<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.52.15.05" title_num="10" subtitle_num="52" chapter_num="15" heading="Results.">
  <paragraph num="A.">
    <text>Recordation of Results.</text>
    <paragraph num="(1)">
      <text>All screening results shall be recorded in the newborn infant’s medical record.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>All screening results shall be entered into the web-based system along with the following information:</text>
      <paragraph num="(a)">
        <text>Newborn infant’s:</text>
        <paragraph num="(i)">
          <text>Name;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Date of birth;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Gender;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Place of birth; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Primary care physician after discharge; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Mother’s:</text>
        <paragraph num="(i)">
          <text>Name; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Date of birth.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Abnormal Screening Results.</text>
    <paragraph num="(1)">
      <text>Abnormal screening results shall be reported by the authorized health care provider who conducted the screening to the attending physician or attending clinician immediately.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A newborn infant shall be evaluated immediately by an attending physician in order to complete the recommended protocol.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A newborn infant may not be discharged from care until:</text>
      <paragraph num="(a)">
        <text>A cause for the abnormal screening result has been determined; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An echocardiogram has been performed, read, and determined not to indicate CCHD.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>The birthing facility shall enter screening results into the web-based system as specified in §A(2) of this regulation.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The birthing facility shall provide notification of abnormal results to the newborn infant’s:</text>
      <paragraph num="(a)">
        <text>Parent or guardian; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Primary care provider.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Newborn Infants Not Screened.</text>
    <paragraph num="(1)">
      <text>If a newborn infant is not screened secondary to discharge before 12 hours of life, the birthing facility or nurse midwife shall:</text>
      <paragraph num="(a)">
        <text>Follow-up with the family to refer to an authorized health care provider for screening between 24 hours and 48 hours of life after:</text>
        <paragraph num="(i)">
          <text>Discharge from the facility; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A home birth; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Enter into the web-based system the:</text>
        <paragraph num="(i)">
          <text>Identifying information specified in §A(2) of this regulation; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Reason for not screening which shall be “early discharge”.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>The identifying information specified in §A(2) of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The reason for not screening which shall be “screening not indicated”; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A notation of the reason for the override.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Information specified in §A(2) of this regulation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Reason for not screening which shall be entered as “parent refusal”.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>