Screening preparations

Topic Progress:

Instruction

In this topic you will learn about the steps to prepare for a hearing and ear health screen.

Before the screening day

Refer to the Sensory screen checklist to go through the hearing and ear health requirements for:

  • Screening space
  • Screening equipment.

Screening space

The screening space should be clean and furniture ready.

Instruction

Look at the screening preparations section of the Screen checklist and answer the following question.

Question

What is the most important feature of the screening space for hearing?

Select one.



If you selected c, you are correct!

It is important that noise levels are maintained below 40 dB for the hearing screen. The length of the room and lighting are important features for the vision screen.

Screening equipment

For the hearing screen you will need:

  • A hearing test device (audiometer). This could be a machine/tablet or audiometer app on smartphone:
    • The audiometer may have Response button. A signal can also be used. For example, a child may raise their hand
  • Noise cancelling headphones.

Tip

Check equipment is in good working order before screening day.

Hearing test device with dials, buttons and headphones attached. One headphone is red for the right ear and one headphone is blue for the left ear.

Audiometer machine and headphones

An audiometer app on smartphone with headphones attached. One headphone is red for the right ear, and one is blue for the left ear.

Audiometer app on smartphone

For the ear health screen, you will need:

  • Otoscope with spare batteries and bulb
  • Speculums (at least two different sizes)
  • Sound level meter/mobile app to check background noise levels
  • Cleaning materials for hands and equipment
  • Furniture:
    • Table
    • Two chairs.
Otoscope with handle at one end and pointed speculum and torch at the other end.

Otoscope with speculum attached

Three different sizes and shapes of speculum.

Speculums of different sizes and shapes

Question

What actions may help if the otoscope light is not working?

Select two.



If you selected a and c, you are correct!

Replacing the battery or bulb may help.

b is incorrect.

Do not tap the otoscope against the table. It may damage it.

Otoscope with beam of light from pointed speculum.

Otoscope with light switched on

On the screening day

  • Set up the space
  • Run the group preparation session for the children.

Set up the space

Check background noise levels using a sound level meter/mobile app.

Activity

  1. Download the hearWHO app on to a smartphone
  2. Click on ‘check your hearing’ to access sound level meter
  3. Allow permission to measure noise
  4. Test the background sound levels are suitable

Is the background noise level suitable for a hearing test (in green or yellow)?

Instruction

Do not continue the hearing screen if the sound exceeds 40 dB. Rearrange screening for another day in a more suitable space.

A table with audiometer and headphones on it and two chairs. The chair for the screener faces the audiometer and the chair for the child is facing away from the audiometer.

Position equipment and furniture:

  • Table near a power source (if needed)
  • Position equipment on table
  • Position chair for child. The child should not be able to see your hands pressing the audiometer buttons.

Screener sits on chair showing three seated children an otoscope with light turned on. One child has an HOTV chart in their hands.

Group preparation session

This session is done to prepare the children for the vision and hearing screen.

Instruction

Learn more about introducing vision screening in the Vision and eye health in children module: Screening preparations.

Show the children the audiometry equipment, headphones and otoscope.

Explain you will:

  • Put headphones over their ears and ask them to listen to different sounds
  • Ask them to show you if they can hear the sound by raising their hand.

Show them the otoscope with the light turned on. Explain you will use it to look inside their ears.

Reassure them that nothing you do will hurt them.

You have completed Lesson three!