Types of Hearing Loss and Communication Methods

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Questions and Answers

What percentage of the US population has some form of hearing loss?

  • Nearly 5%
  • Nearly 15%
  • Nearly 10% (correct)
  • Nearly 20%

Which term is considered highly offensive when referring to someone with hearing difficulties?

  • Hearing impaired (correct)
  • Hard of hearing
  • Deaf
  • Speech reader

Which of the following is NOT an advantage of using an oral interpreter when communicating with someone who is deaf?

  • It allows for natural conversation flow without the need for sign language.
  • It enables the person who is deaf to use their speech reading skills.
  • It allows for direct communication without relying on visual methods.
  • It ensures that all spoken words are accurately understood. (correct)

Which of the following sign languages is commonly used in the United States?

<p>American Sign Language (ASL) (A)</p> Signup and view all the answers

Which country played a significant role in the development of early schools for the deaf?

<p>France (B)</p> Signup and view all the answers

What is the policy at the Texas School for the Deaf regarding interpreters?

<p>There will always be a certified interpreter available to assist with questions. (C)</p> Signup and view all the answers

What is the starting decibel range for severe deafness?

<p>66 decibels (B)</p> Signup and view all the answers

At what decibel range does mild hard of hearing start?

<p>26-45 decibels (D)</p> Signup and view all the answers

What assists a person who is profoundly deaf or severely hard-of-hearing to sense sound?

<p>Cochlear implant (A)</p> Signup and view all the answers

What is the purpose of the National Interpreter Certification Interview and Performance Exam?

<p>To assess interpreting skills (D)</p> Signup and view all the answers

According to the ADA, what should law enforcement agencies provide to effectively communicate with people who are deaf or hard of hearing?

<p>Primary consideration for aid requested by the person (B)</p> Signup and view all the answers

What is included on a state driver’s license or ID card for individuals with health conditions that may impede communication with law enforcement?

<p>'Communication Impediment' notice (D)</p> Signup and view all the answers

When must officers apply handcuffs to the front for arrested persons who are deaf or hard of hearing?

<p>Only if requested by the arrested person (B)</p> Signup and view all the answers

'Deaf Driver Awareness' license plate name appears in which database during a traffic stop?

<p>'TxDMV Motor Vehicle' database (D)</p> Signup and view all the answers

What procedure should be followed for limited English and deaf subjects when reading the Miranda warning?

<p>Read in primary language if known (A)</p> Signup and view all the answers

What is the legal certificate interpreter's role?

<p>Serve as a reliable resource for information (C)</p> Signup and view all the answers

What is the proper way to position an overdose victim before administering Narcan?

<p>Recovery position (either left or right side) (A)</p> Signup and view all the answers

If there is no reaction after the first dose of Narcan, what should be done?

<p>Administer a second dose if available (D)</p> Signup and view all the answers

How should a used Narcan dose be handled?

<p>Place it back in the original packaging with the PCO barcode, put in an evidence bag labeled &quot;Used&quot;, and return to PCO (B)</p> Signup and view all the answers

When should officers request Narcan from PCO or a lieutenant?

<p>At the beginning of each shift (B)</p> Signup and view all the answers

What should be done with a damaged Narcan dose?

<p>Place it with the original packaging in a bag labeled &quot;Damaged&quot; and return it to PCO (D)</p> Signup and view all the answers

Who is responsible for monitoring the use and disposal of Narcan doses?

<p>The APD Risk Management Lieutenant (C)</p> Signup and view all the answers

When should an interpreter or other service be provided for written communication?

<p>If the officer is unable to communicate effectively through writing (C)</p> Signup and view all the answers

In the case of a minor offense, what should an officer do if an interpreter or other service is not available in a reasonable period of time?

<p>Document the investigation as completely as possible for later follow-up (C)</p> Signup and view all the answers

When should an officer stop an interrogation and wait for an interpreter or other service to be present or available?

<p>If written communication becomes ineffective (B)</p> Signup and view all the answers

In the case of a serious offense, if an interpreter or other service is not available in a reasonable period of time, what should a supervisor decide?

<p>To call in an investigator to wait for an interpreter or other service (D)</p> Signup and view all the answers

When should an officer secure an interpreter or other service before any interrogation?

<p>If the officer cannot inform the arrestee of the Miranda warnings without an interpreter or other service (B)</p> Signup and view all the answers

What should an officer do if exigent circumstances do not allow a delay in the interrogation of an arrestee who is deaf or hard of hearing, and an interpreter or other service cannot respond within a reasonable period?

<p>Proceed with the interrogation only if certain conditions are met (B)</p> Signup and view all the answers

Under what circumstances can an officer proceed with an interview of a victim or critical witness who is deaf or hard of hearing using written communication?

<p>If the officer can communicate effectively in writing with the person (B)</p> Signup and view all the answers

What should an officer do if an arrestee requests the opportunity to communicate through an interpreter or other service before arrest?

<p>Transport the arrestee to the Central Booking facility (B)</p> Signup and view all the answers

When should the Language Interpreter Service not be used?

<p>All of the above (D)</p> Signup and view all the answers

How should an officer obtain an interpreter from the Language Interpreter Service?

<p>Request the APD Communications supervisor to notify the interpreter service (D)</p> Signup and view all the answers

What should an officer do when a victim or critical witness is deaf or hard of hearing?

<p>Request an interpreter or other service and wait for them to arrive before continuing the investigation (D)</p> Signup and view all the answers

How should an officer assess a victim's responsiveness?

