New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 3000 - MATERNAL AND CHILD HEALTH
Part He-P 3008 - NEWBORN DRIED BLOOD SPOT SCREENING, CRITICAL CONGENITAL HEART DISEASE SCREENING AND NEWBORN HEARING SCREENING
Section He-P 3008.05 - DBS Collection Procedures

Universal Citation: NH Admin Rules He-P 3008.05

Current through Register No. 40, October 3, 2024

(a) Except as allowed by (b)-(i) below, the infant's healthcare provider or designee shall collect the DBS between 24 and 48 hours after birth.

(b) The infant's healthcare provider or designee shall obtain an initial DBS at time of discharge from a birth facility for infants discharged prior to the first 24 hours of life.

(c) When the initial DBS is obtained prior to the first 24 hours of life due to early discharge, the infant's healthcare provider or designee shall obtain a second DBS within 48 hours of discharge.

(d) For infants who are sick, premature, less than 1500 grams or receiving a higher level of care, the infant's healthcare provider or designee shall obtain:

(1) An initial DBS between 24 and 48 hours of the infant's life;

(2) A second DBS at 2 weeks of age;

(3) Additional repeat DBS specimens at 1 month, and monthly thereafter; and

(4) A final DBS specimen upon discharge or transfer from the higher level of care.

(e) Except as allowed by (f) below, the infant's healthcare provider shall ensure that a DBS is obtained prior to transfer to another medical facility.

(f) If an infant's medical condition prohibits DBS collection prior to transfer to another medical facility, the transferring birth facility shall:

(1) Notify the receiving medical facility that a DBS has not been obtained; and

(2) Submit a completed filter paper form without the blood specimen and with a comment explaining the circumstances preventing the collection of blood.

(g) Upon notice of non-collection from the birth facility, the receiving medical facility shall obtain a DBS for screening in accordance with He-P 3008.05.

(h) Infants receiving a blood transfusion shall have DBS collection performed in the following manner:

(1) For infants receiving blood transfusions, the infant's healthcare provider or designee shall obtain a DBS prior to transfusion, regardless of the infant's age;

(2) If the first DBS is obtained prior to 48 hours after transfusion, then a second DBS shall be obtained 48 hours after transfusion; and

(3) A final DBS shall be collected by the infant's healthcare provider 60 days after the final transfusion.

#8529, eff 12-23-05; ss by #9725, eff 7-1-10

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