# COMAR Title 10 — Maryland Department of Health

## Subtitle 52 — Preventive Medicine

### Chapter 15 — Screening for Critical Congenital Heart Disease (CCHD) in Newborns

#### Regulation .06 Birthing Facility and Nurse Midwife Responsibilities.

*COMAR 10.52.15.06*

A. Birthing Facility Responsibilities. The birthing facility shall:

  (1) Identify a clinical staff person as a contact for CCHD screening;

  (2) Develop protocols to ensure that all newborn infants are offered screening;

  (3) Develop protocols to ensure that all screening results are reported in accordance with Regulation .05 of this chapter;

  (4) Ensure that follow-up is performed for newborn infants not screened before hospital discharge; and

  (5) Develop protocols that assure the timely evaluation and referral, if necessary, of newborn infants who have abnormal screening results including:

    (a) Evaluation by the attending physician;

    (b) Performance of an echocardiogram;

    (c) Reading of the echocardiogram; and

    (d) Referral of newborn infants for further evaluation when needed.

B. Newborn Infants Born Outside a Birthing Facility. If the birth of a newborn infant occurs outside a birthing facility, the nurse midwife shall perform screening in accordance with Regulation .05 of this chapter or refer to an authorized health care provider for screening between 24 hours and 48 hours of life.