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Public Health Nursing Practice Manual

Lead Poisoning

Standard of Practice




The public health nurse develops a plan that reflects best practices by identifying strategies, action plans, and alternatives to attain expected outcomes.

Minnesota DHS PHN Section’s Public Health Interventions (PHN Interventions) are used to determine the plan (See list of interventions in Section/page A10).

  • Consult and collaborate as needed with:

    • o

      Public Health Nursing Supervisor (PHNS)

      • o

        Nurse Manager (as directed by PHNS)

      • o

        Area Medical Director (as directed by PHNS)

      • o

        Analyzing Laboratories

      • o

        Health Care Provider

      • o

        Environmental Health

      • o

        Housing Authority

      • o

        Other Regulatory Agencies

      • o

        Childhood Lead Poisoning Prevention Program

      • o

        Client/household members/employer/school/ childcare provider

      • o


      • o

        Maternal Child and Adolescent Health

      • o

        California Children Services

      • o

        Department of Children and Family Services

      • o

        California Regional Center

      • o

        Foster Care

  • 1.

    PHN Intervention – Health Teaching/Counseling:

    • Educate the client/household members/caregiver using the lead awareness and health education materials included in the DPHN packet received with the referral.

    • Provide nutrition counseling based on the nutritional assessment using the nutritional screening form “What Does Your Child Eat?” and “My Pyramid Steps to a Healthier You” at www.mypyramid.gov.

  • 2.

    PHN Intervention – Case Management:

    • Provide nursing care per the guidelines in:

      • o

        Matrix and the MOU

    • Maintain a desk card until closure.

    • Coordinate retesting of client every 4-6 weeks with the primary care provider (PCP).

    • Select the growth chart by age and gender and plot height and weight.

    • Obtain caregiver/client signatures for the DHS General Consent form (H521) and the DHS Release of Confidential Information Consent form (H196).

    • Follow at-risk household members with elevated BLL per the same guidelines in the Matrix as for the client.

    • Open a medical record.

    • Document all interventions and client encounters.

  • 3.

    PHN Intervention – Surveillance:

    • Monitor adherence to recommended medical treatment.

© 2007 LAC DPH-Public Health Nursing

C 22

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