Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 550 - Newborn Screening and resources for trisomy 13, 18, and 21
Subchapter 7 - Newborn Screening Hospital Records
Section 310:550-7-1 - Hospital records
Universal Citation: OK Admin Code 310:550-7-1
Current through Vol. 42, No. 1, September 16, 2024
(a) Newborn screening blood test results.
(1) The
hospital is responsible for implementing a procedure to ensure that a newborn
screening blood specimen has been collected on every newborn and transported to
the Newborn Screening Laboratory within twenty-four (24) to forty-eight (48)
hours of collection. If more than one newborn screen is collected on an infant,
each copy of the newborn screen kit should be placed in the infant's medical
record. Specimens should be transported in the manner designated by the
Department and/or receiving laboratory.
(2) The hospital shall immediately notify the
infant's physician, parent(s) or guardian(s), and Newborn Screening Program
Coordinator if an infant is discharged without a sample having been collected.
These notifications shall be documented in the infant's hospital
record.
(3) If test results are not
received by the hospital within fifteen (15) days after the date of collection,
the hospital shall contact the Newborn Screening Laboratory to verify that a
specimen was received. If a specimen was not received, the hospital shall
notify the physician.
(4) Any
hospital or any other laboratory that collects,handles or forwards newborn
screening blood specimens shall keep a log containing the name and date of
birth of the infant, name of the ordering physician, name of infant's provider,
medical record number, serial number of the Newborn Screening Form Kit, date of
specimen collection, date specimen was sent to the certified laboratory, date
that test results were transmitted or received and the test results.
(b) Pulse oximetry screening results.
(1)
Record of
results.
(A) All pulse oximetry
screening results shall be recorded in the infant's medical record and the
results reported to a parent(s) or guardian(s) prior to discharge from the
hospital.
(B) All pulse oximetry
screening results shall be recorded on the Newborn Screening Form Kit, along
with the infant's name, date of birth, submitting facility, mother's name, and
the infant's physician.
(C) If the
newborn is not screened for CCHD prior to the Newborn Screening Form Kit being
forwarded to the Newborn Screening Laboratory for testing, CCHD screen results
shall be communicated to the Newborn Screening Program Coordinator utilizing
the Pulse Oximetry Screening Result Form provided by the Program.
(D) The Pulse Oximetry Screening Result Form
must be completed in its entirety.
(2)
Abnormal pulse oximetry screen
results.
(A) It is the responsibility
of the authorized health care provider who conducted the pulse oximetry
screening to communicate abnormal results to the attending physician or
attending clinician immediately.
(B) The newborn shall be evaluated
immediately by an attending physician in order to complete the recommended
protocol.
(C) The newborn may not
be discharged from care until:
(i) A cause
for the abnormal pulse oximetry screen has been determined;
(ii) An echocardiogram has been performed,
read, and determined not to indicate CCHD; and/or
(iii) A plan of care and follow-up has been
established with the newborn's parent(s) or guardian(s).
(D) The birthing facility shall report pulse
oximetry screening results to the Department as specified in this
Chapter.
(E) It is the
responsibility of the birthing facility to notify the newborn's parent(s) or
guardian(s), the physician or clinician following the newborn in the hospital,
and the infant's physician of abnormal pulse oximetry results.
(3)
Newborns not screened
for CCHD.
(A) If a newborn is not
screened for CCHD secondary to discharge before 12 hours of life, the birthing
facility shall:
(i) Follow-up with the
parent(s) or guardian(s) to schedule screening of the newborn at the birthing
facility between twenty-four (24) and forty-eight (48) hours of life;
or
(ii) Follow-up with the
parent(s) or guardian(s) to schedule referral of the newborn to an authorized
facility for screening between twenty-four (24) and forty-eight (48) hours of
life; and
(iii) Report screening
results to the Department utilizing the Pulse Oximetry Screening Result Form
provided by the Program, and indicating the reason for not screening which may
be "early discharge".
(B) If pulse oximetry screening is not
indicated for the newborn, the birthing facility shall report the reason for
not screening, which may be "screening not indicated due to," and provide other
CCHD findings for the newborn to the Department utilizing the Pulse Oximetry
Screening Result Form provided by the Program.
(C) If the newborn is not screened for CCHD
because of parent or guardian refusal, the birthing facility shall send the
Newborn Screening Program Refusal Form to the Department utilizing the form
provided by the Program and indicate the reason for not screening, which may be
"parent refusal".
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 1153, eff 5-25-08
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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