Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.002 - Collection Procedures for Newborn Screening

Current through Reg. 50, No. 138; July 16, 2024
(1) Each live born infant shall be screened
				for those core and secondary conditions listed in the "Newborn Screening
				Disorders" list, February 3, 2020, unless the parent or guardian objects to the
				screening in accordance with Section
				 383.14(4), F.S.
				The "Newborn Screening Disorders, " February 3, 2020 is incorporated by
				reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-12063
.
(2) The infant's blood shall be collected on
				a specimen card, DOH Form DH 677, (Revised 9/16), which is titled "Newborn
				Screening Specimen Collection Card, " and incorporated by reference. The form
				is available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-08548
.
				The form may also be obtained through the State Public Health Laboratory
				located at 1217 North Pearl Street, Jacksonville, FL 32202. Forms may be
				ordered through the DOH website at
http://www.floridahealth.gov/programs-and-services/childrens-health/newborn-screening/_documents/order-form-for-DH677.pdf
.
(3) The laboratory order for a newborn screen
				may be submitted via the specimen card, DOH Form DH 677, or electronically to
				the State Public Health Laboratory. It is the responsibility of the submitting
				entity to complete all data fields on the specimen card or the electronic order
				that are required for identification, testing, result interpretation/reporting
				and billing of the specimen and/or patient.
(4) When a live birth occurs in a hospital,
				or licensed birth center, the responsible physician or healthcare practitioner,
				must:
(a) Ensure a satisfactory blood specimen
				is collected prior to the infant's discharge from care. The specimen shall be
				collected within 48 hours of birth, but no earlier than 24 hours after
				birth.
(b) If the infant is
				discharged from the hospital or birth center before 24 hours after birth, a
				blood specimen shall be collected before discharge and a second newborn
				screening specimen shall be repeated after 24 hours and no later than 5 days
				after birth. At or before discharge, the hospital or birth center administrator
				or designee must provide a written notice to the parents, guardian, or other
				legally responsible party of the requirements for the newborn to be tested
				again within 5 days after birth. The primary responsibility for assuring repeat
				testing remains with the hospital or birth center; and,
(c) A pulse oximeter device must be used to
				test the oxygen level in the right hand and either foot. Newborns must be at
				least 24 hours of age or prior to hospital discharge to obtain the oxygen
				level. Pulse oximetry screening results must be documented on a specimen card,
				DOH Form DH 677, or submitted electronically to the State Public Health
				Laboratory. Testing procedures must be consistent with the American Academy of
				Pediatrics current screening algorithm as referenced in paragraph (5)(b),
				below.