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Hearing & Vision screens PRE-K

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KH_RN6 has 6 years experience as a BSN and specializes in Pediatrics.

358 Profile Views; 23 Posts

Hello all!

 

Any preschool RNs here !? (3-5 year olds)

I am required to do hearing and vision screens on all my preschoolers and whoever else diagnostics is bringing in to screen as well.

We have an ancient audiometer. It is SOOOOOO old. and the tape plays sooooooo SLOWWWW these preschoolers will lose focus. It's taking me forever to finish 1 classroom just because hearing takes so long and you know, 3 year olds have great attention spans 🙂

 

Just trying to gather some info on what audiometers you use. do you use audiometers on this age range, or do you use the OAE devices? Which provides a better result ?

Ive spoken about this to our district nurses and administration over the RNs and they said they will look into it but right now they are in the process of taking inventory and replacing some AEDs in the district (priorities, i get it) but it may be years before they start replacing these audiometers.

 

so far this is my least favorite part of this job 🙂 I'm only 7 weeks in! I would be happy if I never hear that recording "show me the toothbrush, show me the cowboy, show me the firetruck" EVER AGAIN!!!! .

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SchlNrsKrn has 26 years experience.

35 Posts; 1,685 Profile Views

I have been at Pre-K for 20 years.  Texas required puretone for hearing screenings, so we have Abmco 650AB.  I do conditioned play where they place a block in a box when they hear the tone.  I use HTOV for vision, and I usually wait until we come back from Christmas break to mass screen, as there are way fewer "unable to screen" kids the longer in the year you wait.

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5 Posts; 399 Profile Views

I have pre-k in my school and usually wait until late spring to complete their screenings as they are a little bit older then 

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AutumnDraidean has 20 years experience and specializes in School health, Maternal-Newborn.

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At the head start program I worked at we used AOE screeners. They have 2 pitfalls, first, any fluid behind the ear drum can mean that ear will fail. That fluid can persist as long as 4-6 weeks after an ear infection was treated with abx. The second issue is not all three and four year olds will suffer the 30-45 seconds per ear that it takes. If the squirm or talk the screen will deliver a false fail. 

Schools may have some leeway but Head Start expects screening to take place within 45 days. 

We also used a Welch Allen product to screen vision by measuring the shape of the eye. all the child has to do is hold still for about 5-10 seconds per eye and  you need a steady hand. 

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2 Followers; 5 Articles; 4,122 Posts; 35,199 Profile Views

i was thinking about asking for an OAE on the budget wishlist or even looking into setting up  an donor's choose, but more recently I am having second thoughts.  Then on Friday, I had an audiology student who is in the school working with our speech pathologist ask if she could get some of her hearing screening hours in by doing my screenings (my response:  SUUURE!!  😀 * cue happy dance).  Then she said that the other students often have a hard time finding a place to come for hours (me:  bring me your needy audiology students, yearning to get their requirements finished).  

She also said she's bring me an OAE to play with, but didn't think that i'd like the way it works in a school setting - to noisy, to many interruptions and foot traffic)

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ruby_jane has 10 years experience as a BSN, RN and specializes in ICU/community health/school nursing.

3 Followers; 2,642 Posts; 10,848 Profile Views

48 minutes ago, Flare said:

 

She also said she's bring me an OAE to play with, but didn't think that i'd like the way it works in a school setting - to noisy, to many interruptions and foot traffic)

YAY!!! The OAE looks AWESOME (on paper, testing it in the ears on an adult). In reality - you have to have a good seal, which means you're fiddling with the ear widgets. You are theoretically supposed to look in the ears first because cerumen build-up or partially migrated tubes will mess up the OAE result. It takes waaaay too long with a wiggler. If the student cannot be conditioned to drop the block in the box - we do a functional hearing and tell parent to follow up.

Can you see if your PTA or health services will upgrade your ancient audiometer? Good luck!

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pennyeary has 2 years experience as a CNA.

73 Posts; 648 Profile Views

I called the Lions club to come use the spot screener on my Pre-k and Sped students it is free and doesnt take long at all.

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UrbanHealthRN has 8 years experience as a BSN, RN and specializes in Pediatric/ Community and Public Health.

196 Posts; 3,135 Profile Views

I used an OAE for Head Start as well. Keep in mind that OAEs technically don't screen hearing ability- they screen middle ear function, which is a big part of hearing but not the whole enchilada. OAEs are very sensitive to too much earwax, or fluid in the ear, or ear infections, or respiratory infections (I've literally seen some kids' OAE results change from week to week if they've been sick with colds and whatnot). Also, figuring out how to pick the right eartip for each child was a challenge for me, until I found a multi-size eartip that is amaaazing! Overall, OAEs are quick to use, don't require a kid to do anything besides sit still (which I know is more than enough of a challenge with this age group!), and are very portable. I recommend them!

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lifelearningrn has 6 years experience as a BSN, RN and specializes in School Nursing.

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Has your audiometer been calibrated? Mine is a pretty ancient one too but gets calibrated yearly and works fine.

The little ones do take forever. lol 

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kidzcare has 5 years experience.

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16 hours ago, lifelearningrn said:

The little ones do take forever. lol 

I estimate about 5 minutes per kid for preschool screening (both vision and hearing). I have around 600 in my district. So fun 

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KH_RN6 has 6 years experience as a BSN and specializes in Pediatrics.

23 Posts; 358 Profile Views

On 10/8/2019 at 8:38 AM, kidzcare said:

I estimate about 5 minutes per kid for preschool screening (both vision and hearing). I have around 600 in my district. So fun 

Ugh!! It takes me about 10 minutes! Pending on the kiddo. On top of running the clinic at the same time, my AM session classes take even longer because I get pulled for tube feeds or AM meds inbetween screens.

On 10/7/2019 at 3:53 PM, lifelearningrn said:

Has your audiometer been calibrated? Mine is a pretty ancient one too but gets calibrated yearly and works fine.

The little ones do take forever. lol 

It's calibrated yearly during the summer. It works fine 🙂  there just HAS got to be a better and easier way!!  A lot of my 3 year olds are scared of the headphones, or they will agree to wear them and then get bored waiting for the guy to start talking.

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lifelearningrn has 6 years experience as a BSN, RN and specializes in School Nursing.

2,292 Posts; 24,839 Profile Views

2 hours ago, K_HinckleyRN said:

 

It's calibrated yearly during the summer. It works fine 🙂  there just HAS got to be a better and easier way!!  A lot of my 3 year olds are scared of the headphones, or they will agree to wear them and then get bored waiting for the guy to start talking.

Your audiometer talks?

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