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Lead-Based Paint Hazards and Exposure, Exams of Nursing

A comprehensive overview of lead-based paint hazards, including the sources of lead contamination, the health effects of lead exposure, and the regulatory framework for addressing lead-based paint hazards. It covers topics such as the definition of lead-based paint, the inspection and testing procedures, the clearance levels for lead in dust and soil, and the treatment methods for lead-based paint abatement. The document also discusses the importance of protecting vulnerable populations, such as pregnant women and children under 6, from lead exposure. Overall, this document serves as a valuable resource for understanding the complexities of lead-based paint hazards and the strategies for mitigating them.

Typology: Exams

2024/2025

Available from 09/18/2024

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US EPA Model Lead Inspector Study
Guide Latest
Lead Inspector -
A certified individual who conducts a surface-by-surface investigation to determine
the presence of lead-based paint.
Lead Risk Assessor Job Description -
Determining the existence, nature, severity, and location of lead-based paint
hazards in an entire residential dwelling or child-occupied facility, and provides a written
report explaining the results of the investigation and options for reducing lead-based
paint hazards to the person requesting the lead inspection.
Residential Lead-Based Paint Hazard Reduction Act -
(Title X of the Community Development and Housing Act of 1992) The federal
government began to focus on primary prevention of lead poisoning through identifying
and reducing lead hazards.
Importance of lead poisoning prevention/lead-based paint inspections -
Focus attention on the sources of lead that could poison children; and reduce the
cost of lead hazard control by identifying which surfaces are coated with lead-based
paint.
Lead inspector job description -
Identify the lead-based painted surfaces in housing, certify the results of an
inspection in writing, conduct post-hazard control clearance sampling to determine: the
specified hazard control strategy was conducted, the area is safe for unprotected
workers to enter, and the area is a safe place for residents and young children to live.
How common is lead pollution? -
Lead-based paint is present in roughly 83% of all hosing stock in the private sector
and in roughly 90% of family housing units in the nation's housing authorities.
Lead-based paint -
Paint, varnish, shellac, or other coating on surfaces that contain 1.0 mg/cm^2 or
more of lead or 0.5% or more lead by weight.
Lead-based paint hazard -
Any condition that causes exposure to lead-contaminated dust, lead-contaminated-
soil, or lead-contaminated paint that is deteriorated or present in accessible surfaces,
friction surfaces, or impact surfaces that would result in adverse human health effects
as identified by the EPA Administrator under TSCA section 403.
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US EPA Model Lead Inspector Study

Guide Latest

Lead Inspector - ✔ A certified individual who conducts a surface-by-surface investigation to determine the presence of lead-based paint. Lead Risk Assessor Job Description - ✔ Determining the existence, nature, severity, and location of lead-based paint hazards in an entire residential dwelling or child-occupied facility, and provides a written report explaining the results of the investigation and options for reducing lead-based paint hazards to the person requesting the lead inspection. Residential Lead-Based Paint Hazard Reduction Act - ✔ (Title X of the Community Development and Housing Act of 1992) The federal government began to focus on primary prevention of lead poisoning through identifying and reducing lead hazards. Importance of lead poisoning prevention/lead-based paint inspections - ✔ Focus attention on the sources of lead that could poison children; and reduce the cost of lead hazard control by identifying which surfaces are coated with lead-based paint. Lead inspector job description - ✔ Identify the lead-based painted surfaces in housing, certify the results of an inspection in writing, conduct post-hazard control clearance sampling to determine: the specified hazard control strategy was conducted, the area is safe for unprotected workers to enter, and the area is a safe place for residents and young children to live. How common is lead pollution? - ✔ Lead-based paint is present in roughly 83% of all hosing stock in the private sector and in roughly 90% of family housing units in the nation's housing authorities. Lead-based paint - ✔ Paint, varnish, shellac, or other coating on surfaces that contain 1.0 mg/cm^2 or more of lead or 0.5% or more lead by weight. Lead-based paint hazard - ✔ Any condition that causes exposure to lead-contaminated dust, lead-contaminated- soil, or lead-contaminated paint that is deteriorated or present in accessible surfaces, friction surfaces, or impact surfaces that would result in adverse human health effects as identified by the EPA Administrator under TSCA section 403.