<p>By checking if they respond to verbal prompts, pain stimuli, or are unresponsive (C)</p> Signup and view all the answers

What should be done for a thermal burn?

<p>Stop the burning process, cool the burn, and cover it (A)</p> Signup and view all the answers

What is the first step in treating shock?

<p>Ensure an open airway, breathing, and circulation (B)</p> Signup and view all the answers

How should an officer assist in childbirth?

<p>Help the mother deliver the baby and afterbirth (B)</p> Signup and view all the answers

What should an officer do if they encounter an unconscious diabetic patient?

<p>Place the patient in the recovery position and avoid giving food or liquids (A)</p> Signup and view all the answers

What is the purpose of Narcan (naloxone)?

<p>To reverse the effects of opioid overdoses (D)</p> Signup and view all the answers

What should an officer do before administering Narcan?

<p>Ensure scene safety and use universal precautions (A)</p> Signup and view all the answers

Where should Narcan kits be stored?

<p>In a climate-controlled environment, away from light (B)</p> Signup and view all the answers

What should an officer do if they encounter a seizing victim?

<p>Monitor the duration of the seizure and call for medical assistance if it lasts more than 5 minutes (D)</p> Signup and view all the answers

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Study Notes

Deaf and Hard of Hearing Individuals

  • Approximately 20% of the state's deaf population lives in the Austin area.
  • Hard of hearing: defective but functional sense of hearing, starts at 26 decibels.
  • Mild hard of hearing: difficulty understanding speech, 26-45 decibels.
  • Moderate hearing loss: 46-65 decibels, more difficulty with hearing speech.
  • Deaf: lacking or deficient in sense of hearing, 66 decibels and above.
  • Profound deafness: above 85 decibels, may require a cochlear implant.
  • Cochlear implant: a small electronic device that helps provide a sense of sound.

National Interpreter Certification Process

  • Begins with a Multiple-choice NIC Knowledge Exam.
  • Candidates must be 18 years old and meet educational requirements.
  • Can take the NIC Interview and Performance Exam within 5 years of passing.

Interpreting Services

  • APD has a contract with an on-call agency for interpreting services.
  • Interpreters arrive on scene within 45 minutes.
  • Contracted with "Communication by Hand" company.

ADA Requirements

  • Law enforcement agencies must provide communication aids and services.
  • Primary consideration to the aid or service requested by the individual.
  • Agencies cannot charge the individual for the aids or services.
  • Do not have to provide personally prescribed devices like hearing aids.

Communicating with Deaf or Hard of Hearing Individuals

  • Use an interpreter or other service if written communication is ineffective.
  • Interpreters should be provided for deaf or hard of hearing individuals.
  • Should provide interpreters who can interpret effectively, accurately, and impartially.

Texas Law Enforcement

  • Texas Trans Code §521.125 allows a notice on a state driver's license or ID for individuals with a health condition that may impede communication.
  • Requires a written statement from a physician and presentation at the driver's license office.
  • "Deaf Driver Awareness" license plate is available in the TxDMV's motor vehicle database.

Arrest and Interrogation Procedures

  • Restraint: apply handcuffs to the front for deaf or hard of hearing individuals who request to use their hands to communicate.
  • Procedures for limited English and deaf subjects: use a certified interpreter, translate aloud, and have witnesses present.
  • Sign language statements and confessions must be recorded by video.

Interpreter Services

  • Immediate language interpretation services available 24 hours a day by phone.
  • Not to be used for Spanish-speaking persons, long interrogations, or when other means are available.
  • To obtain an interpreter, request the APD Communications supervisor, provide the agency identification number, and explain the need.

Emergency Medical Assistance

  • Responsiveness: ALERT, VERBAL, PAIN, UNRESPONSIVE.
  • BATH: Bleeding, Airway, Tension Pneumothorax, Hypothermia.
  • Hemostatic dressing: treated with clot-formation substance.
  • Treating thermal burns: STOP, COOL, COVER.
  • Shock: a perfusion problem, treat with ABC (Airway, Breathing, Circulation).
  • Rescue breathing: tilt head back, pinch nose shut, give two slow breaths.

Diabetic Emergencies

  • ALOC: Agitated, Aggressive, Combative, Diabetic patient.
  • Treat conscious diabetic patients with sugar, glucose, or juice.
  • Treat unconscious diabetic patients by placing them in the recovery position.

Childbirth

  • First responder's job is to assist the mother in delivery.
  • Normal stages of childbirth: contractions, crowning, and afterbirth.
  • Signs of imminent childbirth: time between contractions is 2-5 minutes apart.

Narcan Administration

  • Officers must be trained prior to use and deployment.
  • Heroin: an opioid drug synthesized from morphine.
  • Opioids: reduce pain intensity, affect brain areas controlling emotion.
  • Universal precautions: use nitrile, latex, or equivalent gloves.
  • Scene safety: officer's first priority.
  • Narcan can be administered to a police K9 that has accidentally inhaled an opioid.

Officer Responsibilities

  • Officers who have received training shall request Narcan through PCO or an on-duty lieutenant.
  • Return Narcan at the end of shift.
  • Incident report shall be submitted detailing the nature of the incident.

APD Risk Management Responsibilities

  • Verify that individuals having access to Narcan receive training on overdose response and administration.
  • Monitor all doses that have been damaged or used and provide a summary report upon request.

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