Priority for Childhood Lead Poisoning Environmental Assessment Referrals
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1 West Virginia Office of Maternal, Child & Family Health Priority for Childhood Lead Poisoning Environmental Assessment Referrals Whenever a child receives a blood lead level by venous or two capillary samples, it is considered a confirmed value, however, some of these values have been contaminated and therefore not entirely accurate. In order to provide services to those children and families at highest risk and maximize available resources, the following priorities have been established: Any child who receives two consecutive confirmed elevated blood lead levels greater than or equal to 15mcg/dl. The higher the blood lead level the more urgent the need for a home lead assessment. A child who has two consecutive confirmed blood lead levels greater than 10mcg/dl who has a pregnant mother. (Advise mother to disclose child s elevated blood lead status to her physician who is providing her prenatal care). A child two (2) years of age or less with 2 consecutive confirmed elevated blood lead levels greater than or equal to 10mcg/dl. A child three (3) years of age or less that has consecutive blood lead levels that continue to increase (i.e. elevated at 5mcg/dl, then 7mcg/dl, then 12 mcg/dl). Attached is the recommended schedule for obtaining confirmatory blood samples based on the first screening test result. There will be other circumstances that necessitate discussion regarding the prioritization of home lead assessments. When this occurs the case manager will consult with the CLPP Program coordinator, who will discuss with the Division Director if necessary. The need for the home lead assessment will be stated on the referral to the Office of Environmental Services. Attachments
2 Childhood Lead Poisoning Case Management Protocol Results of childhood lead screening will come in the mail, faxed or disc to the Lead Coordinator. The Lead Coordinator will then send a list of children with a BLL 10mcg/dl. The birth date will need to be checked, as we only case manage children 0-72 months of age. Check the list against the already received children with BLL s 10mcg/dl. You should already have the children on the list. The list is to make sure we haven t missed anyone. If the result is less than 10mcg/dl put in data entry basket at the front desk to be entered into Stellar. If the result is greater than or equal to 10mcg/dl see if it was done by finger stick or venous puncture. If the screening test was a finger stick then a venous specimen for a confirmation needs completed (see following Table 1 for the recommended schedule for obtaining a confirmatory venous sample.) Table1: Recommended Schedule for Obtaining a confirmatory Venous Sample Screening test result (mcg/dl) Perform a confirmation test within: months week-1 month* hours hours 70 Immediately as an emergency lab test *The higher the BLL on the screening test, the more urgent the need for confirmatory testing. A screening result (finger stick) received that is 10mcg/dl: Call the doctor and find out if the child is their patient and make sure they have ordered a confirmation venous sample and if the parents have been notified. Send letter A and Lead literature to parents. Follow-up with parents according to the time frame specified for the repeat testing to make sure it was completed. A confirmation result 10mcg/dl: Send letter B and Lead literature to family. If the venous sample or confirmation test is 10mcg/dl: -Call the physician to make sure the child is his/her patient and that they follow Table 2 on next page for the scheduled follow-up blood lead testing.
3 Table 2: Schedule for Follow-up Blood Lead Testing Venous blood lead level Early follow-up mcg/dl (first 2-4 tests after Late follow-up (after BLL begins to decline) identification) months** 6-9 months months** 3-6 months months** 1-3 months weeks-1 months 1 month 45 As soon as possible Chelation with subsequent follow-up *Seasonal variation of BLLs exists and may be more apparent in colder climate areas. Greater exposure in summer months may necessitate more frequent follow-ups. **Some case managers or PCPs may choose to repeat blood lead tests on all new patients within a month to ensure that their BLL level is rising more quickly than anticipated. Contact parents to make sure they understand the need for retesting, the significance of lead poisoning to their child s health. If you cannot contact parents/guardian send letter C. See if they have insurance. If no insurance refer to Medicaid or CHIP. Refer to CSHCN and/or Birth to Three if there are developmental or other health issues Continue to follow child until BLL is 10mcg/dl. Make referral to Environment Health Services Division for a home lead assessment if BLL is 10mcg/dl.
