Hearing screening

[RNlove17]

I have a question for hearing screenings...hopefully it's not too confusing. I currently test students at 1000, 2000, and 4000 hz at 20db (and then go up, obviously, if they can't hear at that). Most pass all frequencies at 20db and I write "20 db" on their health record.

My question is, if a student hears 1000 hz at 25 or 30 db, for example, but 2000 and 4000 hz at 20 db, what should I write down? I only have one spot, it doesn't let me write down a different number for each frequency, just one spot.

[coughdrop.2.go, BSN, RN]

What do you write on? A form? You should be able to write down what dB you are testing because the only constant should be the frequencies in which you test, except in my State we have to test at 500 if a student fails any frequency in a particular ear. You need to write the db anyway to determine their threshold if they aren't hearing at 20dB. But it may be different in your state.

[RNlove17]

Yes it's a form on the front of their health chart that follows them throughout their time in the district. There is only 1 spot to write it. I test at 1000, 2000, and 4000 hz at 20db. If they can't hear at 20db I bump it up. usually though if that happens, they can't hear 1000 hz at 20 db, but can hear the other frequencies at that decibel. It really should have more than one space, top write the decibel level heard at each frequency, but it doesn't!

[Cherry Ames Peds RN]

My state has specific parameters for screening. In order to pass, a student must pass at 1000, 2000, and 4000 hz at 20 dbs for each ear. If the student passes, I document "0" for that ear, meaning none were missed. If they miss at 1000, I document "1" for that ear. If the student misses at 2000, I document "2," and so forth. If the student misses more than one, I document each frequency, separated by a comma. Thus my documentation looks something like this: right ear: 0. left ear: 1,4. Students who do not pass are referred to our district's audiologist for follow up.

[Wave Watcher]

We always re-screen 2 weeks later. It could be that the child's ear(s) had wax or fluid build up that was preventing from hearing properly. We give it a two week window. If we retest and they fail again then we refer. Also, I use the "pulse" sound because it seems to work better for my elementary kids. Good luck!

[100kids, BSN, RN]

I always rescreen for those who fail as well. However when documenting on their School record I would put the level that they passed for all frequencies required (in your case the 25 db or 30 db) and then I keep a record of the full results within the child's folder. HTH!

[RNlove17]

I always rescreen for those who fail as well. However when documenting on their School record I would put the level that they passed for all frequencies required (in your case the 25 db or 30 db) and then I keep a record of the full results within the child's folder. HTH!

this is what i've been doing. Thanks for all your responses!