Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21
Subchapter 5 - Newborn Screening blood Specimen Collection
Section 310:550-5-2 - Guidelines for newborn screening blood specimen collection and pulse oximetry screening
Universal Citation: OK Admin Code 310:550-5-2
Current through Vol. 41, No. 13, March 15, 2024
(a) Newborn screening blood specimen collection.
(1) Specimens obtained with a Newborn
Screening Form Kit should be collected in accordance with the standard for
Blood Collection on Filter Paper for Newborn Screening Programs, NBS01-A6,
Sixth Edition, as adopted and published by the Clinical and Laboratory
Standards Institute on July 31, 2013, or most recent version. Failure to follow
these methods of blood collection may cause inaccurate results, or
unsatisfactory specimen results,that require repeat collection.
(2) Submitters are responsible for submitting
a satisfactory newborn screening blood specimen.
(b) Pulse oximetry screening.
(1)
Pulse oximetry screening.
Pulse oximetry screening will be performed utilizing the hospital protocol. A
recommended protocol is provided by the Program.
(2)
Authorized provider. An
authorized health care provider shall perform the pulse oximetry
screening.
(3)
Newborns
receiving routine care.
(A) The duties
of the birthing facility or nurse include the following:
(i) Perform pulse oximetry screening on the
newborn between twenty-four (24) hours and forty-eight(48) hours of life;
or
(ii) Schedule the newborn to be
screened at the facility between twenty-four (24) hours and forty- eight (48)
hours of life, if unable to perform the pulse oximetry screening; or
(iii) Notify the infant's physician if
screening was not performed.
(B) If the newborn is scheduled for discharge
from a birthing facility after twelve (12) hours of life but before twenty-four
(24) hours of life, the birthing facility shall perform pulse oximetry
screening as late as is practical before the newborn is discharged and notify
the infant's physician of the early screening.
(C) If the newborn is discharged before
twelve (12) hours of life, the birthing facility shall perform the pulse
oximetry screening between twenty-four (24) hours and forty-eight (48) hours of
life.
(4)
Newborns
in special care or intensive care settings. For newborns who have been
in special care or intensive care units, birthing facilities shall perform
pulse oximetry screening prior to discharge utilizing the hospital protocol,
unless the newborn has an identified congenital heart defect or has had an
echocardiogram performed. A recommended protocol is provided by the Program.
Continuous pulse oximetry monitoring may not be substituted for CCHD screening.
(5)
Circumstances in which
pulse oximetry screening is not indicated. If pulse oximetry screening
is not performed, the reason shall be documented on the Newborn Screening Form
Kit. Instances where pulse oximetry screening is not indicated include but are
not limited to:
(A) Clinical evaluation of
the newborn has included an echocardiogram which ruled-out CCHD; or
(B) The newborn has confirmed CCHD based on
prenatal or postnatal testing.
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; Amended at 12 Ok Reg 1685, eff 6-12-95; Amended at 21 Ok Reg 1286, eff 5-27-04
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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