Current through all regulations passed and filed through March 18, 2024
Screening is for the purpose of initial identification of
persons who may have hearing, speech and/or language disorders. Verbal or
written indications or descriptive statements about the results of a screening
shall be limited to whether the individual passed or failed the screening
procedure(s). The report of the findings shall state that the findings should
not be construed as a complete evaluation, nor shall it offer remedial steps
other than appropriate referral for complete examination by an audiologist,
speech-language pathologist, or physician, as applicable. Criteria for failure
shall be developed in consultation with an individual licensed in the area of
the procedure pursuant to Chapter 4753. or Chapter 4731. of the Revised Code.
(A) "Audiologic screening" means the
performance of audiologic testing procedures for the purpose of initial
identification of persons who may have hearing disorders and includes, but is
not limited to, the following procedures:
(1)
Pure tone air conduction screening, tympanometry screening, and acoustic reflex
screening.
(a) "Pure tone air conduction
screening" means a pass/fail procedure performed at 20 dB HL at the frequencies
of 1000, 2000, and 4000 Hz, obtained with
earphones to prevent or detect early auditory impairment, disorder, and
disability and to identify individuals who require further audiologic
assessment or treatment or referral for other professional services.
(b) "Tympanometry screening" means a
pass/fail dynamic measure of middle ear compliance of no less than .2ml of H20,
within the pressure range of +150 to -150 daPa obtained
with screening tips.
(c)
"Acoustic reflex screening" means a test measuring the presence or absence of
acoustic reflexes when assessed with stimuli of 1000 and 2000 Hz at 100 dB at
the point of maximum middle ear compliance.
(d) Pure tone air conduction screening,
tympanometry screening, and acoustic reflex screening must be performed by one
of the following persons:
(i) An audiologist
licensed under section
4753.07 of the Revised Code;
(ii) An audiology aide licensed
under section 4753.072 of the Revised Code
when working under the supervision of a licensed audiologist, in accordance
with the supervision plan on file in the board office;
(iii) A speech-language pathologist licensed
under section 4753.07 of the Revised Code when
performing the screening limited to a pass/fail determination;
(iv) A speech-language pathology aide
licensed under section
4753.072 of the Revised Code
when working under the supervision of a licensed speech-language pathologist in
accordance with the supervision plan on file in the board office.
(2) "Newborn and infant
hearing screening" means the use of audiological procedures to identify newborn
and infants from birth through twenty-three months with hearing impairment, as
defined in rule pursuant to division (A) of section
3701.504 of the Revised Code and
section 3701.508 of the Revised Code.
(a) Newborn and infant hearing screening
includes the use of audiological procedures including, but not limited to,
auditory brainstem response and/or otoacoustic emissions.
(b) Newborn and infant hearing screening must
be performed in compliance with rules promulgated by the "Public Health
Council" and administered by the Ohio department of health.
(c) Section
3701.505 of the Revised Code
authorizes speech-language pathologists and speech-language pathology aides to
perform the screenings without holding a license as an audiology aide.
(3) "School hearing
screening" means a pure tone air conduction screening, tympanometry screening,
or acoustic reflex screening conducted for the purpose of hearing conservation
programs for children.
(a) School hearing
screenings must be performed by one of the following persons:
(i) An audiologist licensed under section
4753.07 of the Revised Code;
(ii) An audiology aide licensed
under section 4753.072 of the Revised Code
when working under the supervision of a licensed audiologist, in accordance
with the supervision plan on file in the board office;
(iii) A speech-language pathologist licensed
under section 4753.07 of the Revised Code when
performing the screening limited to a pass/fail determination for the
identification of individuals with other disorders of communication;
(iv) A speech-language pathology aide
licensed under section
4753.072 of the Revised Code
when working under the supervision of a licensed speech-language pathologist in
accordance with the supervision plan on file in the board office.
(b) "Hearing conservation programs
for children" means the programs and activities of the Ohio department of
health pursuant to sections
3313.50,
3313.673,
3313.68,
3313.69,
3313.73, and
3709.22 of the Revised Code.
(4) "Physiologic
screening test" means an objective screening measure of a body process involved
in communication.
(a) Physiologic screening
tests include, but are not limited to, automated auditory evoked response
screening and otoacoustic emission screening.
