TX CLPPP News, Volume 6, Number 1, Spring 2008 Page: 4 of 8
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Who is responsible for ordering an ELI?
Because of the changing nature of the healthcare
industry, clinicians see children under various consultative
arrangements and conditions. Nevertheless, the healthcare
provider that diagnosed a child with an EBLL is ultimately
responsible for submitting a Pb-101, "Request for
Environmental Lead Investigation", to TX CLPPP
(see form on page 5).
When the TX CLPPP receives a report of a child with a
BLL 15 mcg/dL or greater, we mail a notification letter to
the child's medical provider. Included with the letter is an
ELI request form (see form on page 5). To ensure you are
using the most current form, always visit the TX CLPPP
website for updates.
http://www.dshs.state.tx.us/lead/provider
TX CLPPP enlists your help as a healthcare provider, to
convey to the child's parent or guardian the importance of
cooperating with the investigator. The investigator needs to
obtain the parent's consent to enter their private residence
and perform the ELI. Most importantly, the parent needsto understand the primary reason the investigator is at the
residence is to ask questions; to look in and around the
house; and to collect information that may locate sources
of lead exposure causing the EBLL.
Follow the three steps below to request an ELI.
1. Review the child's blood lead history to ensure the
child's BLLs meet TX CLPPP criteria for an ELI (see
table below, "Criteria Eligibility for ELI").
2. Submit a completed Pb-101, when you determine the
child is eligible for an ELI. If you previously submitted
an ELI request and received an investigation completion
report, it is not necessary to submit another request for
that same patient, unless the address has changed.
3. Fax or mail your completed ELI request to the fax
number or address on the bottom of the form. Check
our website to make sure that you are using the most
current and up-to-date Pb-101 form.1. The child's venous blood lead level (BLL) test result is at 20 micrograms lead per
deciliter (mcg/dL) and higher, or
2. Two separate venous BLL tests collected at least 12 weeks apart that are in the 15-19
mcg/dL range.]
Note: A capillary test, also referred to as a finger stick, is allowed when a child is initially screened for
lead. However, if the capillary test results is 10 micrograms per deciliter or greater, a venous blood
draw must be used to diagnosis the child as having an elevated blood lead level. TX CLPPP will not
authorize an ELI based on a capillary test.
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Texas. Department of State Health Services. TX CLPPP News, Volume 6, Number 1, Spring 2008, periodical, Spring 2008; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth821511/m1/4/: accessed July 8, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.