Lead-based paint inspection - ✔ a surface-by-surface investigation to determine the presence of lead-based paint. A report is then issued that identifies if there is lead-based paint present and where it is located. Deteriorated paint - ✔ Any interior or exterior paint that is peeling, chipping, chalking, or cracking, or is located on an interior or exterior surface of fixture that is damaged or deteriorated. Accessible surface - ✔ Surface that protrudes from the surrounding area to the extent that a child can chew the surface and is within three feet or the floor or ground (e.g., window sills, railing, and the edges of stair treads) Friction surface - ✔ An interior or exterior surfaces that is subject to abrasion or friction (e.g., certain window, floor, and stair surfaces) Impact surface - ✔ An interior or exterior surface that is subject to damage from repeated impacts (e.g., certain parts of door frames) HUD Guidelines - ✔ The primary purpose of the Guidelines is to guide people involved in identifying and controlling lead-based paint hazards in housing. What is lead-based paint - ✔ 1 milligram per square centimeter (1.0 mg/cm^2) using the XRF analyzer or 0.5% (or 5,000 parts per million) using laboratory analysis methods AAS - ✔ Atomic absorption spectrometry A2LA - ✔ American Association for Laboratory Accreditation ASTM - ✔ American Society for Testing and Materials CDC - ✔ Center for disease control and prevention CFR - ✔ Code of federal regulations

Lead paint - ✔ The amount of lead-based paint in housing is significant - approximately 64 million (pre-1978) private U.S. residences contain at least some lead-based paint. Children ingest lead-based paint by normal hand-to-mouth activity. Young children absorb a significantly higher percentage of ingested lead than adults. Lead absorption is increased by malnutrition and poor diet. Lead in surface dust and soil can come from? - ✔ Weathering and chipping of lead-based paint, scraping and sanding of lead-based paint in preparation for refinishing, renovations that break surfaces painted with lead- based paint, abrasion and/or impact on doors and windows, atmospheric fallout from the combustion of leaded gasoline that was deposited prior to the phase-down in use, factory emissions, dust and dirt that is carried into the home on shoes and clothing (especially from factories or construction sites or by pets) Lead in water - ✔ Lead-contaminated drinking water also contributes to the overall level of exposure - from as little as 5 percent to more than 50 percent of a child's total lead exposure. (NAETI Exam: 20% contribution) Lead in food - ✔ Contamination from containers with lead solder, lead glaze, or other materials with lead, by airborne lead from industrial or automobile emissions deposited on to crops or water, by uptake into food crops from lead in soil or pesticides applications, and doing transportation or processing. A phase-out of lead solder in cans began in the late 1970s. Food containers: lead oxide is sometimes used to manufacture glazes for protecting ceramics and etc. Lead in other sources - ✔ Vinyl miniblinds are another potential source of lead in a residence. CDC, CPSC, and the public health have identified the following: crayons (imported from Chile), painted metal playground equipment, pool cue chalk, calcium supplements (made from bone or oyster shell), some hair dyes (lead acetate) CPSC - ✔ Consumer Product Safety Commission Health effects of lead exposure - ✔ The three systems where the effects are most dangerous are: the central and peripheral nervous system. the cardiovascular system (including the blood forming system), and the kidneys.

Exposure to high concentrations of lead can cause: retardation, convulsions, coma, and death (sometimes) Acute vs Chronic exposure - ✔ acute - exposure for short time at high levels chronic - exposure to low or moderate levels over a long period of time INSPECTION IS A CRITICAL FIRST STEP IN SOLVING THE LEAD PROBLEM IN HOMES THROUGHOUT THE UNITED STATES. THE PRIMARY SKILL FOR LEAD INSPECTOR TO DEVELOP IS? - ✔ Documentation of information Lead base paint is found more often in pre world war 2 housing units than those built since 1940,although all housing constructed prior to? Is at risk - ✔ 1978 Aldo lead based paint is found as often and homes of well to do as the poor, studies prove that the lower income families are proportionately affected. This apparent discrepancy maybe due to the lower income families having - ✔ Where's physical conditions, higher level of lettuce, improper nutritional dietary habits Mg / cm2 - ✔ Micrograms per square centimeter According to Section number 302 of the (LBPPPA), public housing authorities and Indian housing authorities must - ✔ Expect all the wetlands and common areas in pre 1978 family developments. complete all such inspection by December 6 1996 abate lead - based paint hazards equal to or greater than 2 milligrams per square centimeter Many experts agree that a complete lead inspection project should include detailed reports regarding the dwellings - ✔ Interior and exterior surfaces The history of lead use traces back to many centuries. The oldest known let object was a statue excavated in Turkey Day dinner around? - ✔ 1000 B.C During the Roman Empire, lead production was estimated at? tons per year - ✔ 100 Some historians hypothesize that the fall of the Roman Empire is attributed to, in part, to

