Current through Vol. 42, No. 1, September 16, 2024
(a)
Specimen
collection for hospital births. For all live hospital births, the
physician, licensed or certified birth attendant shall order the collection of
a newborn screening specimen on all newborns prior to transfusion, as early as
possible after 24 hours of age or immediately prior to discharge, whichever
comes first. Due to the need to identify infants at risk for the disorders
quickly, the specimen should be collected as early as possible after 24 hours
of age. Specimens shall be collected on a single Newborn Screening Form Kit
using capillary or venous blood. Cord blood is unacceptable. The hospital is
responsible for collecting specimens on all infants.
(1) If the initial specimen for any infant is
collected prior to 24 hours of age, the hospital and the physician are
responsible for notifying the infant's parents verbally and in writing,
utilizing the parent educational form on the Newborn Screening Form Kit, that a
repeat specimen is necessary at three to five days of age. The infant's
physician is responsible for insuring that the repeat specimen is
collected.
(2) The hospital is
responsible for submitting a Satisfactory Specimen and for documenting all
requested information on the form kit including the parent/guardian's name,
address, phone or contact phone number and the planned health care provider who
will be providing well care for the infant after discharge or if the infant is
to be hospitalized for an extended period of time the name of the infant's
physician.
(3) The hospital is
responsible for documenting specimen collection and results in the infant's
hospital record.
(4) Infants who
are transferred from one hospital to another during the newborn period shall
have specimen collection documented in the infant's hospital record. It is the
responsibility of the physician and the receiving hospital to ensure the
specimen is collected.
(5) It is
the responsibility of the hospital and physician to ensure that all infants are
screened prior to discharge. If an infant is discharged prior to specimen
collection, the Newborn Screening Program Coordinator shall be notified. The
physician is responsible for ensuring the specimen is collected as
required.
(b)
Screening for premature/sick infants. For all premature/sick
infants, the physician shall order the collection of a newborn screening
specimen prior to red blood cell transfusion, at three to seven days of age or
immediately prior to discharge, whichever comes first. Due to the need to
identify infants at risk for the disorders quickly, the specimen should be
collected as early as possible after 24 hours of age. It is recommended that a
repeat newborn screening specimen be collected at 14 days of age. Specimens
shall be collected on the Newborn Screening Form Kit using capillary or venous
blood. The hospital and the physician are responsible for ensuring that
specimens are collected on all premature/sick infants.
(1) Premature/sick infants screened prior to
24 hours of age must be re-screened between 7-14 days of age.
(2) Premature/sick infants who could not be
screened prior to a red blood cell transfusion should be screened by the
7th day of life, with a repeat specimen collected
when plasma and/or red cells will again reflect the infant's own metabolic
processes and hemoglobin type (the accepted time period to determine hemoglobin
type is 90 to 120 days after transfusion).
(3) The recommended follow-up study for an
abnormal thyroid screen in a premature infant is a serum free T4 (measured by
direct dialysis or an equivalent method) and TSHat 7-14 days of age.
(c)
Specimen collection for
out-of-hospital births.
(1) All infants
who are not born in a hospital shall be tested as early as possible after 24
hours of age. The infant's physician, licensed or certified birth attendant is
responsible for submitting a Satisfactory Newborn Screening Specimen. If there
is not a physician, licensed or certified birth attendant involved in a
non-hospital birth, the person attending the birth and the parents of the
infant are responsible for submitting a Satisfactory Newborn Screening
Specimen.
(2) If a physician
examines a child in the first three months of life who was not born in a
hospital, or born out of state, the physician will verify that the child has
been screened. If the child has not been screened or if results of screening
are not available, the physician should submit a Satisfactory Newborn Screening
Specimen.
Amended at 8 Ok Reg
3115, eff 7-12-91 (emergency); Amended at 9 Ok Reg 1475, eff 5-1-92; Amended at
12 Ok Reg 41, eff 10-5-94 (emergency); Amended at 12 Ok Reg 1685, eff 6-12-95;
Amended at 15 Ok Reg 121, eff 10-15-97 (emergency); Amended at 15 Ok Reg 1979,
eff 5-26-98; Amended at 21 Ok Reg 1286, eff 5-27-04; Amended at 22 Ok Reg 392,
eff 12-21-04 (emergency); Amended at 22 Ok Reg 794, eff 5-12-05; Amended at 25
Ok Reg 105, eff 10-2-07 (emergency); Amended at 25 Ok Reg 1153, eff
5-25-08
