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Steps of Play Audio

This document outlines the steps for conducting play audiometry testing on children. It describes how to condition the child to respond to tones by playing a game with blocks. It provides instructions for screening the right and left ears separately at different frequencies and decibel levels. It includes documentation requirements like noting failed frequencies for rescreening or referral to further evaluation. The goal is to efficiently and enjoyably test children's hearing through play.

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50 views12 pages

Steps of Play Audio

This document outlines the steps for conducting play audiometry testing on children. It describes how to condition the child to respond to tones by playing a game with blocks. It provides instructions for screening the right and left ears separately at different frequencies and decibel levels. It includes documentation requirements like noting failed frequencies for rescreening or referral to further evaluation. The goal is to efficiently and enjoyably test children's hearing through play.

Uploaded by

reastuty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHILDRENS MEDICAL SERVICES

Child Health and Disability Prevention Program


9320 Telstar Avenue, Suite 226, El Monte, California 91731
Telephone: (800) 993-2437 Fax: (626) 569-9350
Wesly L. Ford, MA, MPH
Director

EDWARD BLOCH, M.D.


Medical Director

Steps to Play Audiometry


Table of Contents
Step 1-Conditioning
Step 2-Conditioning
Step 3-Conditioning
Step 4-Conditioning
Step 5-Conditioning
Step 6-Conditioning
Step 7-Conditioning
Right Ear Screening
Left Ear Screening
Documentation
RECONDITIONING

5/14/2014

Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11

PLAY AUDIOMETRY - CONDITIONING of CHILD


1. Position child participant on your dominant side for screening.
2. Power on AUDIOMETER
3. Set AUDIOMETER
4. Keep the EARPHONE

to the RIGHT EAR.


on the TABLE.

5. Set AUDIOMETER

to 90 dB.

6. Set AUDIOMETER

to 4000 Hz.

7. Set AUDIOMETER

to PULSE TONE.

STEP 1-Conditioning

STEP 2
1. Screener says to the child: We are going to play a game.
2. Screener says to the child: Listen. Press tone.
3. Screener says to the child: WOW.
4. You get a block.
5. Give the child a block.

STEP 2-Conditioning

STEP 3
1. DO NOT press the BEEP in this step.
2. Screener POINT finger

to your ear.

3. Screener says to the child:


When you hear a BEEP, put the block

in the basket.

4. Screener act like you are putting the block in the basket,
BUT DO NOT leave the block

in the basket.

5. Screener gives basket to the child.

STEP 3-Conditioning

STEP 4
1. Screener says to the child: Listen.
2. Press tone.
3. Screener puts the block

in the basket

FIRST.

4. Child follows after.


5. Screener praises the child: Wonderful.

STEP 4-Conditioning

STEP 5
1. You get a block.
2. Give the child a block.
3. Screener says to the child: Lets see how fast you are.
4. Screener says to the child: Listen.
5. Press tone.
6. Let the child put the block

in the basket

FIRST (Child will win).

7. Screener put block in basket after the child.


8. Screener praises the child: Great job, you beat me!

STEP 5-Conditioning

STEP 6
1. Give the child a block.
2. You do not get a block.
3. Say to the child: Listen.
4. Press tone.
5. Child puts the block

in the basket.

6. Screener praises the child: Good Job!

STEP 6-Conditioning

STEP 7
1. Give the child a block.
2. You do not get a block.
3. Set the AUDIOMETER
4. Screener put the earphones

to 50 dB 4000 Hz.
on the child.

5. Screener praises the child: You look like a pilot!


6. Screener says to the child: Listen. Press tone.
a. If child puts the block in the basket start screening (Page 8).
b. If child does not put block in the basket, switch to left ear.
c. If child does not put block in the basket, take off earphones & repeat Steps 1-7.
d. If child still does not respond after repeating c schedule child for a Re-screen.

STEP 7-Conditioning

PLAY AUDIOMETRY SCREENING


Screener: 1. Position child participant on your dominant side for screening
2. Position AUDIOMETER

at 25 dB.

3. Give the child a block.


4. Turn the switch to the right ear.
Praise the child each time the child drops the block into the basket.

25 dB 4000 Hz Listen. Press tone. Give child a block.


25 dB 3000 Hz Listen. Press tone. Give child a block.
25 dB 2000 Hz Listen. Press tone. Give child a block.
25 dB 1000 Hz Listen. Press tone. Give child a block.
If no response----Recondition at 50 dB. See RECONDITIONING page 10.

RIGHT EAR SCREENING

PLAY AUDIOMETRY SCREENING


Screener: 1. Switch to the left ear.
2. Give the child a block.
Praise the child each time the child drops the block into the basket

25 dB 1000 Hz Listen. Press tone. Give the child a block.


25 dB 2000 Hz Listen. Press tone. Give child a block.
25 dB 3000 Hz Listen. Press tone. Give child a block.
25 dB 4000 Hz Listen. Press tone. Give child a block.

FINISH: Remove earphones,

thank the child. Document Audiogram (page 11).

LEFT EAR SCREENING

DOCUMENTATION
1. Complete documentation of audiometric screening results
on the audiogram.
2. If child fails:
A. 1st time, mark on the comment line: schedule for a
re-screening in 2-6 weeks, or according to office policy.
B. 2 screenings 6 weeks apart, you may refer child to CCS.

DOCUMENTATION

10

PLAY AUDIOMETRY RECONDITIONING


1. Stay at the SAME frequency
2. Change Audiometer to 50 dB
3. Screener says to the child Listen. Press tone.

4. Go back to
25 dB to confirm result

YES
BLOCK

NO
BLOCK

YES
BLOCK

NO
BLOCK

4. Immediately mark fail (-)


at this frequency

5. Immediately mark fail (-)


at this frequency

Continue SCREENING (25 dB)


at the NEXT frequency

RECONDITIONING

11

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