Birthing Facility Responsibilities. The birthing facility shall: Identify a clinical staff person as a contact for CCHD screening; Develop protocols to ensure that all newborn infants are offered screening; Develop protocols to ensure that all screening results are reported in accordance with Regulation .05 of this chapter; Ensure that follow-up is performed for newborn infants not screened before hospital discharge; and Develop protocols that assure the timely evaluation and referral, if necessary, of newborn infants who have abnormal screening results including: Evaluation by the attending physician; Performance of an echocardiogram; Reading of the echocardiogram; and Referral of newborn infants for further evaluation when needed. 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.