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1. Select examination gloves. Use non-powdered gloves because some forms of talc used to powder gloves may have lead contamination.2. Wash the child’s hands thoroughly with soap and water, and then dry them with a clean, low-lint towel. Plain, unprinted, non-recycled towels are best.3. Grasp the finger that has been selected for puncture between your thumb and index finger with the palm of the child’s hand facing up.4. If not done during washing, massage the fleshy portion of the finger gently.5. Clean the ball or pad of the finger to be punctured with an alcohol swab. Dry the fingertip using sterile gauze or a cotton ball.
If the first sample is a venous and the lead concentration measures greater than or equal to 5 micrograms per deciliter of blood, there is no need to re-test the blood. This indicates a confirmed elevated blood lead level. If the first sample is a capillary, and it is greater than or equal to 5 micrograms/ deciliter, it needs to be confirmed by following up with a venous sample or a second capillary sample collected between 1 day and less than 12 weeks after the first test.
Contact Kayla Lesperance at (303) 363-3030. She will need to know the name of the child, date of birth, child's address, date of blood lead test, whether it was a venous or capillary sample, test result, and whether it was confirmed as being elevated. She will also need your name, clinic name, and clinic address. Feel free to leave this information on her confidential voice mail. Normally all blood lead test results are reported by the testing laboratory to the Colorado Department of Public Health and Environment (CDPHE). CDPHE then reports blodd lead level's of 5 microgram/deciliter or greater to the respective local health department for follow-up.
Please consult the Colorado Department of Public Health and Environment (CDPHE) Childhood Blood Lead Retesting and Case Management Chart.
When a child has a confirmed EBLL greater than or equal to 10 micrograms/deciliter, Tri-County Health Dept. Industrial Hygiene Program staff will schedule an onsite visit to identify lead sources in the home. Tri-County has trained staff to test paint, soil, and household objects for lead. We will provide both the parent and the physician with a report of our findings. These services are provided free of charge.