Public Health Nursing Practice Manual
Standard of Practice
© 2007 LAC DPH-Public Health Nursing
Monitor client and at-risk household members until client and at-risk household members meet closure definition (Matrix).
Review BLL results of client and at-risk household members every 4-6 weeks.
Review with Registered Environmental Health Services Specialist (REHS) the progress of remediation, abatement, or removal of lead source in reducing or eliminating the consequences of lead exposure.
PHN Intervention – Case Finding:
Ensure that at-risk household members receive a BLL per guidelines in the Matrix.
PHN Intervention – Consultation:
Provide advice to the PCP based on the guidelines in the Matrix under PCP actions.
Review Appendix A-1 and A-2, Appendices B and C with the REHS in the identification and reduction of environmental lead sources.
PHN Intervention – Collaboration:
Collaborate with the REHS per the MOU (Appendix C).
Provide an update (including BLLs) to the CLPPP- PHN every 3 months by phone or fax and document in the medical record.
PHN Intervention – Referral and Follow-up:
Make referrals as needed based on assessment.