Mich. Admin. Code R. 330.302 - Blood lead testing of a minor
Rule 2.
(1) A
physician treating a minor patient shall test, or order a test, for lead in
blood at the following ages:
(a) 12
months.
(b) 24 months.
(c) If the minor has no previous record of
the test required under this rule, between 24 months and 72 months of
age.
(2) If a minor
patient resides in 1 of the jurisdictions identified in R 330.303 as a
geographic area where children are at high risk of lead poisoning, a physician
treating the minor patient shall test, or order a test, for lead in blood of
the minor between 48 months and 60 months of age.
(3) If a physician determines that a minor
patient is at high risk for lead poisoning, the physician shall test, or order
a test, for lead in blood of the minor as provided in subrules (4) and (5) of
this rule.
(4) If either of the
following factors that identify a minor at high risk for lead poisoning are
present, a physician treating the minor shall test, or order a test, for lead
in blood of the minor at least once in between the date of the minor's most
recent test and 72 months of age:
(a) The
minor resides in a home where other minors have been tested and found to have
lead poisoning.
(b) The minor
resides in a home built before 1978.
(5) If a physician treating a minor patient
determines that the minor is at high risk for lead poisoning through a parent's
attestation or through the physician's own independent medical judgment, the
physician shall test, or order a test, for lead in blood of the minor at least
once between the time of that determination and 3 months following that
determination.
(6) The department
shall make available educational materials for physicians regarding health
effects, risk factors, testing, and medical care for lead-exposed minors. The
materials must include a written reference guide that summarizes risk factors
for lead poisoning, for which additional blood lead testing may be
indicated.
(7) If capillary blood
lead test results are equal to or greater than the blood lead reference value,
the physician shall test, or order a test, for lead in blood with venous blood.
The venous blood lead test must be analyzed in a laboratory using a high
complexity method, such as inductively coupled plasma mass spectrometry or
graphite furnace atomic absorption spectroscopy.
Notes
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