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Blood Lead Collection
Video training is also available on KS Train. KDHE: Blood Lead Sampling and Submission Process (1085448)
Blood Lead Specimen Guide
We recommend shipping on Monday, Tuesday, or Wednesday. Courier or other transport service may be transported Monday through Thursday. Do not ship on Friday.
Specimen collection instructions for Blood Lead Capillary Microtainer collection:
Materials Required but not Provided
- Alcohol swabs
- Dry sterile gauze pads
- Gloves for the person performing the collections.
- Lancet as appropriate for site and volume of blood required
- Sharps and contaminated materials disposal containers
Optional Materials for Specimen Collection
- Warming device if required, dependent on the volume of blood and tests to be performed.
- Adhesive bandage. Avoid the use of bandages with patients likely to place fingers or feet in their mouths, as ingestion/aspiration may occur.
Directions for Use
Note: For plasma and hematology tube, pre-assemble BD Microtainer® Tube by removing plug and replacing plug with FloTop collector.
Do not discard plug.
- Gloves must be worn during skin puncture collection.
- Select puncture site, warm as appropriate, and cleanse with alcohol.
- Allow site to dry. Do not dry by wiping, as disinfection occurs during air-drying.
- Puncture skin, with appropriate lancet, following instructions supplied by the manufacturer. Dispose of lancet in an approved sharps container. Wipe away first drop of blood with gauze.
- Hold BD Microtainer® Tube with FloTop collector vent hole in upward position. Touch collector end of reseivoir to drop of blood. Avoid scraping skin surface to collect blood sample. Blood will freely flow to bottom of tube. Caution: "Milking" of skin puncture site may cause hemolysis and adversely affect test result accuracy.
- Fill plasma and hematology tube between fill marks. Over or underfilling of tube may result in clotting and/or erroneous test results. Fill serum tubes to required volume.
- Twist off FloTop collector and replace with appropriate color-coded plug.
- Plasma and hematology tubes: invert 8 to 10 times to assure anticoagulation. Serum tubes: allow blood to clot for a minimum of 30 minutes.
- Hematology tube should be mixed thoroughly just prior to analysis. A minimum of twenty manual inversions (or 5 to 10 minutes on a mechanical mixer) is recommended.
- Fill other BD Microtainer® Tubes as required. Note: If capillary blood gas testing is to be done, the capillary tubes used to collect samples must be filled before the odler samples are collected. Otherwise, die EDTA samples for hematology testing should be filled first.
- Dispose of used lancet into an approved sharps container if this has not been done. Dispose of any contaminated materials into appropriate container.
Blood Lead Form Instructions Capillary Screening Draw
Fill out the universal form in the highlighted fields shown with ICD-10 code for a Capillary Screening Draw. There should be a separate form for Blood Lead specimens.
Attach the label from the bottom of the sheet to the tube horizontally
Blood Lead Form Instructions Venous Confirmatory Draw
Fill out the universal form in the highlighted fields shown, with ICD-10 code for a Venous Confirmatory Draw. There should be a separate form for Blood Lead specimens.
ICD-10 Codes Most Commonly Used for Blood Lead
ICD-10 Codes Most Commonly Used for Blood Lead in no particular order:
- R78.71 Abnormal lead level in blood
- Z00.12 Encounter for routine child health examination
- Z00.121 Encounter for routine child health examination with abnormal findings
- Z00.129 Encounter for routine child health examination without abnormal findings
- Z13.88 Encounter for screening for disorder due to exposure to contaminants
- Z77.011 Contact with and (suspected) exposure to lead
Shipping Instructions
We recommend shipping on Monday, Tuesday, or Wednesday. Courier or other transport service may be transported Monday through Thursday. Do not ship on Friday.
Blood Lead specimens can be packaged together in a batch. The K2 EDTA microtainer tube for capillary screening draw can be shared with your site if you are testing for Hemoglobin/Hematocrit.
Insert labeled tube/tubes in absorbent sleeve and into a specimen transport bag. Seal transport bag completely. Any transport bag will work (a zipper storage bag, a Biohazard transport bag, etc.).
Inside Styrofoam© shipper, place a barrier (a paper towel will work) between bagged tube/tubes and frozen cold pack. Do not place the tubes directly on the cold pack as the cells will hemolyze.
Add lid to Styrofoam© shipper, and insert shipper into fiberboard Category B, Biological Substance box.
Insert completed Universal Form (with ICD-10 code included) on top of Styrofoam© shipper.
Secure the flaps on the outside of the fiberboard box with shipping tape.
Shipping Address
Kansas Health and Environmental Laboratories
6810 SE Dwight Street
Topeka, KS 66620
Note: We recycle shipping containers. Once we receive your specimens, the empty cooler will be returned to you.
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Newborn Screening Laboratory
Physical Address
6810 SE Dwight Street
Topeka, KS 66620
Phone: 785-296-1620Fax: 785-559-5209