CE Credit

Hearing and Vision Screening

Welcome to the training on Hearing and Vision Screening provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).

Credit hours: 1.50 CE

Goal

The goal of this module is to equip Texas Health Steps providers and others to implement legal requirements and best practices for early and periodic screening of hearing and vision in children and adolescents.

Target Audience

Texas Health Steps providers and other interested health-care professionals.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Evaluate causes of hearing and vision loss and the role of screening in early detection and treatment.
  2. Apply protocols for hearing screening of newborns, children, and adolescents; coordinate with school-based screenings; and provide appropriate follow up and referral as required.
  3. Apply protocols for ocular health and vision screening of newborns, children, and adolescents, coordinate with school-based screenings, and provide appropriate follow-up and referral as required.

Please note this module expires on 3/6/2023.

This module was released on 3/6/2020.

Accreditation Statement

Disclosures

Browser Requirements

American Academy of Pediatrics. (2018). Screening Examination of Premature Infants for Retinopathy of Prematurity. Pediatrics, 142(6):e20183061.

American Academy of Pediatrics & Joint Committee on Infant Hearing. (2007). Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. Pediatrics, 120(4): 898-921. 

American Association for Pediatric Ophthalmology and Strabismus. (2013). Vision Screening Kit.

Biotinidase deficiency:

Centers for Disease Control and Prevention. (2019). Babies Born with CMV (Congenital CMV Infection).

Centers for Disease Control and Prevention. (2019). Cytomegalovirus (CMV) and Congenital CMV Infection.

Joint Committee on Infant Hearing. (2019). Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. The Journal of Early Hearing Detection and Intervention, 4(2):1-44.

National Institute on Deafness and Other Communication Disorders, resources web page about auditory neuropathy.

Schrank, L. W. (2003). Is Baby OK? Assessing Development. Chicago, IL: The Learning Seed. 

Texas Department of State Health Services. (2019). Hearing Screening Manual-Student.

Texas Department of State Health Services. (2019). Vision Screening Manual-Student. 

Texas Department of State Health Services. (2016). Hearing and Vision Screening Program. Provides information for registering and calibrating audiometers.

Texas Department of State Health Services. Audiometric Laboratory, for registration.

Texas Department of State Health Services. Hearing Checklist for Parents.

Texas Early Hearing Detection and Intervention (TEHDI) web page from DSHS offers information on becoming certified to perform audiometric screenings.

Texas Early Learning Council. (2013). Texas Infant, Toddler, and Three-Year-Old Early Learning Guides.

Texas Health and Human Services Commission. (2019). Children with Special Health Care Needs (CSHCN) Services Program.

Texas Health and Human Services Early Childhood Intervention (ECI) referral form

Texas Health and Human Services Early Childhood Intervention Program Search. 

Texas Health and Safety Code, Chapter 36 related to audiometers. Audiometers must be properly registered, electronically calibrated, and maintained on a monthly as well as on a long-term basis, so review to learn how to adhere to the laws. 

Texas Medicaid & Healthcare Partnership. (2019). Texas Medicaid Provider Procedures Manual

Texas Medicaid & Healthcare Partnership, Online Provider Lookup. Providers also can call the Texas Health Steps toll-free help line for assistance at 877-847-8377 (877-THSTEPS) Monday through Friday from 8 a.m. to 6 p.m. Central Time.

Texas Medicaid & Healthcare Partnership, Vision Care Eyeglass Patient Certification Form.

U.S. Department of Health and Human Services, National Institutes of Health, National Institute on Deafness and Other Communication Disorders. (2018). Auditory Neuropathy. 

World Health Organization report, Make Listening Safe

Word Health Organization, toolkit on voluntary standards for personal listening devices

American Foundation for the Blind. Family Connect website for parents and caregivers of children with visual impairments.

American Printing House for The Blind. The Family Connect website provides tips for adapting a home for the safety of a child with vision impairment. 

American Speech-Language-Hearing Association. Resources for Parents, including resources about hearing damage from personal headphones.

Centers for Disease Control and Prevention. Hearing Loss in Children Resources provides a number of helpful website links to agencies and organizations that provide information about childhood hearing loss.

Centers for Disease Control and Prevention, CMV prevention resources for health-care providers. 

Gallaudet University, Laurent Clerc National Deaf Education Resource Center, Family Resources. 

National Center for Children’s Vision and Eye Health, a resources web page for parents and families about children’s eyesight and vision screening.

Parent Companion First Five Years, a bilingual website focusing on young children with disabilities. It was created to comfort, inspire, and connect parents to helpful disability resources.

Texas Department of State Health Services. Hearing Checklist for Parents.

Texas Parent to Parent, a parent and family network that offers support and resources for families whose child has special health-care needs.

Texas School for the Blind and Visually Impaired resources web page. 

Washington State Department of Health and Seattle Children’s Hospital offer a fact sheet, Safety Tips for Children with Hearing Loss.

The medical definitions provided in this module were obtained or adapted from the American Association for Pediatric Ophthalmology and Strabismus, Centers for Disease Control and Prevention, Dorland’s Medical Dictionary for Health Consumers, the FreeDictionary, KidsHealth from Nemours, Mayo Clinic, MedlinePlus, Medscape, National Institute on Deafness and Other Communication Disorders, National Institute of Neurological Disorders and Stroke, National Library of Medicine, and NewYorkPresbyterian.org.