New Jersey Administrative Code › Title 8 - HEALTH › Chapter 51 - CHILDHOOD ELEVATED BLOOD LEAD LEVELS › Subchapter 2 - SCREENING AND CASE MANAGEMENT › Section 8:51-2.4 - Case management

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Whenever a child has a confirmed blood lead
				level of five g/dL or greater, the local board of health shall provide for case
				management of the child and his or her family.
(b) Whenever a child has a confirmed blood lead
				level of five g/dL or greater, a public health nurse shall perform case management
				consisting of:
1. A home visit in accordance with
				8:51-2.5;
2. Education, both written and
				verbal, and counseling of the primary caregiver about the effects and prevention of
				lead poisoning;
3. In the case of a
				child with two confirmed blood lead levels of five to nine g/dL or one confirmed
				blood lead level of 10 to 44 g/dL, a review of the lead Hazard Assessment
				Questionnaire, available at N.J.A.C. 8:51 Appendix A, with the lead inspector/risk
				assessor certified by the Department to ensure that the child's environment has been
				evaluated for non-paint lead hazards and that the environmental evaluation has been
				performed in accordance with
				N.J.A.C.
				8:51-4.2;
4. Monitoring blood lead retesting and results in
				cooperation with the primary care provider according to N.J.A.C. 8:51A;
5. Determining whether or not the child has a
				regular provider of medical care, and, if not, referral to a physician or licensed
				health care facility to provide primary medical care to the child;
6. Assisting the family in arranging for a medical
				evaluation, venous follow-up blood lead tests and related medical treatment in
				cooperation with the child's physician;
7. Arranging for lead screening, when indicated,
				of siblings and other children at least six months and less than 72 months of age
				living in the same household, in accordance with N.J.A.C. 8:51A, and of pregnant
				women living in the same household;
8.
				Assessing the need for emergency relocation funding and initiating collaboration
				with the appropriate agencies.
9.
				Ensuring that a hazard assessment is completed at all proposed relocation
				addresses;
10. Education about elevated
				blood lead levels, its possible effects on children, and lead hazards that may be
				present on the premises;
11. Education
				and counseling about nutrition and its role in reducing lead absorption;
12. Education and counseling about personal
				hygiene and housekeeping measures that parents can take to reduce their child's
				exposure to lead hazards;
13. The
				completion of case management assessments.
i.
				Public health nurses may complete additional assessments as they determine are
				appropriate;
14. Referrals to
				appropriate community resources including, but not limited to: Department of
				Children and Families; Federally Qualified Health Center; New Jersey Family
				Care/Medicaid; the local subcode official for housing; Special Child Health
				Services; Women, Infants and Children; transportation services; and other community
				services;
15. Monitoring of all followup
				activities to ensure that medical, environmental and educational interventions are
				delivered in a timely, safe and coordinated manner according to current standards of
				care; and
16. Referral, in writing, of
				children under active case management who move from the jurisdiction of one board of
				health to another, if a forwarding address is available.