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Public Health Nursing Practice Manual

Standard of Practice

Planning (Cont.)

© 2007 LAC DPH-Public Health Nursing

Description

Lead Poisoning

Practice

    • 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.

  • 4.

    PHN Intervention – Case Finding:

    • Ensure that at-risk household members receive a BLL per guidelines in the Matrix.

  • 5.

    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.

  • 6.

    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.

  • 7.

    PHN Intervention – Referral and Follow-up:

  • Make referrals as needed based on assessment.

C 23

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