| Abstrakt: |
To evaluate impact of standardized vision screen guideline on occupational therapy vision screens in pediatric inpatient rehabilitation unit. Retrospective review of randomly pulled charts of patients admitted to pediatric inpatient rehabilitation unit both before and after guideline implementation to assess significant differences in visual skills screened and use of standardized assessments. Pediatric inpatient rehabilitation unit. 47 charts were reviewed in each cohort (pre-implementation of vision screen guideline and post-implementation). Charts included if the child was at least 6 years old and admitted to inpatient rehabilitation unit. Charts were excluded if the primary admitting diagnosis was functional neurologic disorder or amplified musculoskeletal pain syndrome. The intervention was implementation of vision screen guideline which included an evidence-based vision screen that was modified for use in pediatric population. 1. Noted whether the occupational therapist screened for the following skills: visual symptoms, far acuity, accommodative amplitude, near point of convergence, suppression, double vision, phoria, saccades, pursuits, and visual fields. These items were selected as they are the visual skills included on the evidence-based vision screen included in the vision screen guideline. Binary criteria (yes/no) were used indicating whether the visual skill was screened. 2. The number of visual skills assessed 3. The number of standardized assessments were used to screen vision. Significant improvements (p
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