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 11-143-6 - Specimen collection

(a) All personnel responsible for collecting newborn screening specimens shall have read and become familiar with the department's Newborn Screening Practitioner's Manual or have participated in a training program, or both.

(b) Personnel collecting newborn screening specimens shall record the procedure and the fact that the newborn screening specimen has been collected in the infant's medical record.

(c) Specimen collection forms purchased from the department shall be used for all newborn screening specimens.

(d) All information requested on the specimen collection form shall be provided by personnel responsible for newborn screening specimen collection.

(e) For initial newborn screening tests, blood shall be taken from the newborn's heel and placed on the approved collection form.

(f) Specimen collection procedures shall follow the Clinical and Laboratory Standards Institute, "Blood Collection on Filter Paper for Newborn Screening Programs; Approved Standard - Sixth Edition."

(g) If a newborn is to be discharged prior to twenty-four hours of age, a newborn screening specimen shall be collected as close to discharge as possible, regardless of age and feeding history. If the initial newborn screening specimen is obtained before twenty-four hours of age, then a repeat specimen shall be obtained before fourteen days of age. Any new American Academy of Pediatrics newborn screening recommendations for specimens obtained before twenty-four hours of age shall supersede these recommendations.

(h) Newborns who require a blood transfusion or dialysis shall have a specimen collected prior to transfusion or dialysis. If a newborn screening specimen cannot be obtained before transfusion or dialysis, the physician shall ensure that a repeat specimen is obtained at the appropriate time when the specimen will reflect the infant's own metabolic processes and phenotype.

(i) All newborn screening specimens shall be sent by the appropriate person or entity in section 11-143-2 to the designated laboratory within twenty-four hours of collection, except when mailing service is not available. When mailing service is not available on weekends and holidays, newborn screening specimens shall be sent to the designated laboratory on the first available mail pick-up day.