Blood Lead Collection


Newborn Screening Laboratory
Kansas Health & Environmental Laboratories
6810 SE Dwight Street
Topeka, KS 66620
Phone Number: (785) 296-1620
Fax Number: (785) 559-5209
kdhe.healthchemlab@ks.gov

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:
1. Gloves for the person performing the collections.
2. Alcohol swabs.
3. Dry sterile gauze pads.
4. Lancet as appropriate for site and volume of blood required.
5. Sharps and contaminated materials disposal containers.

OPTIONAL MATERIALS FOR SPECIMEN COLLECTION:
1. Warming device if required, dependent on the volume of blood and tests to be performed.
2. Adhesive bandage. Avoid 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.
1. Gloves must be worn during skin puncture collection.
2. Select puncture site, warm as appropriate, and cleanse with alcohol.
3. Allow site to dry. Do not dry by wiping, as disinfection occurs during air-drying.
4. 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.
5. 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.

BD Microtainer® Tube

6. 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.
7. Twist off FloTop collector and replace with appropriate color-coded plug.
8. Plasma and hematology tubes: invert 8 to 10 times to assure anticoagulation. Serum tubes: allow blood to clot for a minimum of 30 minutes.
9. 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.
10. 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.
11. 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 Universal Form Instructions Capillary Screening Draw:

Please fill out the universal form in the highlighted fields shown below with ICD-10 code for a Capillary Screening Draw. There should be a separate form for Blood Lead specimens.

Blood Lead Tube     Attach the label from the bottom of the sheet to the tube horizontally

Blood Lead Universal Form Capillary


Blood Lead Universal Form Instructions Venous Confirmatory Draw:

Please fill out the universal form in the highlighted fields shown below with ICD-10 code for a Venous Confirmatory Draw. There should be a separate form for Blood Lead specimens.

Blood Lead Universal Form Venous


*** ICD-10 Codes Most Commonly Used for Blood Lead (in no particular order)

Z13.88         Encounter for screening for disorder due to exposure to contaminants

Z77.011       Contact with and (suspected) exposure to lead

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


Blood Lead Specimen Shipping Instructions:

Note – once we receive your specimens, the empty cooler will be returned to you as we recycle shipping containers

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.).

Blood Lead Specimens Package

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.

Inside Styrofoam Shipper

Add lid to Styrofoam© shipper.

Styrofoam Lid

Insert Styrofoamę shipper into fiberboard Category B, Biological Substance box.

Insert shipper into box

Insert completed Universal Form (please have ICD-10 code included on form) on top of Styrofoam© shipper.

Insert completed Universal Form

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

⇨  We recommend shipping on Monday, Tuesday or Wednesday. Courier or other transport service may be transported Monday through Thursday. DO NOT ship on Friday.