Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.57 - MATERNAL AND CHILD HEALTH
Subchapter 37.57.3 - Infant Screening Tests and Eye Treatment
Rule 37.57.320 - RESPONSIBILITIES OF REGISTRAR OF BIRTH: ADMINISTRATOR OF HEALTH CARE FACILITY
Universal Citation: MT Admin Rules 37.57.320
Current through Register Vol. 18, September 20, 2024
(1) Each person in charge of any health care facility and each person responsible under ARM 37.57.307 for a birth occurring outside a health care facility must:
(a)
ensure that a blood specimen is taken from each newborn for which the health
care facility or person is responsible, in conformity with this subchapter, for
the purpose of performing newborn screening tests;
(b) be certain that the specimen to be
forwarded to the laboratory is adequate for testing purposes;
(c) within 24 hours after the taking of the
specimen, cause such specimen to be forwarded to the department's laboratory by
either courier or first-class mail or its equivalent;
(d) record in the newborn's medical record
the date of taking of the test specimen and the results of the tests performed
when reported by the department;
(e) ensure that pulse oximetry is performed
per the department's recommended protocol for the purpose of performing newborn
screening for CCHD as follows:
(i) ensure
that the screening is performed on equipment that has been approved by the FDA
for use on newborns and is motion tolerant;
(ii) ensure that screening is performed by
licensed staff who have been trained on the screening procedure and
protocol;
(iii) record in the
newborn's medical record the date, time, and screening results;
(iv) ensure that the pulse oximetry screening
results are reported to DPHHS as required by this subchapter;
(v) ensure that a policy and procedure is in
place for immediate follow-up of a failed CCHD screen; and
(f) use educational materials provided by the
department and must provide education to the newborn's family on the following:
(i) the conditions that may be detected
through bloodspot screening and pulse oximetry screening;
(ii) the importance of newborn screening
tests to detect potentially life- threatening conditions;
(iii) the process for collecting bloodspot
screening and conducting pulse oximetry screening; and
(iv) after hearing all the benefits of
newborn screening and the risks involved in refusing testing, a parent/legal
guardian may refuse either of the above screenings. In that case, the
parent/legal guardian must sign a waiver for the newborn's medical record in
which they accept responsibility for adverse consequences. A copy of this
waiver must be provided to the department.
50-19-202, MCA; IMP, 50-19-203, MCA;
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