Okla. Admin. Code § 310:512-3-4.1

Current through Vol. 42, No. 7, December 16, 2024

Section 310:512-3-4.1 - Health care provider responsibilities for follow-up after screening

(a) Health care providers shall provide or make reasonable efforts to ensure the provision of confirmation and follow-up testing for each child with an elevated blood lead level above the reference level.

(b) If the initial blood lead test result is below the reference level on either a venous or capillary sample, the health care provider shall retest the child annually if answers on the LERAQ or suitable risk assessment questionnaire indicate continuing high risk for lead exposure.

(c) For each child who has an elevated blood lead level at or above the reference level, the health care provider shall take those actions that are reasonably and medically necessary and appropriate based upon the child's blood lead level to reduce, to the extent possible, the child's blood lead level below the reference level. Such actions may include the following:

(1) Education of a parent or guardian on lead hazards and lead poisoning;

(2) Clinical evaluation for complication of lead poisoning;

(3) Follow-up blood lead analyses as indicated based on level of elevation and period of time;

(4) Developmental screening;

(5) Referral to the Department for an environmental investigation for a single venous blood lead test result equal to or greater than 10 µg/dL; and

(6) Chelation therapy should be considered and, when possible, a medical toxicologist, provider experienced in chelation therapy, or pediatric environmental health specialist should be consulted for a child with a blood lead test greater than 45 µg/dL.

(d) If the initial capillary blood lead test result is elevated, the health care provider shall obtain a venous confirmation test in accordance with the Clinical Management Guidelines as established by the Department.

(e) If the initial venous blood lead test result or the confirmation test is elevated, the health care provider shall obtain venous follow-up testing in accordance with the Clinical Management Guidelines as set forth by the Department.

Okla. Admin. Code § 310:512-3-4.1

Adopted by Oklahoma Register, Volume 34, Issue 24, September 1, 2017, eff. 10/1/2017

Amended by Oklahoma Register, Volume 40, Issue 23, August 15, 2023, eff. 9/11/2023