1. A. Every newborn infant, whether born in a hospital, birthing center, or at home shall receive tests on two newborn screening blood samples; unless the parents or guardians, after being informed of the reasons for the tests, waive the requirements for the tests in writing.

   (1) The first blood sample shall be obtained, between 24-48 hours of age.

   (2) The second blood sample shall be obtained between the 10th and 14th day after birth.

   (3) Second screens may be taken at a hospital, outpatient medical clinic and facility, outpatient laboratory, primary care provider’s office or by a midwife.

2. B. All birthing facilities, and midwives, in NM are required to practice uniform discharge screening regardless of the age or feeding status of the newborn.
3. C. Prematurity and transfusion status will be noted on the collection form in the space provided. Newborns who require any anticipated blood transfusion shall have a blood sample taken before the procedure. In those rare events where a screen was obtained after a transfusion, the facility is still required to submit the specimen for screening.
4. D. All birthing hospitals, birthing centers, and midwives will inform the parents of the requirement for a second screen prior to discharge. The PCP, birthing hospital, midwives, nurses, nurse practitioner or physician shall give the parents educational brochures supplied by program, and shall advise them where the test may be obtained.

5. E. In the case of inter-hospital transfer of an infant, the transferring hospital shall provide written notification to the receiving hospital indicating whether or not a specimen has been taken prior to transfer.

   (1) Infants who are transferred to another facility within 48 hours of birth shall be tested by the receiving facility.

   (2) If a newborn screening kit has been issued by the birth hospital to the infant, it shall be sent with the infant ensuring that both facilities are notified of the results.

   (3) Following transfer, the receiving hospital shall assume responsibility for collection of the specimen in accordance with these rules.

[7.30.6.9 NMAC - Rp, 7 NMAC 30.6.8, 10/30/12]