SECTION 310:550-7-1. Hospital recording

(a)   Newborn Screening Results.

(1)   The hospital shall implement a procedure to ensure that a newborn screening 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.

(2)   The hospital shall immediately notify the infant's physician, parents or guardians, and Newborn Screening Program Coordinator if an infant is discharged without a sample having been collected. This notification shall be documented in the infant's hospital record.

(3)   If no test results are received within fifteen (15) days after the date of collection, the hospital shall contact the Newborn Screening Laboratory to verify that a specimen had been received. If no specimen has been received, the hospital shall notify the physician.

(4)   Any hospital or any other laboratory which collects, handles or forwards newborn screening samples shall keep a log containing name and date of birth of the infant, name of the attending physician, name of the planned health care provider who will be providing well care for the infant after discharge, medical record number, serial number of the Newborn Screening Form Kit used, date the specimen was drawn, date the specimen was forwarded, date the test results were received and the test results.

(5)   Specimens should be transported in the manner designated by the Department.

(b)   Pulse Oximetry Screening Results.

(1)   Recordation of Results.

(A)   All pulse oximetry screening results shall be recorded in the newborn infant's medical record and the results reported to a parent or guardian prior to discharge from the hospital.

(B)   All pulse oximetry screening results shall be recorded on the Newborn Screening Form Kit, along with the following information:

(i)   Newborn infant's:

(I)   Name;

(II)   Date of birth;

(III)   Place of birth; and

(IV)   Primary care physician after discharge; and

(ii)   Mother's Name.

(C)   If the infant is not screened for CCHD prior to the Newborn Screening Form Kit being forwarded to the Public Health Laboratory for testing, fax documentation of CCHD screen results to the Oklahoma State Department of Health (OSDH) Newborn Screening (NBS) Program utilizing the Pulse Oximetry Screening Result Form provided by the program.

(D)   The pulse oximetry result form shall include the infant's name, date of birth, mother's name, primary physician, birth hospital, medical record number, date of pulse oximetry screening, age at time of screening, pulse oximetry screening result, reason pulse oximetry screening was not performed (if applicable), printed screener's name and signature, and date the form was signed.

(2)   Abnormal Pulse Oximetry Screen Results.

(A)   Abnormal pulse oximetry screening results shall be reported by the authorized health care provider who conducted the screening to the attending physician or attending clinician immediately.

(B)   A newborn infant shall be evaluated immediately by an attending physician in order to complete the recommended protocol.

(C)   A newborn infant 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 infant's parent or guardian.

(D)   The birthing facility shall report pulse oximetry screening results to the Department as specified in this regulation.

(E)   The birthing facility shall provide notification of abnormal pulse oximetry results to the newborn infant's:

(i)   Parent or guardian;

(ii)   Physician or clinician following the inpatient infant; and

(iii)   Primary care provider.

(3)   Newborn Infants Not Screened for CCHD.

(A)   If a newborn infant is not screened for CCHD secondary to discharge before 12 hours of life, the birthing facility shall:

(i)   Follow-up with the family to screen the infant at their facility between twenty-four (24) and forty- eight (48) hours of life; or

(ii)   Follow-up with the family to refer to an authorized facility for screening between twenty-four (24) and forty-eight (48) hours of life after discharge from the facility; and

(iii)   Report screening results to the Department utilizing the form provided by the program and indicating the reason for not screening which shall be "early discharge".

(B)   If the newborn infant is not screened for CCHD secondary to screening not being indicated, the birthing facility shall report results to the Department utilizing the form provided by the program and indicate the reason for not screening, which shall be "screening not indicated," with a notation for the reason pulse oximetry screening was not performed

(C)   If the newborn infant is not screened secondary to parent or guardian refusal, the birthing facility shall fax a refusal form to the Department utilizing the form provided by the program and indicate the reason for not screening, which shall be "parent refusal".

[Source: 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; Amended at 31 Ok Reg 1596, eff 9-12-14; Amended at 36 Ok Reg 1688, eff 9-13-19]