Hemoglobin Iron Determination
NOCAC Child Development will ensure all participants are screened for iron deficiency utilizing results from a Hematocrit or Hematocrit/Hemoglobin (HCT/HGB) blood test within 90 calendar days of enrollment.
Early Head Start enrolled participants:
- For a participant enrolled before the age of 12 months, the program must obtain documentation that a HCT/HGB screening was completed.
- If there is no documentation that a screening was performed at 12 months, a screening must be performed as soon as possible. A second HCT/HGB screening may be required to be performed for the participant at 24 months of age based on the primary care physicians risk assessments results.
Head Start enrolled participants:
- The program is required to obtain documentation that a HCT/HGB screening was performed between the ages of 36-72 months.
- If there is no documentation that a screening was performed after 36 months of age, a screening must be performed within 90 days of enrollment.
- At the initial home visit, the teacher/Home Visitor (HV) will inform parents of the program’s health requirements and determine if the participant is up-to-date on the recommended schedule.
- NOCAC staff or Health and Safety Manager will assist the family in arranging for and obtaining HCT/HGB screening results.
- The parent will be asked to provide the program with the HCT/HGB screening date and results from their local WIC provider or primary care physician.
- If needed, the parent may sign a Release of Information form allowing the program to obtain the results from WIC or primary care physician.
- If NOCAC has not received a copy of the HCT/HGB screening date and results from their local WIC provider or primary care physician within approximately two weeks after sending the Release of Information, a second request will be mailed.
- If two weeks after mailing the second request the program has not received a response, the HCT/HGB screening will be performed by the health staff with signed parent permission.
- When a determination has been made that the participant has not been screened for iron deficiency or the results of a previous screening cannot be obtained, NOCAC Health/Safety Manager will perform the HCT/HGB screening, the following will be adhered to:
- A finger stick lead screening will be performed by licensed personnel or health staff who have been trained and show proficiency in this skill.
- Parents will be notified when the screening will be performed.
- NOCAC Staff will assist parent to complete Child Lab paperwork which authorizes a finger stick.
- A Child Lab permission form must be completed prior to the screening being performed.
- Verification of parent signature on a parent agreement of services with the HCT/HGB screening marked appropriately will be done.
- Notification of screening results will be given to the parent as soon as possible after all screenings are completed by providing the parent with a copy of the results.
- The following guidelines will be utilized to determine a child’s need for referral for treatment and followup.
- Followup on participants that fail the HCT/HGB screening will be completed by the primary care physician
- NOCAC Staff will assist the parent in making and keeping appointments or arranging transportation.
- HCT/HGB screening results will be recorded in ChildPlus.
- Participants will not be excluded from the program because of incomplete the HCT/HGB screening.
- Pass/Fail Levels:
- Any hemoglobin at or above 10.1 is considered a pass.
- Any hemoglobin between 10.0 or below is a fail and requires an automatic referral to Health/Nutrition Services. This referral must be completed within two weeks of the date the results were received by staff.
- Any hematocrit at or above 34.1% is considered a pass.
- Any hematocrit at 34% or below is a fail and requires an automatic referral to the Health/Nutrition Services. This referral must be completed within two weeks of the date the results were received by staff.
- If after 90 days from the participant’s enrollment date staff are unable to obtain a hemoglobin/hematocrit screening for any participant regardless of age, the participant must be referred to the Health Manager. Staff must include all dates they have spoken/contacted the parent regarding the missing hemoglobin/hematocrit with the referral.
- NOCAC is the payor of last resort.
Forms and Additional Guidance:
This policy complies with the following
|Head Start Program Performance Standard:||1302.42|
|ODJFS Child Care Manual:|
|Caring for Our Children:|
|Effective Date:||8/7/17||Reviewed Date:||9/30/20, 6/16/22|
|Approved By Policy Council:||8/7/17||Revision Approved By Policy Council:||1/6/20|