1.                  1.     DCFS transports child to medical facility within 2-4 hours for medical examination, tests for

          exposure, and decontamination (i.e., shower and clean gown and blanket).  FSW supports

          medical staff with available information about child.

2.                2.     Medical staff performs medical assessment:*

• Head to toe exam within 2-4 hours after removal to ensure medical stability and document any acute findings.
• Check for respiratory problems.
• Check skin.
• Blood tests, if needed.
• Check child’s affect (scared, happy, detached).
• Collect urine for toxicology, in-house lab (Must occur within 12 hours after removal).
• The lab results will remain with the medical records and will be available to the Prosecuting Attorney if subpoenaed.
• See "National Protocol for Medical Evaluation of Children Found in Drug Labs" for further guidance

3.             3.     Medical staff shower child for decontamination purposes (Place exposed clothes, blankets,

                 underwear, stuffed animal, socks, etc. in trash bag and discard).  Rinse shower facility with soap and water.

4.             4.    Medical staff furnishes child a hospital gown, blanket and stuffed animal for transport to

                placement site.

5.            5.     Medical billing for examination goes to Medicaid or appropriate billing source – for example,

                parent’s insurance.

6.             6.    FSW does exit summary with medical staff, transports child to placement site, and completes

                meth exposure form with foster parent or placement site personnel.

 * Reference: National Alliance for Drug Endangered Children,  " National Protocol for Medical Evaluation

of Children  Found in Drug Labs.”