✔ Performance Characteristics Sheet NIST - ✔ National Institute of Standards and Technology SRM - ✔ Standard Reference Material XRF - ✔ X-ray Flourescence HUD - ✔ Housing and Urban Development EPA - ✔ Environmental Protection Agency NLLAP - ✔ National Lead Laboratory Accreditation Program NVLAP - ✔ National Volunteer Laboratory Acrredidation Program TSCA - ✔ Toxic Substances Control Act - passed in 1976 CFR - ✔ Code of Federal Regulations WAC - ✔ Washington Administrative Code NIOSH - ✔ National Institute for Occupational Safety and Health CDC - ✔ Center for Disease Control ASTM - ✔ American Standards in Testing Material LBP - ✔ Lead-Based Paint OSHA -

✔ Occupational Safety and Health Administration Pb - ✔ Lead - Plumbum RRP - ✔ Renovation Repair and Painting TCLP - ✔ Toxicity Characteristic Leeching Procedure PEL - ✔ Permissable Exposure Limits DOSH - ✔ Department of Safety and Health QC - ✔ Quality Control LBPPPA - ✔ Lead-Based Paint Poisoning Prevention Act RSO - ✔ Radiation Safety Officer PPM - ✔ Parts Per Million RCRA - ✔ Resource Conservation and Recovery Act

  • establishes procedures for handling hazardous and non-hazardous solid materials in the waste management system COC - ✔ Chain Of Custody PPB - ✔ Parts Per Billion AAS - ✔ Atomic Absorption Spectronomy FAAS - ✔ Flame Atomic Absorption Spectronomy

CLC=ALC-SEL

AALA -

✔ American Association for Labratory Acrredidation or A2LA CIH - ✔ Certified Industrial Hygenist CRM - ✔ Certified Reference Materials EBL - ✔ Elevated Blood Lead FR - ✔ Federal Register TSP - ✔ Trisodium Phosphate HEPA - ✔ High Efficiency Particulate Air MDL - ✔ Method Detection Limit PPE - ✔ Personal Protective Equipment PHA - ✔ Public Housing Agency PVC - ✔ Pigment Volume Concentration QA - ✔ Quality Assurance QC - ✔ Quality Control

SRS -

✔ Standard Reevaluation Sheet

A schedule determining when Reevaluation should be performed. VOC - ✔ Volatile Organic Compound

Substances that vaporize or evaporate from a coating during the coating or curing process 1978 - ✔ The year lead paint was banned in all residential paint in the U.S. Dust - ✔ The primary form of LBL through which lead poisoning occurs in children in residential homes. Blood Lead Level Test - ✔ The best way to determine whether a person/child has lead poisoning. .5% by weight - ✔ Paint chips are positive for lead if the results by atomic absorption (AAS) are above this percent. 1.0 mg/cm2 - ✔ The RRP federal standard states paint is considered lead positive at or above the level of this from the XRF. Lead - ✔ This type of poisoning causes; restlessness, irritability, feeling of dullness, severe vomiting, tremors, birth defects, learning disabilities, ADHD, convulsions, loss of muscular activities, sterility, coma and death. Prevent Corrosion, Kill mold and Mildew and for Durability - ✔ Lead was used in products for these reasons. Disturbed - ✔ Lead paint becomes a health hazard when Pregnant women and children under 6 - ✔ The 2 targeted groups who are at the most risk for lead poisoning. A Child occupied facility -

✔ The 3 ways a certified lead-based paint inspector or risk assessor can determine whether paint is LBP. 30 dyas - ✔ Certified Renovators must submit all copies of the test results from the EPA recognized test kits to the client as soon as possible, but no later than ______ days after completing the renovation. Legal parent/Guardian Homeowner Business Owner - ✔ The Certified Renovator/Certified Firm must offer or give the Renovate Right pamphlet to before work begins. 6 feet in all directions - ✔ On interior work being performed the Certified Renovator must put plastic out this distance from the activity. 10 Feet in all directions - ✔ On exterior work being performed the Certified Renovator must put plastic out this distance from the activity. Eating Drinking Smoking - ✔ Prohibited behaviors in the work area. Windows Doors Vents - ✔ To fully contain the work area during interior work the Certified Renovator shall use plastic sheeting to close and seal all of these three items. 20 Feet - ✔ The Certified Renovator shall post caution signs this distance from the edge of the work area on exterior work. Sealed or removed - ✔ If an item is within 6 feet of the work area the Certified Renovator shall be. 20 feet - ✔ When doing exterior work, doors & windows must be kept closed when closer than this distance from the renovation work. Furthest point from the door

