Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 661 - NEWBORN AND INFANT SCREENING AND TREATMENT CODE › Subpart C - NEWBORN BLOOD SPOT SCREENINGS › Section 661.200 - Collection and Submission of Specimens

Current through Register Vol. 48, No. 28, July 12, 2024
a) All blood spot samples collected pursuant
				to this Part shall be submitted for testing to the laboratory designated by the
				Department.
b) When a retest blood
				spot sample is determined to be necessary pursuant to Subpart C of this Part,
				the Department will notify the primary care provider or designee who is
				responsible for obtaining another specimen and having the specimen
				tested.
c) For detailed and
				specific information regarding collection and submission of blood spot samples,
				refer to the current Illinois Department of Public Health Newborn Screening
				Practitioner's Manual. Newborn Screening shall be performed on a sample that
				meets the following requirements:
1) All
				newborns shall have a blood spot sample collected for testing as soon as
				possible after 24 hours of age.
2)
				Newborns who leave the medical care facility before they are at least 24 hours
				of age shall have a blood spot sample collected before discharge. The attending
				physician, or the attending primary care provider's designee, shall collect a
				second blood spot sample for testing between 48 and 72 hours of age.
3) Every newborn transferred to a second
				health care facility prior to 24 hours of age shall have a blood spot sample
				collected before transfer unless medically contraindicated. If a newborn is
				transferred before a blood spot sample is collected, the first facility shall
				inform the second facility that a blood spot sample has not been collected. The
				second facility shall collect and submit the blood spot sample.
4) Newborns admitted to NICU or SCBU shall
				have a blood spot sample collected upon admission regardless of age, medical
				condition or feeding. A second blood spot sample shall be collected between 48
				and 72 hours of age or before discharge from the NICU or SCBU, whichever
				situation occurs first. For newborns less than 34 weeks gestation or who weigh
				less than 2,000 grams, a third blood spot sample shall be collected at 28 days
				of age or before discharge from the NICU or SCBU, whichever situation occurs
				first.
5) If a newborn requires a
				blood transfusion prior to 24 hours of age, a blood spot sample shall be
				collected before the transfusion. If the initial blood spot sample was
				collected post-transfusion, a second blood spot sample shall be collected 48 to
				72 hours post-transfusion, and a third blood spot sample shall be collected 120
				days following the last transfusion.
6) If a newborn requires total parenteral
				nutrition (TPN) before 24 hours of age, a blood spot sample shall be collected
				before the administration of TPN. If the initial blood spot sample was
				collected before administration of TPN, a second blood spot sample shall be
				collected 48 to 72 hours after the administration of TPN.
7) If a newborn requires antibiotic therapy
				before 24 hours of age, a blood spot sample shall be collected before the
				administration of the antibiotic therapy. If the initial blood spot sample was
				collected before administration of the antibiotic therapy, a second blood spot
				sample shall be collected 48 to 72 hours after administration of the antibiotic
				therapy.
8) For newborns not born
				in medical care facilities or not admitted to a medical care facility during
				the neonatal period (under 28 days of age), a blood spot sample shall be
				collected as soon as possible, but no earlier than 24 hours after
				birth.