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Pediatric Blood Lead Testing
Date OrderedDate CollectedTime CollectedInitials CollectedPATIENT INFORMATION
Name
Last
Middle Int. FirstAddressPhoneCity)StateSexMarital Stature(Asian/Pacific Islander
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How to fill out pediatric blood lead testing
How to fill out pediatric blood lead testing
01
Collect a blood sample from the child.
02
Use a sterile lancet to prick the child's finger or heel.
03
Wipe away the first drop of blood with a sterile gauze pad.
04
Use a blood collection tube or capillary tube to collect the desired amount of blood.
05
Label the tube with the child's name and other required information.
06
Store the blood sample in a proper container and transport it to the laboratory.
07
Follow the laboratory's instructions for further processing and testing of the blood sample.
Who needs pediatric blood lead testing?
01
Pediatric blood lead testing is recommended for children who:
02
- Live in or regularly visit a house built before 1978 with chipping or peeling paint.
03
- Have siblings or playmates with elevated blood lead levels.
04
- Live in or regularly visit a house near a smelter, battery recycling plant, or other industries that release lead into the air.
05
- Have been exposed to lead-based paint, lead dust, or lead-contaminated soil.
06
- Have a family member who works with lead or in a lead-related industry.
07
- Show symptoms of lead poisoning such as developmental delay, learning difficulties, irritability, or loss of appetite.
08
- Have a history of pica (eating non-food items).
09
- Have immigrated or been adopted from a country with a high prevalence of lead exposure.
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What is pediatric blood lead testing?
Pediatric blood lead testing is a medical procedure that determines the level of lead in a child's blood.
Who is required to file pediatric blood lead testing?
Healthcare providers and laboratories are required to file pediatric blood lead testing for children.
How to fill out pediatric blood lead testing?
Pediatric blood lead testing can be filled out by collecting blood samples from children and sending them to a laboratory for analysis.
What is the purpose of pediatric blood lead testing?
The purpose of pediatric blood lead testing is to identify and monitor children who may have been exposed to lead.
What information must be reported on pediatric blood lead testing?
The information reported on pediatric blood lead testing includes the child's name, age, date of test, and lead level results.
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