Division of Community Nutrition

Subject: Blood Lead Referrals Policy: CRT 08.0.3 Reference: N / A Effective: August 12, 2013 Supersedes: August 1, 2008

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I. Policy:

Local agencies shall use Value Enhanced Nutrition Assessment (VENA) to determine if the child has received a blood lead-screening test or been exposed to lead. If the child has been exposed to lead or has not received a test, he/she shall be referred to a lead treatment program where he/she shall obtain such a test.

II. Procedure(s):

A. Use VENA to determine if the child has received a blood lead-screening test or been exposed to lead.

B. If the child has been exposed to lead:

1) Document as a nutrition risk in Crossroads

2) Emphasize the importance of diet in the treatment of lead exposure and assist in developing an appropriate plan for nutrition intervention

3) Emphasize the WIC supplemental foods that are high in iron and calcium which help alleviate the effects of elevated blood lead levels

4) Refer the parent / legal guardian or caretaker to a local lead treatment program and document the referral in Crossroads

C. If the child has not received a blood lead screening test, refer the parent / legal guardian or caretaker to a local lead screening program and document the referral in Crossroads

D. If a local lead screening and / or treatment program is not available, refer the parent / legal guardian or caretaker to their health care provider. Document the referral in Crossroads.