Hearing Screening Online Training Program

Standard Pure Tone Audiometric Hearing Screening

BEFORE putting audiometer headphones on the child:

  • The screener should call the child by his/her name and inform the child that his/her hearing is going to be checked.
  • Lay the headphones on the table and turn the intensity dial to the maximum setting and present the tone to ensure that the child understands the task. Note that if a child does not respond to this tone, the screener should not proceed with the rest of the screening. The child either has a VERY severe hearing deficit or has a receptive language deficit.
  • Instruct the child to raise a hand when s/he hears a tone and lower his/her hand once the tone stops. Instruct the child to raise his/her hand even if he/she can barely hear the tone. It does not matter which hand is raised.
  • Have the child remove glasses, ribbons, barrettes, combs, or large earrings if they obstruct a good seal on the headphones.
  • Push the child’s hair behind his/her ears (this is a good time to quickly inspect the external ears).
  • Check for hearing aids, cotton in ears, or drainage.
  • If tenderness, signs of drainage, or foul odor is present, do not proceed with the audiometric screening; the child should be evaluated by a medical provider (For complete information on documentation, see C&TC Documentation section). It is okay to proceed with the test if earwax is present.

Placing the headphones on the child:

  • Place the red earphone on the child’s right ear and the blue earphone on the left ear.
  • Line up the opening of the earphone with the opening of the child’s ear canal.
  • Adjust the headband so it is seated on top of the child’s head.

Note: You must answer the following question to continue with the course.

QUESTION: Can you identify helpful strategies to perform an accurate audiometric screening? Check all that apply.

If the child is having a difficult time, have the child sit on the parent's or caregiver's lap.
Have the child face toward the screener.
Present the tones in a rhythmic pattern.


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