(b) Physiologic screening tests must be
performed by one of the following persons:
(i) An audiologist licensed under section
4753.07 of the Revised Code;
(ii) An audiology aide licensed
under section 4753.072 of the Revised Code
when working under the supervision of a licensed audiologist in accordance with
the supervision plan on file in the board office;
(iii) A person performing newborn and infant
screening in accordance with the rules promulgated by the "Public Health
Council" and administered by the Ohio department of health.
(B)
"Speech-language screening" means the use of procedures for the purpose of
initial identification of persons who may have speech or language disorders.
(1) Speech-language screening includes, but
is not limited to the following procedures:
(a) "Speech screening" means a pass/fail
procedure to identify individuals who require further speech (articulation,
voice, resonance, and fluency) or orofacial myofunctional assessment or
referral for other professional services.
(b) "Language screening" means a pass/fail
procedure to identify individuals who require further language assessment or
treatment or referral for other professional services.
(2) Speech or language screening must be
performed by one of the following persons:
(a) A speech-language pathologist licensed
under section 4753.07 of the Revised Code;
(b) A speech-language pathology
aide licensed under section
4753.072 of the Revised Code
when working under the supervision of a licensed speech-language pathologist in
accordance with the supervision plan on file in the board office;
(c) An audiologist licensed under section
4753.07 of the Revised Code when
performing speech or language screening limited to a pass/fail
determination.
(C) "Occupational hearing test" means a
diagnostic test of auditory sensitivity performed by the use of air conduction
threshold testing that is conducted for the purpose of environmental hearing
conservation/prevention programs, pursuant to regulations promulgated by the
United States department of labor, occupational safety and health
administration.
(1) Air conduction threshold
testing is not a hearing screening.
(2) "Environmental hearing
conservation/prevention programs" as used in this rule means programs designed
to reduce the effect of noise exposure in the workplace on the hearing of
employees or on the community, pursuant to regulations promulgated by the
United States department of labor, occupational safety and health
administration.
(3) Occupational
hearing tests must be performed by one of the following persons:
(a) An audiologist licensed under section
4753.07 of the Revised Code;
(b) An audiology aide licensed
under section 4753.072 of the Revised Code
when working under the supervision of a licensed audiologist in accordance with
the supervision plan on file in the board office, under both of the following
conditions, unless waived by the board for good cause shown:
(i) The aide is trained to perform
occupational hearing tests and holds current certification by the "Council for
Accreditation in Occupational Hearing Conservation" ("CAOHC");
(ii) The testing is conducted by automatic
pure tone audiometry.
(D) All of the following conditions must be
met whenever an aide licensed under section
4753.072 of the Revised Code
performs a pure tone air conduction screening, physiologic screening, speech
screening, or language screening:
(1) The
criteria for failure of the screening shall be established by the supervising
licensed audiologist or speech-language pathologist.
(2) The aide's verbal or written indication
or descriptive statements about the screening results shall be limited to a
statement of whether the client passed or failed the procedure.
(3) Nothing in the aide's report of the
findings shall be construed as a complete evaluation.
(4) The aide's report shall not suggest
remedial steps other than a referral for a complete examination by a licensed
professional.
(E) This
rule shall not be construed to restrict the following persons from conducting
screening in the practice of their profession in compliance with the laws and
rules governing their profession:
(1) A
hearing aid dealer or fitter licensed under Chapter 4747. of the Revised Code
when engaging in the measurement and testing of a person's hearing for the
purpose of selecting, adapting, and selling a hearing aid to the person.
(2) A physician licensed under
Chapter 4731. of the Revised Code or an individual carrying out any properly
delegated responsibilities within the normal practice of medicine and surgery
or osteopathic medicine and surgery.
(3) A nurse registered or licensed under
Chapter 4723. of the Revised Code when performing those acts and utilizing
those procedures that are within the scope of practice of professional or
practical nursing as defined in Chapter 4723. of the Revised Code and the
ethics of the nursing profession, provided the nurse does not claim to the
public to be a speech-language pathologist or audiologist, and provided that
the nurse has been properly trained to perform screening.
Five Year Review (FYR) Dates:
09/19/2016 and
09/19/2021
Promulgated
Under: 119.03
Statutory
Authority: 4753.05
Rule
Amplifies: 4753.01(C),
4753.01(G)
Prior Effective Dates: 11/16/92 (Emer.), 2/9/93 06/26/2003,
4/24/06