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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 care centers or
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How to fill out child blood lead test

How to fill out child blood lead test
01
Wash your hands thoroughly with soap and water before handling any materials.
02
Gather all the necessary materials including the blood lead test kit, lancet, alcohol swab, and bandage.
03
Choose a clean and flat surface to work on.
04
Open the blood lead test kit and read the instructions carefully.
05
Clean the child's finger with an alcohol swab and let it air dry.
06
Take the lancet and twist off the protective cap.
07
Hold the lancet firmly against the side of the child's finger, near the tip.
08
Press the lancet button firmly to quickly prick the finger.
09
Gently squeeze the child's finger to obtain a small drop of blood.
10
Touch the blood drop to the appropriate area on the blood lead test kit as instructed.
11
Wait for the specified duration and observe any color changes or indications on the test kit.
12
Follow the instructions to properly dispose of any used materials.
13
Record the results and consult with a healthcare professional if there are any concerns.
Who needs child blood lead test?
01
Child blood lead tests are recommended for:
02
- Children living in or regularly visiting older homes or buildings with lead-based paint or plumbing.
03
- Children whose family members or caregivers work with materials or in environments that contain lead.
04
- Children who live in areas with known high levels of lead in the soil, air, or water.
05
- Children who exhibit symptoms of lead poisoning such as developmental delays, learning difficulties, or behavior problems.
06
- Children who have been exposed to products or toys known to contain lead.
07
- Children with a history of pica (eating non-food substances) or mouthing objects.
08
It is important to consult with a healthcare professional to determine if a child blood lead test is necessary.
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What is child blood lead test?
Child blood lead test is a test to measure the amount of lead in a child's blood.
Who is required to file child blood lead test?
Healthcare providers, public health departments, and schools are required to file child blood lead tests.
How to fill out child blood lead test?
Child blood lead tests can be filled out by healthcare providers using specific forms provided by the local health department.
What is the purpose of child blood lead test?
The purpose of child blood lead test is to identify if a child has been exposed to lead and to monitor their lead levels over time.
What information must be reported on child blood lead test?
The child's name, age, address, test results, and any potential sources of lead exposure must be reported on the child blood lead test.
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