Okla. Admin. Code § 310:550-5-2

Current through Vol. 42, No. 7, December 16, 2024

Section 310:550-5-2 - Guidelines for newborn screening blood specimen collection and pulse oximetry screening

(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.

Okla. Admin. Code § 310:550-5-2

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

Amended by Oklahoma Register, Volume 31, Issue 24, September 2, 2014, eff. 9/12/2014

Amended by Oklahoma Register, Volume 40, Issue 23, August 15, 2023, eff. 9/11/2023