Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 143 - TESTING OF NEWBORN INFANTS FOR METABOLIC AND OTHER DISEASES
Section 11-143-5 - Hospital, birth attendant, and physician responsibilities
Current through February, 2024
(a) The newborn's attending physician or birth attendant and the hospital administrator shall be jointly responsible for assuring that each infant born or transferred to their care is satisfactorily tested as specified in section 11-143-4.
(b) Each hospital shall have written policies and procedures concerning the required testing of newborns for designated metabolic and other diseases.
(c) All newborns shall have a newborn screening specimen drawn before discharge from the hospital, or by three days of age, whichever comes first, and sent to the designated laboratory, except as provided for in subsection (e).
(d) The newborn shall not be discharged until the medical record is checked to assure that the newborn screening specimen has been collected.
(e) For newborns transferred from one hospital to another, the originating hospital shall assure that the newborn screening specimen is drawn. If the newborn is too premature or too sick to have a specimen drawn prior to transfer and a specimen is not obtained, the originating hospital shall be responsible for clearly documenting this, notifying the hospital to which the newborn is being transferred that a specimen has not been obtained, and reporting to the department as described in subsection (g).
(f) The hospital shall keep record summaries of infants born or transferred by month of birth, as to whether the newborn screening tests were done, the tests results, and actions taken based on test results or missing results. These summaries shall be compiled monthly and sent to the department not later than thirty days after the end of the month.
(g) Not later than forty-eight hours after transfer, discharge, or death, the hospital shall report to the department, on a form provided by the department:
(h) Each hospital shall have available for distribution to parents and guardians copies of the parent information brochure provided by the designated laboratory.
(i) Each hospital, physician, and birth attendant shall ensure compliance with section 11-143-6.
(j) Each physician shall follow the American Academy of Pediatrics newborn screening recommendations for repeat screening for infants whose initial specimens are obtained before twenty-four hours of age.
(k) The physician caring for the newborn who has a positive newborn screening test shall order confirmatory tests. The physician may request assistance from the department if the physician has difficulty contacting the family regarding the positive newborn screening test result.
