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DAYCARE PROVIDER
CHILD BLOOD LEAD TEST COMPLIANCE FORM
In accordance with Section 54.1011 of the City of San Diego's Lead Hazard Prevention and Control
Ordinance (effective May 9, 2008), all child
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How to fill out child blood lead test

How to fill out a child blood lead test:
01
Gather all necessary information and paperwork before starting the test.
02
Follow the instructions provided in the test kit carefully.
03
Clean the child's finger or heel with an alcohol wipe.
04
Use the lancet provided in the kit to prick the child's finger or heel.
05
Follow the instructions to collect a few drops of blood onto the test strip or collection device.
06
Carefully package the blood sample as instructed to prevent leakage or contamination.
07
Complete any required paperwork, such as providing the child's name, date of birth, and contact information.
08
Mail or deliver the completed blood sample and paperwork as instructed to the designated laboratory or healthcare provider.
09
Wait for the test results to be analyzed and communicated to you.
Who needs a child blood lead test:
01
Children who live in or regularly visit older homes or buildings, especially those built before 1978 when lead-based paint was banned in residential properties.
02
Children who live near industries or areas with a high risk of lead contamination, such as near highways, smelters, or old battery recycling plants.
03
Children who have a sibling or housemate with a confirmed case of lead poisoning.
04
Children who exhibit symptoms or signs of lead poisoning, such as developmental delays, learning difficulties, irritability, loss of appetite, or abdominal pain.
05
Children whose parents or caregivers have concerns about possible lead exposure.
06
Children who recently immigrated or were adopted from a country with a high prevalence of lead exposure or have a history of pica behavior (eating non-food items).
07
Children whose family members, especially parents or siblings, work in industries or professions that involve potential lead exposure.
Note: It is important to consult with a healthcare provider or pediatrician to determine if a child blood lead test is necessary in specific situations. They can provide individualized guidance based on the child's risk factors, symptoms, and medical history.
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What is child blood lead test?
A child blood lead test is a medical screening procedure that measures the level of lead in a child's blood. It is commonly used to identify children at risk of lead exposure and potential lead poisoning.
Who is required to file child blood lead test?
Healthcare providers are required to file child blood lead tests for children at risk of lead exposure, typically those living in high-risk areas or who have a history of potential lead exposure.
How to fill out child blood lead test?
To fill out a child blood lead test, a healthcare provider must collect a blood sample from the child, document the child's information, the date of the test, and the results, and submit the documentation to the relevant health authorities.
What is the purpose of child blood lead test?
The purpose of a child blood lead test is to identify children who have elevated levels of lead in their blood, enabling early intervention and prevention of lead poisoning and related health issues.
What information must be reported on child blood lead test?
The information that must be reported on a child blood lead test includes the child's name, date of birth, test date, blood lead level result, and any relevant health history or risk factors for lead exposure.
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