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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
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Can barely hear conversational speech at a distance of 3 to 5 feet.
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Needs hearing aid, auditory trainer, lip reading, favorable seating.
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Needs language therapy to aid with communication skills.
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Requires special education services.
Severe Hearing Loss (60–85 dB)
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May hear a loud voice about 1 foot from the ear.
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Needs hearing aid, etc., in conjunction with language therapy to aid
with communication skills.
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Requires special education services.
Profound Hearing Loss (85+ dB)
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May hear only very loud sounds (e.g., jet plane overheard and
subway).
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Does not rely on hearing as the primary channel for communications.
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Needs amplification, plus all of the above mentioned services, but may
be less successful in producing adequate speech and language.
Rescreening
Rescreen students in two to four weeks, who miss any frequency at 30 dB in
either ear. Complete a Hearing Referral Form (SHSM Form H-4-2, Hearing Referral)
for each student referred for further evaluation. Referrals can be either given to the
student (preferably in a sealed envelope) or mailed home.
Recording Results
When recording screening results in the approved DoDEA SIS, the acuity level
(i.e., 1000 Hz @ 20 dB) for each frequency and ear needs to be recorded. An
indication of “pass” or “fail” is not sufficient.
Reference:
Gregory, Elizabeth K., (1998).
The Ear and Hearing.
Silver Spring, MD: National
Association of School Nurses.
F-6-8
Height/Weight/Body Mass Index (BMI)
The purpose of screening for height/weight/BMI is to monitor growth
development and identify any health concerns, such as underweight, malnutrition,
eating disorders, and overweight or some underlying medical condition. Ideally growth
parameters are assessed annually to ensure that students are growing within expected
norms. If annual screening is not manageable, it needs to be performed every other
year. BMI is a commonly accepted measurement for classifying adiposity in children
and adolescents comparing height, weight, age, and sex. However, BMI does not