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Public Health Nursing Practice Manual

Lead Poisoning

5.

Assess nutrition status of client with the client’s caregiver using the CLPPP nutritional screening form “What Does Your Child Eat?”

6.

Assess client and household members for lead exposure per the CLPPP Progress Notes and the LPFF.

Standard of Practice

Assessment (Cont.)

Description

Practice

The public health nurse analyzes the assessment data to determine the population diagnoses and priorities.

1.

Verify the medical diagnosis and determine the priority of action.

Analyze the collected assessment data to determine if there is an identified, actual or potential problem.

Review Section/page D3 of the Public Health Nursing Practice Manual for priority per Childhood Lead Poisoning Prevention Program (CLPPP) Matrix or determine the priority of action in consultation with the PHNS as needed. Document priority selected.

2.

Consider the client’s/household members’ need for nursing interventions based on possible or potential lead exposure and/or lead hazards.

Population Diagnosis and Priorities

Outcomes Identification

The public health nurse identifies expected outcomes for plan that is based on population diagnoses and priorities.

Outcome Objective:

  • Prevent and/or minimize the risk factors associated with exposure to lead by:

    • o

      Identifying the lead exposure source

      • o

        Interrupting the pathway of the lead exposure

      • o

        Ensuring a reduction in the elevated blood lead levels

      • o

        Reducing or eliminating the consequences

  • 3.

    Consider the client’s/household members’ need for nursing intervention to promote health, facilitate well being, foster healing, alleviate suffering, and improve quality of life.

  • 1.

    Determine and document specific health needs/goals for client’s/household members’ situation.

  • Determine appropriate timelines for attainment of lead related outcomes according to the assessment and diagnoses (see Matrix and MOU).

© 2007 LAC DPH-Public Health Nursing

C 21

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