4 WV CLPPP Case Management Protocol Time Frames for Environmental Investigation and Other Case Management Activities According to a Child s Blood Lead Level Blood Lead Level (mg/dl) Actions Time frame for beginning intervention Provide caregiver lead education. Refer the child for social services if necessary. Within 30 days Above actions, plus: If BLLs persist (i.e., 2 venous BLLs in this rage at least 3 months apart) or increase, proceed according to actions for BLLs Above actions, plus: Provide coordination of care (case management). Within 2 weeks Within 1 week Above actions. Within 48 hours 70 or higher Above actions, plus hospitalize child for chelation therapy immediately. Within 24 hours
5 Blood Lead Level (mg/dl) Actions Time frame for beginning intervention Provide caregiver lead education. Refer the child for social services if necessary. Within 30 days Above actions, plus: If BLLs persist (i.e., 2 venous BLLs in this rage at least 3 months apart) or increase, proceed according to actions for BLLs Above actions, plus: Provide coordination of care (case management). Within 2 weeks Within 1 week Above actions. Within 48 hours 70 or higher Above actions, plus hospitalize child for chelation therapy immediately. Within 24 hours
6 ENVIRONMENTAL ASSESSMENT REQUEST Date of Request: Log Number: Child s Name: Medicaid ID # SS# Sibling Name: Sibling Medicaid ID#: /PHS Mother s Name: Father s Name: Address: Telephone Number: Child s Age: Child s Date of Birth: Sibling Age: Sibling Date of Birth: Blood Lead Level: X VP: FS Date: Sibling BLL X VP: FS Date: Doctor/Clinic: Address: Telephone Number: Treatment: Monitoring Assessment Requested By: Additional Comments: County:
7 STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES Earl Ray Tomblin Governor Michael J. Lewis, M.D., Ph.D. Cabinet Secretary The Parents of Lead Road Anywhere,West Virginia Re: Introduction & Important Reminder! Dear Parent and/or Legal Guardian: I would like to introduce myself as the Follow-up Coordinator for the Childhood Lead Poisoning Prevention Program. This Program monitors, by law, all West Virginia children reported with an elevated blood lead level. Confirmed lead poisoning in children can be very serious and requires close monitoring using protocols and guidelines established by the CDC (Centers of Disease Control). Please accept this letter of notification advising that your child screened positive for lead poisoning. This does not mean that your child has lead poisoning, but means that a second test is required to confirm the diagnosis. If your child s first test was performed by finger stick, a repeat blood specimen needs to be drawn by arm stick as soon as possible. In addition, if there are other children in the family six years old and younger, who have not been screened, please have them tested at the same time. Your physician should continue to repeat blood lead levels (arm sticks) on your child until the results are within normal limits (0-9mcg/dl). Thank you for the opportunity to assist you and your family during this monitoring process. Should you have any questions, please do not hesitate to contact me at the number(s) listed below, Monday through Friday, 8:30 a.m. to 5:00 p.m. If I am unavailable, please leave your name and number for a callback. Sincerely, TV/vc Theresa Vance, LSW Systems Point of Entry Enclosures/Lead Literature cc: Child s physician
8 STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES Earl Ray Tomblin Governor Michael J. Lewis, M.D., Ph.D. Cabinet Secretary The Parents of Lead Road Anywhere, West Virginia Dear Parent and/or Legal Guardian: I would like to introduce myself as the Follow-up Coordinator for the Childhood Lead Poisoning Prevention Program. This Program monitors, by law, all West Virginia children reported with an elevated blood lead level. Confirmed lead poisoning in children can be very serious and requires close monitoring using protocols and guidelines established by the CDC (Centers of Disease Control). Your child recently received a blood lead result that is less than 10 mcg/dl and is not considered to be lead poisoned. Lead can be very harmful to children under the age of six because this is a period of rapid growth and development. To ensure that your child s blood lead level does not increase we have enclosed literature that may be helpful. Please have your child rescreened for lead poisoning within six months or by to make sure his/her blood lead level has not increased. Should you have any questions, please call or Sincerely, TV/vc Theresa Vance, LSW Systems Point of Entry Enclosures/Lead Literature cc: Child s physician
9 STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES Earl Ray Tomblin Governor Michael J. Lewis, M.D., Ph.D. Cabinet Secretary The Parents of Lead Road Anywhere, West Virginia Dear Parent and/or Legal Guardian: I would like to introduce myself as the Follow-up Coordinator for the Childhood Lead Poisoning Prevention Program. This Program monitors, by law, all West Virginia children reported with an elevated blood lead level greater than or equal to 10 mcg/dl. Lead poisoned children require close monitoring and clinical case management under the direction and guidelines of CDC (Centers for Disease Control). Please accept this letter of notification advising that your child screened positive for lead poisoning. Please have your physician schedule a repeat blood lead level specimen drawn by arm stick in the month of. In addition, if there are other children in the family six years of age and younger who have not been screened, please have them screened at the same time. Environmental Specialist, Tammy Potter will be mailing you very important information on identifying lead hazards in the primary and/or secondary home and the methods to remove or control. Your physician may fax recent results to and should continue to repeat blood lead levels (arm sticks) on your child until it is within normal limits (0-9 mcg/dl). Thank you for the opportunity to assist you and your family during this monitoring process. Should you have any questions, please call or If I am not available please leave your name and number for a callback. Sincerely, TV/vc Theresa Vance, LSW Systems Point of Entry Enclosures/Lead Literature cc: Child s physician Child s dob: 0/00/00
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