An authorized health care provider shall perform the screening. Newborn Infants Receiving Routine Care. The birthing facility or nurse midwife shall: Perform screening on a newborn infant between 24 hours and 48 hours of life; or If unable to perform the screening, refer the infant to another authorized health care provider to perform the screening between 24 hours and 48 hours of life. If the newborn infant is discharged from a facility after 12 hours of life but before 24 hours of life, the birthing facility shall perform screening as late as is practical before the newborn infant is discharged from the birthing facility. If the newborn infant is discharged before 12 hours of life, the birthing facility shall refer the infant to another authorized health care provider to perform screening between 24 hours and 48 hours of life. Newborn Infants in Special Care or Intensive Care. Birthing facilities shall develop protocols for screening infants in the special care or intensive care nurseries. Circumstances Where Screening Is Not Indicated. There may be instances where screening for CCHD is not indicated, including but not limited to instances where: The newborn infant’s clinical evaluation to date has included an echocardiogram which ruled out CCHD; or The newborn infant has confirmed CCHD based on prenatal or postnatal testing.