1. A. Recordation of Results.

   1. (1) All screening results shall be recorded in the newborn infant’s medical record.

   2. (2) All screening results shall be entered into the web-based system along with the following information:

      1. (a) Newborn infant’s:

         1. (i) Name;
         2. (ii) Date of birth;
         3. (iii) Gender;
         4. (iv) Place of birth; and
         5. (v) Primary care physician after discharge; and

      2. (b) Mother’s:

         1. (i) Name; and
         2. (ii) Date of birth.

2. B. Abnormal Screening Results.

   1. (1) Abnormal screening results shall be reported by the authorized health care provider who conducted the screening to the attending physician or attending clinician immediately.
   2. (2) A newborn infant shall be evaluated immediately by an attending physician in order to complete the recommended protocol.

   3. (3) A newborn infant may not be discharged from care until:

      1. (a) A cause for the abnormal screening result has been determined; or
      2. (b) An echocardiogram has been performed, read, and determined not to indicate CCHD.
   4. (4) The birthing facility shall enter screening results into the web-based system as specified in §A(2) of this regulation.

   5. (5) The birthing facility shall provide notification of abnormal results to the newborn infant’s:

      1. (a) Parent or guardian; and
      2. (b) Primary care provider.

3. C. Newborn Infants Not Screened.

   1. (1) If a newborn infant is not screened secondary to discharge before 12 hours of life, the birthing facility or nurse midwife shall:

      1. (a) Follow-up with the family to refer to an authorized health care provider for screening between 24 hours and 48 hours of life after:

         1. (i) Discharge from the facility; or
         2. (ii) A home birth; and

      2. (b) Enter into the web-based system the:

         1. (i) Identifying information specified in §A(2) of this regulation; and
         2. (ii) Reason for not screening which shall be “early discharge”.

   2. (2) If a newborn infant is not screened secondary to screening not being indicated, the birthing facility or nurse midwife shall enter into the web-based system:

      1. (a) The identifying information specified in §A(2) of this regulation;
      2. (b) The reason for not screening which shall be “screening not indicated”; and
      3. (c) A notation of the reason for the override.

   3. (3) If a newborn infant is not screened secondary to parent or guardian refusal, the birthing facility or nurse midwife shall enter into the web-based system the:

      1. (a) Information specified in §A(2) of this regulation; and
      2. (b) Reason for not screening which shall be entered as “parent refusal”.

Authority: Health-General Article, §§13-109, 13-111, and 18-107(a), Annotated Code of Maryland

Effective date:

Regulations .01—.08 adopted as an emergency provision effective October 5, 2012 (39:22 Md. R. 1427); emergency status extended to June 1, 2013 (40:6 Md. R. 469); adopted permanently effective April 15, 2013 (40:7 Md. R. 612)