G_CS_30 Guidelines on Hearing Screening for Reception Year Children in Lincolnshire

To arrive at an accurate perception of a child's hearing at 4-5 years of age in school is a tough task. It is not always possible to test a child's hearing at this age to threshold levels (i.e. a conventional audiogram) as it may take too long and may be inaccurate. This is because a child of this age in noisier surroundings, with many distractions, may not have sufficient attention and concentration to complete the task.

Sweep audiometry is recommended as a quick method for establishing if a child has satisfactory hearing (or not). This is a technique where three speech frequencies (pitch) are played through headphones to the child on both right and left sides at very quiet levels which are equivalent to satisfactory hearing levels.

Method of testing:  Set the audiometer at 25dBHL and present at 1KHz, 2KHz and 4KHz on both Right and Left sides after conditioning the child.

  • A Pass is 5 or 6 correct responses.
  • No Pass is 4 or fewer responses.
  • No Pass triggers a re-test 4-8 weeks later.
  • Parents to be informed of result by letter after each test.

It is good practice to keep a written tick record of the child's responses.

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