(a) If a child is
born in a Wyoming hospital, the hospital shall collect and deliver the child's
bloodspot specimen for the Wyoming Newborn Screening Panel according to §
5(c) of this
Chapter.
(b) If a child is not born
in a Wyoming hospital, the person attending the delivery shall arrange to have
the child's bloodspot specimen collected and delivered according to §
5(c) of this
Chapter.
(c) A qualified healthcare
professional shall collect a child's bloodspot specimen for the Wyoming Newborn
Screening Panel according to the following requirements and procedures.
(i) A bloodspot specimen must be collected
according to the following timelines.
(A) If
the child is full-term and healthy, the qualified healthcare professional shall
collect the bloodspot specimen between twenty-four (24) and forty-eight (48)
hours after birth.
(B) If the child
is to be discharged before twenty-four (24) hours after birth, the qualified
healthcare professional shall collect the bloodspot specimen before discharge
according to best medical practices.
(C) If the child is not full-term or healthy,
the qualified healthcare professional shall collect the bloodspot specimen
according to best medical practices.
(D) If the child requires an exchange
transfusion, the qualified healthcare professional shall collect the bloodspot
specimen prior to the exchange transfusion and according to best medical
practices. If the qualified healthcare professional fails to collect the
bloodspot specimen prior to the exchange transfusion, the qualified healthcare
professional shall indicate that the child was transfused in the appropriate
section of the bloodspot specimen collection card.
(E) If the child needs to be transferred to
another hospital, the transferring hospital shall ensure that a qualified
healthcare professional collect the bloodspot specimen prior to transfer or
make arrangements with the receiving hospital to collect the bloodspot
specimen. The transferring hospital shall notify the Wyoming Department of
Health Newborn Screening Program if a child is transferred prior to bloodspot
specimen collection.
(ii) A bloodspot specimen must be collected
according to the following procedure.
(A) The
qualified healthcare professional shall collect the bloodspot specimen from
capillary blood drawn by heel prick or an alternative method authorized by the
Department.
(B) The qualified
healthcare professional shall transfer the collected bloodspot specimen
directly onto the bloodspot section of the bloodspot specimen collection form
provided by the Department. All circles on the form must be saturated with
blood from one side only. After saturation, the form must air-dry horizontally
on a dry, clean, and non-absorbent surface for three (3) to four (4)
hours.
(iii) A bloodspot
specimen collection form provided by the Department must be completed according
to the following procedure.
(A) The qualified
healthcare professional shall complete the bloodspot specimen collection form
accurately and legibly.
(B) A
complete bloodspot specimen collection form must provide all required
information including maternal and infant demographics, infant birth weight,
time of birth, specimen collection time, physician information, and submitter
information.
(iv) A
bloodspot specimen must be delivered according to the following procedures.
(A) The Department shall ensure access to
contracted courier services for timely transport of bloodspot specimens. Timely
transport is delivery to the contracted laboratory within twenty-four (24)
hours of collection, or as early as possible.
(B) The qualified healthcare professional
shall arrange for timely transport of the bloodspot specimen via contracted
courier service or overnight express services to the contracted laboratory
after appropriate dry time and completion of the bloodspot specimen collection
form. Timely transport means as defined in §
5(c)(iv)(A) of this
Chapter.
(C) A contracted courier
service shall pick up bloodspot specimens from hospitals and deliver bloodspot
specimens to the contracted laboratory.
(d) The Department shall provide program
brochures, consent and waiver forms, and specimen collection forms to
hospitals, physicians, and other qualified healthcare professionals twice
yearly and upon request.
(e) The
Department shall ensure access to contracted laboratory services for analysis
of bloodspot specimens.