2 Review "NYSDOH Blood Lead Screening Standards of Practice for WAIVED Testing Devices (e.g., Lead Care® II)"

• If the blood-lead level is > 8 μg/dL, send a venous sample to a NYS DOH laboratory permitted for blood lead confirmation testing, or refer the patient to that laboratory's patient service center for collection of a venous blood sample.
• Record the results with a comment stating: "results of confirmatory testing are pending."

Note: This threshold has been set for point-of-care testing using waived test methods, such as the LeadCareJ II system. The NYSDOH has established a confirmation threshold level < 10 μg/dL for non-waived methods.

Quality control

• You must run two levels of quality control (included with all LeadCare II Test Kits) according to the manufacturer's instructions, which are:

• Each new lot.
• Each new shipment of materials even if it's the same lot previously received.
• Each new operator (i.e. operator who has not performed the test recently).
• Monthly, as a check on continued storage conditions.
• When problems (storage, operator, instrument, or other) are suspected or identified.
• If otherwise required by your laboratory's standard QC procedures.

Critically elevated blood-lead levels

• If a child's (under age 18) blood-lead level is < 45 μg/dL, you must notify the local health department within 24 hours of analysis or notification by the laboratory.

Please refer to the Reporting tab for details on all the reporting requirements.

Note: If the patient, regardless of age, resides in New York City, current New York City Health Code reporting requirements take effect.