Vision Screening Procedure

  1. Each school principal is responsible for designating a school employee who will oversee the vision screening process (Designated School Employee). Parent volunteers may assist with the screening process but are not the school designee.
  2. The Designated School Employee ensures that the vision screenings are performed and documented.
  3. Staff/Volunteers who perform vision screenings must attend a vision training certification class. At least two staff/volunteers per school must be certified.
  4. The results of the vision screenings must be documented on the Results First Vision Screening form.
  5. If student passes screening, the Designated School Employee will document the result of that screening on the student’s Cumulative School Health Record and place the Vision Screening Form in the student’s folder. The school DPC enters a “Y” on the A06 screen. (Y indicates passing).
  6. If the student fails screening, the Designated School Employee will then send a Vision Referral  Letter(Spanish)(Haitian Creole)(Portuguese) to the student’s Parent/ Guardian. A Vision Screening Tracking form is available to the Designated School Employee to document referrals for treatment only.
  7. If no response from the parent is received from the initial referral letter, a second follow-up letter (Spanish)(Haitian Creole)(Portuguese) should be sent in 4 weeks.
  8. If the Parent/Guardian returns the Vision Referral Letter, with the bottom portion completed, to the school within 4 weeks, the Designated School Employee will code the vision screening as a T (student was screened, did not pass test, and received follow-up evaluation) document treatment on student’s Cumulative School Health Record and place letter in the folder. This is a completed vision screening result.
  9. If the Parent/Guardian does not return the Vision Follow Up Letter, after two letters have been sent, the Designated School Employee will place the student’s name on the Nurse’s Vision Tracking Form and give the form to the school health personnel (on-site HST or nurse or on-call nurse). The Designated School Employee will note the date on the referral to the school health personnel on the Vision Screening Tracking Form.
  10. The school health personnel (on-site or on-call) will attempt to contact the Parent/Guardian and will document the attempts and results on the School Health Personnel Vision Screening Tracking Form.
  11. If school health personnel contact the parent and parent indicates that the student has received follow-up evaluation, this information will be documented on the vision tracking form. The will notify the Designated School Employee that the student received follow-up evaluation, and request that the DPC document this information on the Student Cumulative Health Record and as a code T on TERMS A06 panel.
  12. If school health personnel are unable to contact the parent, the Designated School Employee will document this on the student’s Cumulative School Health Record from the School Health Personnel Vision Tracking Form.
  13. The school DPC will enter N on the A06 screen for those students whose parents school health personnel were not able to contact. (N indicates failed screening; did not receive follow-up).This in an incomplete outcome.
  14. The Designated School Employee will provide the Department of Health-Broward School Health Nursing Supervisor with the list of students whose parents the nurse was unable to contact for further follow-up.
  15. The Designated School Employee is to send a list with the number of students screened by grade level and the number of pass/fail results to the area vision contact person via pony following the completion of the vision screenings.