Ariz. Admin. Code § 9-13-103

Current through Register Vol. 30, No. 26, June 28, 2024

Section R9-13-103 - [Effective until 7/7/2024] Hearing Screening Requirements

A. Before permitting a screener to provide a hearing screening, an administrator shall ensure that the screener:

1. Is an audiologist; or

2. Has a certificate of completion, specified in R9-13-108(F) or (I).

B. If an individual is not a screener and requires supervision, an administrator shall ensure that the individual provides hearing screenings specified in R9-13-108(M).

C. Before performing a hearing screening on a student, a screener shall:

1. Verify that the student is on a list of students in the school's hearing screening population provided by the administrator; and

2. Conduct a non-otoscopic inspection of the student's outer ears for anything that would contra-indicate continuation of the hearing screening, such as:

a. Blood or other bodily fluid in or draining from the auditory canal,

b. Earwax that may be occluding,

c. An open sore, or

d. A foreign object.

D. If a screener observes a condition specified in subsection (C)(2) when inspecting a student's outer ears, the screener shall:

1. Not perform a hearing screening on the student, and

2. Report the student's condition to the administrator immediately.

E. If a screener does not observe a condition specified in subsection (C)(2) when inspecting a student's outer ears, the screener shall:

1. Determine the developmental and age appropriate audiological equipment to be used when:

a. The student is unable to understand the screener's instructions;

b. The student has been designated as a child with a disability, as defined in A.R.S. § 15-761; or

c. The student is physically or behaviorally limited in the ability to respond to perceived sounds;

2. Use one of the hearing screening methods specified in subsection (G);

3. Perform a hearing screening on each of the student's ears; and

4. Comply with the requirements specified in R9-13-104(A).

F. If a screener determines that a student in subsection (E)(1) is not able to complete the hearing screening, the screener shall:

1. Not perform a hearing screening on the student, and

2. Report the student's condition to the administrator within 10 school days.

G. When performing a hearing screening on a student, a screener shall comply with one of the following passing criteria, if using:

1. A pure tone audiometer to perform a three-frequency, pure tone hearing screening on each of the student's ears with response recorded at each of the following frequencies and intensities:

a. 1000 Hz at 20 dB HL,

b. 2000 Hz at 20 dB HL, and

c. 4000 Hz at 20 dB HL;

2. A combination of a tympanometer and a pure tone audiometer to:

a. Produce a tympanogram showing the following results:

i. Peak acoustic immittance in mmho, ml, or compliance for a 226 Hz probe tone; or

ii. Tympanometric width in daPa; and

b. Obtain the results of a three-frequency, pure tone hearing screening on each of the student's ears with response recorded at each of the following frequencies and intensities:

i. 1000 Hz at 20 dB HL,

ii. 2000 Hz at 20 dB HL, and

iii. 4000 Hz at 20 dB HL; or

3. An OAE device to:

a. Measure responses of the cochlea to no less than three test frequencies; and

b. Device display screen indicates pass.

Ariz. Admin. Code § R9-13-103

Adopted effective February 18, 1986 (Supp. 86-1). Amended effective October 15, 1993 (Supp. 93-4). Amended by final rulemaking at 8 A.A.R. 3307, effective July 16, 2002 (Supp. 02-3). Amended by final rulemaking at 25 A.A.R. 1827, effective 7/2/2019.