At the door - ✔ When cleaning a work area, the contractor shall start at this location; __________________ and end at this location. Floor - ✔ The last item that should be cleaned in a work area. No Power Tools No Heat guns in excess of 1100 F No open flame torching/Burning - ✔ The three RRP prohibited activities. HEPA - ✔ High Efficiency Particulate Air 99.97% - ✔ The "HEPA" vacuum has a filter attachment that filters particulates of 0.3 microns or greater to this efficiency. 1,000 Degrees Farenheit - ✔ You should never operate a heat gun in excess of _______ degrees Fahrenheit (F). HEPA - ✔ The type of vacuum that is required during cleanup activities. 50 ug/m3 in an hour period - ✔ The OSHA Permissible Exposure Limit (PEL) for lead. Painters Hat P,N,R 100 respirator Coveralls Shoe covers - ✔ 4 required PPE for LSW. Wash hands and face - ✔ Required hygiene when leaving the containment area. 2 Feet - ✔ When cleaning the interior you must clean this distance beyond the contained work area. Matches or Lighter than the CV card - ✔ A cleaning verification (CV) is passed. 1 hour -

What's not recommended for final clearance? - ✔ Walls What test is more accurate? - ✔ Paint chip sample What does LBP stand for? - ✔ Lead based paint In what year was Title x introduced? - ✔ 1992 Which agency is responsible for Title X? - ✔ EPA What is Title X? - ✔ Residential lead base paint hazard reduction act What does SWDA stand for? - ✔ Safe water drinking act The 3 systems where the effects of lead are more dangerous are? - ✔ The nervous system, blood & kidneys Exposure to high concentrations of lead can cause? - ✔ Retardation Convulsions Coma Death What is acute poisoning? - ✔ High level exposure in a short time Most common symptoms in acute lead poisoning are? - ✔ Abdominal pain Constipation or diarrhea Irritability Fatigue Weakness Muscle Pain Anemia When is preventive chelation done? - ✔ Never

What does LBPPPA Stand for? - ✔ Lead base paint poisoning prevention act What is the weight of lead? - ✔ 207. Main cause of lead contamination in drinking water is? - ✔ Lead containing materials in household plumbing Partial sources of lead in drinking water systems may include? - ✔ Lead plumbing, goose necks or pigtails Lead service lines, interior housing, plumbing especially where solder is used Lead containing alloys such as faucets or valves made of brass or bronze. Private water wells or plumbing equipment Water service mains / rarely What does PEL stand for? - ✔ Permissible Exposure Limit What are the permissible levels for children? - ✔ 5 ug/dl EPA encourages the public to let tap water run how many seconds? - ✔ 30 - 60 seconds As mandated by SWDA solders and flux may not contain more than what % of lead? - ✔ 0.2% As mandated by SWDA pipes, pipe fitting & well pumps may not contain more than what % of lead? - ✔ 8.0% House holds that have lead level above 15 ppb in a 1 liter sample should take these steps? - ✔ Run tap water 30-60 seconds Never use water from water tap for drinking or cooking Not boiling water longer than necessary for making baby formula. Checking for lead solder The source of radiation in all XRF analyzers currently being used for lead paint inspection is? - ✔ Colbalt-57 Isotope Cadmium- 1 09 Isotope What does TSCA stand for? -

Damage to blood formation Anemia Nerve damage Constipation Stomach pains Irritability and fatigue Memory loss - concentration problems Clumsiness Drowsiness Sleep problems Blue line on gums Uncontrollable shaking of hands Wrist and foot drop Hallucinations Brain Damage Coma Death Exposure to lead is measures by the concentration of lead in? - ✔ Air Soil Dust Water Paint What does OSHA stand for? - ✔ Occupation Safety Health Administration What is OSHA's primary function? - ✔ Employer provides a safe and healthy workplace. What is OSHA 29-CFR 1910.1025? - ✔ General What is OSHA 29-CFR 1926.62? - ✔ Construction What is OSHA 29-CFR 1915.1025 - ✔ Maritime What does CPSC stand for? - ✔ Consumer product safety commission What is the agency CPSC responsible for? - ✔ Reduction of lead in paint

What does PPE stand for? - ✔ Personal protective equipment What are the 4 steps to Inspecting a family home? - ✔ Calibration checks Testing Substrate correction Classifying Results If any test is inconclusive always assume it's positive or take a paint sample? - ✔ True If XRF instrument is out of calibration you must? - ✔ Read instructions Follow instructions For XRF results below 4.0 mg/cm2 substrate correction is recommended for? - ✔ Metal & wood Substrate correction is not needed for? - ✔ Brick Concrete Drywall Plaster XRF means? - ✔ X-ray Fluorescense XRF instruments are typically used to measure lead in? - ✔ Soil Dust Paint Encapsulant means? - ✔ A substance that forms a barrier between a lead bearing substance and the environment using a liquid coating or an adhesive bonded covering material. Lead abatement means? - ✔ Any activity that will permanently eliminate lead exposure or remove the lead bearing substances in a regulated facility. Lead inspection means? - ✔ A surface by surface investigation to determind the presence of lead based paint.