on, your
  assistant can just hold the earphone on the
  childs ear.

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Step 4. Put the Headphones On

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

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Step 4. Conduct the Screening

• The assistant gives just 1 block/beanbag to the
  child at a time.
• Present the tones starting at 1000Hz
• Then, move up and down the other frequencies as
  appropriate.

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Step 5. Trouble Shooting

• Assistant watches childs face.
• If the child does not throw the block in,
  assistant can ask, Did you hear the beep?
• If the child nods Yes, remind him/her Throw
  the block in.
• Re-present the tone until you get a reliable
  response or you must increase the dB.

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Hearing Screening

• Using the Hand Raise Response for the older child

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Step 1. Prepare your materials

• You will need
• Audiometer (set up and tested)
• Chair facing away from you and from the mirror

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Step 2. Train the child

• Tell the child
• Every time you hear the beep, raise your hand.
  Lets practice. Beep
• Make sure the child understands the task!

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Step 3. Introduce the Headphones

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

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Step 4. Put the Headphones On

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

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Step 4. Conduct the Screening

• Remind the child to raise your hand when you
  hear the beep.
• Present the tones starting at 1000Hz
• Then, move up and down the other frequencies as
  appropriate.

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Step 5. Trouble Shooting

• Assistant watches childs face.
• If the child does not raise a hand, assistant can
  ask, Did you hear the beep?
• If the child nods Yes, remind him/her Raise
  your hand.
• Re-present the tone until you get a reliable
  response or you must increase the dB.

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Final Words

• To get good at anything you must practice,
  practice, practice!
• Take the time to practice doing hearing
  screenings (both Conditioned Play Audiometry and
  the Hand Raising Response) several times with
  your teammates before you do it on an actual
  client.